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Updated: Feb 28, 2026

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在临床综合社区药房网络中提供糖尿病教育和增强服务
Christopher J Daly1, Merin V Panthapattu1, Frances Murray1
1Department of Pharmacy Practice, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, Buffalo, NY, USA.
Journal of pharmacy practice
|June 9, 2025
概括
纽约的社区药房已准备好提供增强的糖尿病自我管理教育和支持 (DSMES) 服务. 识别促进者和障碍是改善药房在替代支付模式 (APM) 的表现的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药服务 制药服务
- 慢性疾病管理 慢性疾病管理
背景情况:
- 在美国医疗保健中,替代支付模式 (APM) 的采用越来越多.
- 更多地关注药店在预防性护理和慢性疾病管理方面的表现.
- 社区药房增强服务网络 (CPESN) 旨在为高风险患者,包括糖尿病患者提供增强的服务.
研究的目的:
- 评估CPESN内的社区药剂师是否准备好提供最低增强服务 (MES).
- 评估CPESN药房在为糖尿病患者提供糖尿病自我管理教育和支持 (DSMES) 的能力.
主要方法:
- 一项横截面调查通过电子邮件发送给纽约CPESN所有药房.
- 用描述性统计数据来分析调查答案.
- 84名参与者完成了调查.
主要成果:
- 提供DSMES服务的比例很高:关于血糖监测的教育 (95%),生活方式的改变 (88%) 和药物坚持监测 (88%).
- 在DSMES上花费的大部分时间用于监测药物坚持 (5.9 +/- 7.0小时/周).
- 关键的促进者包括技术 (55%),工作流程设计 (54%) 和培训 (53%). 障碍包括缺乏合作 (54%) 和培训不足 (49%).
结论:
- 在CPESN-纽约的药房有很好的位置来调整临床服务,包括DSMES,以提高APM的表现.
- 识别的促进者和障碍物为未来的干预提供了路线图,以优化服务交付.
- 解决跨专业合作和人员培训等障碍对于加强药房在糖尿病护理中的作用至关重要.
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