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作 者:方芳[1] 董晓慧 王芊茹 范秀丛 白荣[1] 翟晓波[1] FANG Fang;DONG Xiaohui;WANG Qianru;FAN Xiucong;BAI Rong;ZHAI Xiaobo(Shanghai East Hospital,Tongji University,Shanghai,China 200123;Xiang Xing College of Hunan University of Traditional Chinese Medicine,Changsha,Hunan,China 410007)
机构地区:[1]同济大学附属东方医院,上海200123 [2]湖南中医药大学湘杏学院,湖南长沙410007
出 处:《中国药业》2023年第9期18-23,共6页China Pharmaceuticals
基 金:上海市临床药学重点专科建设项目[SWLCYXZX-2018-001]。
摘 要:目的介绍医院药物治疗管理(MTM)模式药学门诊服务的流程,总结实践效果和存在的问题,并提出改进建议,为提高药学门诊服务水平和药学服务质量提供参考。方法收集同济大学附属东方医院MTM药学门诊2019年1月至2021年6月接诊并建档的874例患者的临床资料,对患者的一般情况、疾病情况、用药情况、药物相关问题(DRPs)和提供的药学服务进行统计与分析。结果874例患者中,所患疾病主要为高血压(48.86%)、冠状动脉粥样硬化性心脏病(35.58%)、2型糖尿病(34.67%)等慢性疾病;平均用药(4.12±1.90)种;245例患者发现416个DRPs,人均1.70个。DRPs最常见的类型为适应证(40.62%)和有效性(23.08%),最常见的原因为存在未经治疗的病情和适应证(11.54%)、有更加有效的药物(10.82%)、未坚持用药方案(9.38%);提供2083例次药学服务,其中药学咨询563例次,处方精简94例次。结论临床药师通过开设药学门诊为患者提供MTM服务,探索药学服务新模式,促进了药学服务的高质量发展。Objective To introduce the process of pharmacy clinic based on medication therapy management(MTM)model,to summarize the practical effects and existing problems,to propose improvement suggestions,and to provide a reference for improving the level of pharmacy clinic and the quality of pharmaceutical care.Methods The clinical data of 874 patients admitted and filed in the MTM pharmacy clinic of the hospital from January 2019 to June 2021 were collected.Statistical analysis was performed on the general conditions,diseases,medication,drug-related problems(DRPs)of patients and the content of pharmaceutical care.Results Among 874 patients,the main diseases were hypertension(48.86%),coronary heart disease(35.58%),type 2 diabetes mellitus(34.67%)and other chronic diseases.The average variety of drugs used by patients was(4.12±1.90)kinds.A total of 416 DRPs were found in 245 patients,with an average of 1.70 DRPs per patient.The most common types of DRPs were indications(40.62%)and effectiveness(23.08%),with the most common reasons of untreated conditions and indications(11.54%),more effective drugs(10.82%),and failure to adhere to medication regimens(9.38%).A total of 2083 cases of pharmaceutical care were provided,including 563 cases of drug consultations and 94 cases of prescription simplification service.Conclusion Clinical pharmacists provide MTM services for patients by opening pharmacy clinic and explore new models of pharmaceutical care to promote high-quality development of pharmaceutical care.
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