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首页> 外文期刊>Integrated Pharmacy Research and Practice >The role of the pharmacist in patient-centered medical home practices: current perspectives
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The role of the pharmacist in patient-centered medical home practices: current perspectives

机译：药剂师在以患者为中心的家庭医疗实践中的作用：当前观点

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Patient-centered medical homes (PCMHs) are the centerpiece of primary care transformation in the US. They are intended to improve care coordination and communication, enhance health care quality and patient experiences, and lower health care costs by linking patients to a physician-led interdisciplinary health care team. PCMHs are widely supported by health care associations, payers, and employers. Health care accreditation organizations have created performance measures that promote the adoption of PCMH core attributes. Public and private payers are increasingly providing incentives and bonuses related to performance measure status. Evidence-based prescription, medication adherence, medication use coordination, and systems to support medication safety are all necessary components of PCMHs. Pharmacists have unique knowledge and skills that can complement the care provided by other PCMH team members. Their experience in drug therapy assessments, medication therapy management, and population health has documented benefits, both in terms of patient health outcomes and health care costs. Through collaborative care, pharmacists can assist physicians and other prescribers in medication management and thus improve prescriber productivity and patient access to care. Pharmacists are engaged in PCMHs through both employment and contractual arrangements. While some pharmacists serve a unique PCMH, others work within practice networks that serve practices within a geographical area. Financial support for pharmacist-provided services includes university funding, external grant funding, payer reimbursement, and allocation of PCMH incentives and bonus funds. There is growing support for pharmacist integration into PCMHs; however, more convincing cost-effectiveness data, as well as performance measures requiring the unique skills of pharmacists, may be needed before pharmacist-provided PCMH services become more widely adopted. Given the continued evolution of the PCMH model of care, ongoing opportunities exist for pharmacists to create an optimal care model that is suitable for PCMHs and rewarding for their profession.
机译：以患者为中心的医疗之家（PCMH）是美国基础医疗转型的核心。他们旨在通过将患者与医师领导的跨学科医疗团队联系起来，改善护理的协调和沟通，提高医疗质量和患者体验，并降低医疗成本。 PCMH得到医疗保健协会，付款人和雇主的广泛支持。卫生保健认证组织已经制定了绩效衡量标准，以促进采用PCMH核心属性。公共和私人付款人越来越多地提供与绩效考核状态有关的奖励和奖金。基于证据的处方，药物依从性，药物使用协调以及支持药物安全的系统都是PCMH的必要组成部分。药剂师具有独特的知识和技能，可以补充PCMH其他团队成员提供的护理。他们在药物治疗评估，药物治疗管理和人群健康方面的经验已证明，无论从患者健康结果还是医疗保健成本方面来看，其好处都是如此。通过协作护理，药剂师可以协助医生和其他开药者进行药物管理，从而提高开药者的工作效率和患者获得护理的机会。药剂师通过雇用和合同安排参与PCMH。一些药剂师为一个独特的PCMH服务，而其他药剂师则在为某个地理区域内的实践服务的实践网络中工作。药剂师提供的服务的财务支持包括大学资金，外部赠款资金，付款人报销以及PCMH激励和奖金基金的分配。越来越多的药剂师集成到PCMH中。但是，在更广泛地采用由药剂师提供的PCMH服务之前，可能需要更具说服力的成本效益数据以及需要药剂师具有独特技能的绩效指标。鉴于PCMH护理模式的不断发展，药剂师存在不断的机会来创建适用于PCMH的最佳护理模型并对其职业进行奖励。

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