门诊环境中的跨专业药物审查:混合方法上下文分析
Journal of the American Pharmacists Association : JAPhA
|November 6, 2025
概括
社区药剂师可以通过药物审查 (MR) 来提高药物安全性. 虽然被患者和专业人士所接受,但将这种跨专业服务整合到日常生活中需要进一步开发以实现广泛实施.
科学领域:
- 实施科学 实施科学
- 初级医疗保健是一项主要的医疗保健.
- 药物安全 药物安全
背景情况:
- 药物审查 (MR) 对于减少与药物相关的问题和提高患者安全至关重要.
- 尽管有药剂师培训,但在门诊环境中MR的实施是有限的.
研究的目的:
- 开发一个实施研究逻辑模型,用于门诊机构的专业间MR服务.
- 为初级保健患者试点测试这项服务的可行性和可接受性.
主要方法:
- 一种混合方法方法,使用巴塞尔方法用于同上下文分析框架.
- 包括一个范围审查,与全科医生 (GP) 实践和社区药房的试点研究,以及定性访谈.
- 对查问卷,过程指标和与医疗保健专业人员和患者的半结构面试进行分析.
主要成果:
- 选了172名患者,其中23名患者被转诊为MR;审查的平均时间为94分钟,产生2.95个优化建议.
- 医疗保健专业人员发现服务理念有价值,并对培训感到满意.
- 障碍包括时间限制,工作量增加和团队整合挑战.
结论:
- 跨专业的MR服务在医疗保健专业人员和患者中得到了很高的接受.
- 为了提高可行性,需要进一步改进日常日常整合.
- 调查结果将为瑞士初级保健中跨专业MR的可持续实施提供信息.
相关概念视频
01:15Methods of Documentation VI: Case Management Model
844
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
844
01:29Therapeutic Drug Monitoring: Affecting Factors
189
Therapeutic Drug Monitoring (TDM) is the clinical practice of measuring specific drug levels in a patient's blood or body tissues to manage and optimize therapy. TDM is crucial for drugs with narrow therapeutic windows, like warfarin and phenytoin, where incorrect doses can lead to treatment failure or severe side effects. This monitoring ensures the dosage administered is within a safe and effective range. The factors affecting therapeutic drug monitoring include:Patient-Specific Factors:a.
189
01:28Drug Therapy
236
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
236
01:28Dosage Regimens: Designs and Approaches
248
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
248
01:12Analysis of Population Pharmacokinetic Data
659
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
659
01:15Drug Dosing: Geriatric Patients
215
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
215