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在家庭护理患者中建立专业间药物评价 - - 一项可行性研究
Carla Meyer-Massetti1,2, Anita Sommer1, Estelle Kaiser1
1Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
Drug, healthcare and patient safety
|October 14, 2025
概括
社区药剂师在家庭护理患者中发现了药物问题,但遇到了障碍. 改善专业间的协作和数据共享对于优化药物管理和在这个人群中减少处方至关重要.
科学领域:
- 老年病的医生 老年病的医生
- 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:
- 与药物相关的问题在家庭护理患者中很常见,这些患者通常年龄较大,有多种并发病症,并服用多种药物.
- 药物信息的有效沟通对于这种复杂的患者群体至关重要,这些患者群体与多名医疗保健专业人员互动.
研究的目的:
- 试点一种标准化的方法,用于跨专业的家庭护理药物管理.
- 专注于为高危患者进行抑郁症治疗的干预措施.
主要方法:
- 使用跨专业的doMESTIC RISK工具来评估在家庭护理患者 (≥64岁,≥4种药物) 中与药物相关的风险.
- 社区药剂师对高风险患者进行了结构化药物审查.
- 药剂师使用标准化表格向初级保健医生传达建议.
主要成果:
- 在完成风险评估的76名患者中,有49名患者有资格接受药物评估.
- 药剂师发现每位患者的中位数为两种药物问题,建议潜在的干预措施.
- 医生接受了57%的药剂师对18名患者的推.
结论:
- 药剂师的结构化药物审查可以确定家庭护理药物管理的潜在改进.
- 临床信息获取有限和专业间沟通不佳被认为是关键障碍.
- 加强专业间协作,结构化沟通和共享数据平台对于优化在家庭护理环境中药物管理和减缓处方至关重要.
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