鼓励药剂师推以证据为基础的他类药物启动:两个集群随机临床试验
Alexander C Fanaroff1,2,3, Qian Huang3, Kayla Clark3
1Division of Cardiovascular Medicine, University of Pennsylvania, Philadelphia.
JAMA cardiology
|March 26, 2025
概括
药剂师主导的干预显著增加了对高风险患者的他类药物处方. 对药剂师进行非同步转诊以进行脂质管理比电子健康记录警报更有效.
科学领域:
- 心血管医学 心血管医学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 大多数接受他类药物治疗的患者接受治疗不足,尽管他类药物在预防重大心血管不良事件方面具有已证明的好处.
- 临床医生的时间有限,缺乏系统的预防性护理努力,导致他类药物处方的差距.
研究的目的:
- 评估两个干预措施对增加他类药物处方率的影响.
- 为了确定药剂师领导的脂质管理推对适当患者的有效性.
主要方法:
- 两个实用集群随机临床试验涉及12个初级保健实践.
- 试验1:基于访问的电子健康记录 (EHR) 预警干预.
- 试验2:非同步的,半自动化药剂师推干预.
主要成果:
- 与常规护理相比,EHR预警干预 (试验1) 并没有显著增加他类药物处方 (15.6%对11.6%).
- 半自动化药剂师推 (试验2) 与常规护理相比,显著增加了16.4个百分点的他类药物处方 (31.6%与15.2%相比).
结论:
- 非同步的半自动推用于药剂师共同管理,大大增加了他类药物的处方.
- 这种药剂师参与的策略提供了一种可扩展和有效的方法,以改善高风险人群中使用他类药物的情况.
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