评估临床决策支持后临床药剂师参与的患者接受度
Ying-Jen Lin1, Morris Fabbri1, Michael P Dorsch2,3
1Center for History, Humanities, Arts, Social Sciences and Ethics in Medicine, University of Michigan, Ann Arbor, MI, United States.
Exploratory research in clinical and social pharmacy
|February 6, 2026
概括
患者通常接受抗凝药剂药剂师对直接口服抗凝剂 (DOAC) 管理的外展服务. 药剂师的专业知识和清晰的沟通是关键的促进者,尽管角色清晰可以改善患者接受DOAC管理.
科学领域:
- 药理学 药理学是指药理学的学科.
- 患者护理 患者护理
- 医疗信息学 医疗信息学
背景情况:
- 直接口服抗凝剂 (DOAC) 是AFib和VTE的第一线药物,但10-20%的处方偏离了FDA的指导方针.
- 实施了电子健康记录 (EHR) 警报,以促进处方者和抗凝药药剂师之间的合作,以改善DOAC处方.
研究的目的:
- 调查患者接受和反凝血药剂药剂师对外宣传的看法.
- 识别患者接受药剂师参与DOAC管理的促进者和障碍者.
主要方法:
- 一份10项问卷评估了药剂师推广的患者接受度 (5分利克尔特尺度).
- 30名患者/护理人员在EHR警报后收到了药剂师的剂量建议.
- 与20名参与者的定性访谈探索了促进者和障碍.
主要成果:
- 患者认为直接与药剂师接触是可以接受的 (平均得分:4.3/5).
- 促进者包括药剂师的专业知识,明确的沟通和行为.
- 障碍涉及感知到的处方限制和时间;建议明确沟通医生认可.
结论:
- 抗凝血药剂师的直接接触对DOAC管理有价值,并且得到了很好的接受.
- 解决潜在的角色混问题可以进一步加强药剂师和患者在DOAC治疗中的合作.
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