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首页> 外文期刊>Primary health care research & development. >Building capacity in primary care: the implementation of a novel ‘Pharmacy First’ scheme for the management of UTI, impetigo and COPD exacerbation
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Building capacity in primary care: the implementation of a novel ‘Pharmacy First’ scheme for the management of UTI, impetigo and COPD exacerbation

机译：加强基层医疗的能力：实施新的“药房优先”计划来管理尿路感染，脓疱病和COPD恶化

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Aim This service aimed to improve patient access to treatment for urinary tract infections (UTI), impetigo and exacerbation of chronic obstructive pulmonary disease (COPD) and relieve pressure on general practice and out of hours services. Background In 2016, a service (Pharmacy First) was introduced in Forth Valley for the management of UTI, impetigo and exacerbation of COPD using patient group directions in community pharmacies. Trained pharmacists supplied a limited range of prescription medicines. Pathways for GP referral were defined. After 5 months of implementation, the service was evaluated. Methods A quantitative evaluation was undertaken. Feedback was sought from patients, GPs, pharmacists and GP reception staff, using structured questionnaires. Pharmacy records were used to assess referrals and pharmacy data summarised the number and type of consultations. Basic cost data was obtained from the Health Board. Findings In all, 75 pharmacies (of 76), and all 55 GP practices in the area, participated in the service. Over a 5-month period, 1189 cases were managed, the majority being for UTI (75.4%) followed by impetigo (15.2%), then COPD (9.3%). Of all cases, 77.9% were prescribed medication by the pharmacist, 9.1% were given advice only and 16.7% were referred to the GP. Independent clinical assessment of a random sample of 30 GP referrals considered all to be ‘appropriate’. Feedback was received from 69 pharmacists, 34 GPs, 54 reception staff and 73 patients. Patients were very satisfied with the service, most frequently citing the ‘quick and efficient’ access to treatment, and a ‘professional service’. Two thirds of GPs (67%) and 59% of reception staff found the service useful, mainly because it reduced pressure on GP appointments. A further cost benefit evaluation would allow objective assessment of the value of this service.
机译：目的该服务旨在改善患者对尿路感染（UTI），脓疱病和慢性阻塞性肺疾病（COPD）恶化的治疗机会，并减轻常规治疗和非工作时间的压力。背景技术2016年，在福斯谷引入了一项服务（“药房优先”），该服务使用社区药房的患者组指导来管理尿路感染，脓疱病和COPD恶化。受过训练的药剂师提供的处方药范围有限。定义了GP转诊的途径。实施5个月后，对服务进行了评估。方法进行定量评估。使用结构化问卷从患者，全科医生，药剂师和全科医生接待人员中寻求反馈。药房记录用于评估转诊，药房数据汇总了咨询次数和类型。基本费用数据是从卫生局获得的。调查结果该地区共有75家药房（共76家）和55家全科医生执业。在5个月的时间里，共处理了1189例病例，其中大多数是泌尿道感染（75.4％），其次是脓疱疮（15.2％），然后是慢性阻塞性肺病（9.3％）。在所有情况下，药剂师开出的处方药为77.9％，仅提供建议的为9.1％，而转诊给GP的为16.7％。对30个GP转诊患者的随机样本的独立临床评估均被认为是“适当的”。收到了69位药剂师，34位全科医生，54位接待人员和73位患者的反馈。患者对这项服务非常满意，最常见的是引用“快速而有效”的治疗途径以及“专业服务”。三分之二的全科医生（67％）和59％的接待人员认为该服务有用，主要是因为它减轻了任命全科医生的压力。进一步的成本效益评估将允许对该服务的价值进行客观评估。

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