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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Analysis of Real-World Experiences with the Ontario MedsCheck Program
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Analysis of Real-World Experiences with the Ontario MedsCheck Program

机译：与安大略省地图计划的现实世界经验分析

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Background: The Ontario MedsCheck program was introduced in April 2007, with enhancements to strengthen the program made in October 2016. Previous literature has characterized patients who received the service before the enhancements and described the experiences of community pharmacists and physicians, but the experiences of participants in the enhanced MedsCheck program and those of hospital pharmacists and pharmacy technicians have not been explored. Objectives: This study was designed to describe and compare the demographic and clinical characteristics of patients admitted to Sunnybrook Health Sciences Centre (SHSC) who had received a MedsCheck before and after the program enhancements of 2016. The study also aimed to describe the experiences of patients, hospital pharmacists, and pharmacy technicians with the MedsCheck program. Methods: Chart reviews were completed to identify and characterize patients who had received a MedsCheck and were admitted to SHSC between March and May 2016 (retrospective cohort) and between March and May 2017 (prospective cohort). Patients were interviewed and focus groups were conducted with pharmacy staff to explore their experiences with the MedsCheck program. Results: MedsChecks had been performed for 321 (14.5%) of 2216 patients in the retrospective cohort and 172 (6.8%) of 2547 patients in the prospective cohort, an absolute decline of 7.7% after the 2016 enhancements. Patient characteristics were similar between the 2 cohorts. Patients' experiences were varied, but because of low enrolment in the interview process (n = 3), it was difficult to identify and summarize common themes. The analysis of focus groups involving pharmacy staff (n = 27 participants) revealed that the benefits of MedsChecks depended on quality and access, and also identified common barriers and opportunities for future enhancements. Conclusions: Patient interviews revealed the features of the program that patients valued. Pharmacy staff identified several benefits and barriers encountered when using MedsChecks. These findings can guide clinicians in optimal application of the current MedsCheck program and can inform subsequent program revisions.
机译：背景：Ontario Medscheck计划于2007年4月推出，增强了加强2016年10月制造的方案的增强。之前的文献表征了在增强之前获得服务的患者，并描述了社区药剂师和医生的经验，而是参与者的经验在增强的Medscheck计划和医院药剂师和药房技术人员尚未探讨。目的：本研究旨在描述和比较达到2016年计划增强之前和之后的Medscheck的桑尼布鲁克健康科学中心（SHSC）的患者的人口统计和临床特征。该研究还旨在描述患者的经验，医院药剂师和药房技术人员用MedScheck计划。方法：完成图表审查以识别并表征收到Medscheck的患者，并在2016年3月和2016年5月（回顾队列）和3月至2017年5月（预期队列）之间被录取为SHSC。患者受访，焦点小组与药房工作人员进行了探索其与Medscheck计划的经历。结果：在2016年期初队列中，在回顾性队列中的321名（14.5％）的2216名患者中进行了321名（14.5％）的2547名（6.8％），在2016年增强后绝对下降7.7％。 2个队列之间的患者特征相似。患者的经历变化，但由于访谈过程中的低入学（n = 3），很难识别和总结共同主题。涉及药房工作人员的焦点小组（N = 27名参与者）的分析透露，MedSchecks的益处取决于质量和访问，并确定了未来增强的常见障碍和机会。结论：患者访谈揭示了患者有价值的程序的特征。药房工作人员确定了使用Medschecks时遇到的若干福利和障碍。这些调查结果可以指导临床医生在当前的Medscheck计划的最佳应用中，可以通知随后的计划修订。

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