患者对以患者为中心的多药制药药物审查干预的经验:一种混合方法研究
Lorna J Duncan1, Deborah McCahon2, Barbara Caddick3
1University of Bristol Centre for Academic Primary Care, Population Health Sciences, Bristol Medical School, Bristol, United Kingdom of Great Britain and Northern Ireland.
概括
以患者为中心的药物评估显著提高了患者的满意度,特别是当涉及到共享决策和清晰的沟通时. 药剂师主导的审查通常受到好评,强调了准备和支持最佳结果的重要性.
科学领域:
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
- 药理学 药理学是指药理学的学科.
背景情况:
- 多药房需要定期进行药物审查,以优化患者的健康结果.
- 以患者为中心的护理和共享决策对于有效的多药房管理至关重要.
- 改善不合适的多药药的最佳方法需要进一步调查.
研究的目的:
- 探索患者在初级保健中以患者为中心的多药制药药物审查干预的患者经验.
- 在IMPPP随机对照试验中评估特定干预措施的有效性.
- 确定影响患者对药物评价满意度的关键因素.
主要方法:
- 在随机对照试验 (IMPPP) 中进行了一项混合方法的过程评估.
- 进行了患者体验调查,随后进行了面试和音频记录的药物评价的有目的抽样.
- 数据收集包括调查 (N=556),采访 (N=28) 和记录的评论 (N=27).
主要成果:
- 报告的患者满意度高 (73.2%),与共享决策密切相关.
- 80%的患者对审查的交付感到满意,通常是药剂师领导的电话咨询.
- 患者重视感觉知情,准备好,并收到明确的后续;临床医生熟悉影响经验.
结论:
- 以患者为中心的药物评价显示出提高患者体验,满意度和参与度的潜力.
- 有效的沟通,准备和临床医生支持对于成功的审查至关重要.
- 药剂师主导的审查是可以接受的,但对其作用和处方权的清晰度很重要.
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