寻找关于类风湿性关节炎有意义的报告措施的共识:修改后的Delphi研究的结果
Autumn D Zuckerman1, Karen C Thomas2, Mary-Haston Vest3
1Vanderbilt Specialty Pharmacy, Vanderbilt University Medical Center, Nashville, TN.
Journal of managed care & specialty pharmacy
|February 27, 2026
概括
通过专家共识确定了类风湿性关节炎 (RA) 管理的标准化专业药房措施. 这些核心和范围的措施旨在改善患者护理和药物管理.
科学领域:
- 类风湿病学 类风湿病学
- 药房实践 在药房实践.
- 健康 结果 研究 研究 结果
背景情况:
- 专业药房收集大量数据,但很少用于绩效评估或临床决策.
- 标准化措施对于基准测试,基于绩效的合同和优化高成本药物使用至关重要.
- 改善患者护理和药物管理需要更好地利用收集的数据.
研究的目的:
- 为了在专业药房的利益相关者之间就管理类风湿性关节炎 (RA) 患者的基本和实际措施达成共识.
- 为参与RA护理的专业药房确定关键绩效指标.
主要方法:
- 一个经过修改的Delphi研究涉及25个站点和来自不同RA背景的专家小组成员,在三个调查轮中进行了调查.
- 环境扫描确定了最初的措施,随后进行了利克特尺度对重要性和可用性的评级.
- 专业药房小组成员评估了可行性,最终分类为核心,覆盖范围或没有.
主要成果:
- 315名被招募的小组成员中,有118人参加,在各轮 (73-83%) 的高响应率.
- 在13项重要和可用的措施上达成共识.
- 确定了七项核心措施 (坚持,不良反应,治疗反应,停药,切换,结核病/乙肝查) 和六项覆盖范围措施.
结论:
- 在管理RA患者的专业药房的13项关键措施上达成共识.
- 大多数确定的措施被专业药剂师认为适度到非常可行.
- 这些标准化措施可以提高专业药房的表现和RA患者的治疗结果.
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