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Evaluation of pharmacy‐based telephone interventions on medication pick‐up rates: a retrospective, quality improvement study at charity outpatient clinics

机译:基于药房的电话干预措施评价慈善外科诊所的回顾性,质量改进研究

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Abstract Objectives To evaluate a live telephonic outreach intervention made by clinical pharmacists and clinical pharmacy technicians on medication pick‐up rates. Methods A retrospective, quality improvement study conducted at six outpatient charity clinics in Dallas‐Fort Worth area between 1 January 2017 and 31 July 2017. A live telephonic call was made by a pharmacy team member if the patient did not pick‐up at least one prescription item. Patients may receive more than one call if they did not pick‐up medication(s) more than once during the study period. A live telephonic call resulted in three categories: contacted, left a voice message and unable to contact. Medication pick‐up rates were obtained from a pharmacy claims database. Key findings The study population included 1726 individual patients who failed to pick‐up at least one medication from Baylor Scott & White Health pharmacy. A total of 2551 live telephonic calls were made for the study population. A total of 1175 live telephonic calls (46.1%, n ?=?2551) resulted in a patient picking up medication(s). Results from the generalized estimating equation logistic regression models showed that patients who received a voice message (OR: 1.37; 95% CI: 1.05 to 1.80; P ??0.021) or was contacted (OR: 1.99; 95% CI: 1.54 to 2.60; P ??0.001) were more likely to pick‐up their medications as compared to the ‘unable to contact’ group. Conclusions Telephonic interventions from the pharmacy team can serve as a successful means to increase medication pick‐up rates among charity clinic patients.
机译:摘要目的,评估临床药剂师和临床药房技术人员对药物拾取率的实时电话外展干预。方法采用2017年1月1日至7月31日达拉斯 - 沃思堡地区的六个门诊慈善诊所进行的回顾性。处方项。如果在研究期间没有超过一次提取药物,患者可能会收到多次呼叫。直播电话呼叫导致三类:联系,留下语音信息并无法联系。从药房索赔数据库获得药物拾取率。主要发现该研究人群包括1726名未能从Baylor Scott&amp拿起至少一种药物的患者;白色健康药房。共有2551个直播电话为学习人口制作。共1175个直播电话(46.1%,n?= 2551)导致患者拾取药物。广义估计方程逻辑回归模型的结果显示,接收语音信息的患者(或:1.37; 95%CI:1.05至1.80; p?& 0.021)或被接触(或:1.99; 95%CI:1.54与“无法联系”组相比,比2.60; p?<0.001)更可能捡起药物。结论来自药房团队的电话干预措施可以作为增加慈善诊所患者中药物接收率的成功手段。

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