对混合远程临床药房服务模式的评估
Alexis Hyman1, Engie Attia1, David Putney1
1Department of Pharmacy Services, Houston Methodist Hospital, Houston, TX, USA.
概括
混合远程护理模型增加了记录的面向患者的药房活动和患者满意度,同时与传统模型相比,减少了住院时间.
科学领域:
- 药房实践 在药房实践中
- 医疗保健服务研究 医疗服务研究
- 远程患者护理服务
背景情况:
- 传统的内部药房临床服务模式涉及药剂师在现场工作.
- 远程护理模式提供了灵活性,但需要与现有工作流程进行仔细的整合.
- 优化临床药剂师活动对于改善患者治疗结果和医院效率至关重要.
研究的目的:
- 为了比较混合远程护理模型与传统的内部药房临床服务模型之间的影响.
- 评估混合模型对记录的药剂师活动,患者满意度和停留时间的影响.
主要方法:
- 一个回顾性,准实验性研究,将混合远程护理模型 (药剂师远程处理非患者面对的任务,另一个患者面对的现场) 与传统的内部模型进行比较.
- 主要结局是记录的面向患者和非面向患者活动的比率.
- 二级结局包括住院时间和患者经验.
主要成果:
- 混合模型显示,记录的面向患者的活动显著增加 (每1000个患者日有108个与77个笔记相比,P=0.017).
- 在混合模型组中,入住时间的中位数下降 (4.1 vs 4.69天,P=0.002).
- 在混合模型组中,患者满意度更高 (62%对47%的积极反应,P=0.009).
结论:
- 混合远程护理模式可以增强面向患者的药房活动,提高患者满意度,减少住院时间.
- 对结果的潜在影响包括研究设计,患者负载的变化和工作人员的坚持.
- 进一步的研究可能会在不同的医疗保健环境中验证这些发现.
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