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Connected health and the pharmacist.

机译:连接健康和药剂师。

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摘要

In a world where the population is ageing and in which there are increased pressures to treat patients in the primary care setting, new approaches are required to manage chronic disease. Since medicines are usually central to disease management, community pharmacists have endeavoured to embrace the practice of pharmaceutical care and medicines management. When we look across Europe, however, contemporary community pharmacy provision falls far short of what could be considered best pharmaceutical care practice. Across the UK, there have been some improvements, including more consistency in advice provision to patients though the use of standard operating procedures in pharmacies and through better training of technicians and counter assistants. However, the patient often still remains a receptacle for the receipt of care with, in the main, having little involvement in their disease management. It is time therefore to explore new approaches to getting patients more involved in their care. Improving medication adherence, which still seems to be stuck at the very resistant 50% mark, is central, as is getting better warning systems in place for when a patient with a chronic illness is getting 'out of control' such that they can either modify their own treatment under guidance and/or seek or obtain help once certain triggers are flagged. Early intervention can often result in the prevention of expensive hospitalisations and therefore ease the pressure on an already stretched secondary care system.
机译:在人口老龄化和在初级保健机构中治疗患者的压力越来越大的世界中,需要新的方法来管理慢性病。由于药物通常是疾病管理的核心,因此社区药剂师已努力采用药物护理和药物管理的实践。但是,当我们环顾欧洲时,当代社区药房的规定远远没有被认为是最佳的药物护理规范。在整个英国,已有一些改进,包括通过在药房中使用标准操作程序以及通过对技术人员和柜台助理进行更好的培训,在向患者提供建议方面更加一致。但是,患者通常仍然是接受治疗的容器,主要是很少参与他们的疾病管理。因此,现在是时候探索使患者更多地参与其护理工作的新方法了。改善药物依从性似乎仍然停留在50%的高耐受性上,这是至关重要的,因为当慢性病患者“失控”时,可以使用更好的警告系统,以便他们可以改变一旦标记了某些触发因素,他们将在指导下自行治疗和/或寻求或获得帮助。早期干预通常可以防止昂贵的住院治疗,因此可以缓解已经紧张的二级医疗系统的压力。

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