药剂师和社区卫生工作者之间的跨专业合作对药物遵守的影响:系统审查
Carole Bandiera1, Ricki Ng2, Sabuj Kanti Mistry3
1School of Pharmacy, The University of Sydney, Sydney, Australia. carole.bandiera@sydney.edu.au.
International journal for equity in health
|February 28, 2025
概括
药剂师和社区卫生工作者 (CHWs) 之间的跨专业合作对患者药物坚持的影响有限. 需要更多高质量的研究才能充分了解这些医疗保健团队合作伙伴关系的好处.
科学领域:
- 提供医疗保健服务.
- 专业间合作 专业间合作
- 患者的坚持患者的坚持
背景情况:
- 社区卫生工作者 (CHWs) 越来越多地融入医疗保健团队,因为他们的有效性提高了患者的治疗结果.
- 对于药剂师和医疗保健医院之间的专业间合作,人们的理解有限.
- 本系统性审查的重点是涉及药剂师和医疗保健工作者的干预措施对患者药物遵守的影响.
研究的目的:
- 系统地审查和探索涉及药剂师和社区卫生工作者 (CHWs) 的跨专业干预措施对患者药物坚持的影响.
主要方法:
- 在多个数据库 (Embase,MEDLINE,Web of Science,CINAHL,Scopus) 和灰色文学中进行了对英语文学的系统搜索.
- 两位作者选了标题,摘要和全文文章的资格,包括药剂师和医疗保健工作者提供干预措施并报告药物坚持结果的研究.
- 数据被提取并以叙事形式合成,研究质量使用有效公共卫生实践项目工具进行评估.
主要成果:
- 包括8项研究,1577名参与者;大多数来自美国,自2020年以来发表.
- 干预措施包括药物治疗管理,和解和教育,医疗保健工作人员管理患者信息,药剂师提供临床干预.
- 在五项研究中通过自我报告来评估药物坚持,在一项研究中通过客观措施,在两项研究中通过自我报告来评估药物坚持. 在三项研究中发现了显著的坚持改善,其中一半的研究被评为质量差.
结论:
- 少数研究调查了药剂师-CHW合作,显示对药物坚持的影响有限.
- 进一步进行高质量的研究是必要的,以准确评估这种跨专业合作对患者健康结果的影响.
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