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Integration of Community Pharmacists in Transition of Care (TOC) Services: Current Trends and Pharmacist Perceptions

机译:社区药剂师在护理过渡(TOC)服务中的整合:当前趋势和药剂师的看法

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Background: Barriers exist for patients transitioning from one health-care setting to another, or to home, and health-care systems are falling short of meeting patient needs during this time. Community pharmacist incorporation poses a solution to the current communication breakdown and high rates of medication errors during transitions of care (TOC). The purpose of this study was to determine community pharmacists’ involvement in and perceptions of TOC services. Methods: Cross-sectional study using electronic surveys nationwide to pharmacists employed by a community pharmacy chain. Results: Of 7236 pharmacists surveyed, 546 (7.5%) responded. Only 33 (6%) pharmacists reported their pharmacy participates in TOC services. Most pharmacists (81.5%) reported receiving discharge medication lists. The most common reported barrier to TOC participation is lack of electronic integration with surrounding hospitals (51.1%). Most pharmacists agreed that (1) it is valuable to receive discharge medication lists (83.3%), (2) receiving discharge medication lists is beneficial for patients’ health (89.1%), (3) discharge medication list receipt improves medication safety (88.8%). Conclusions: Most pharmacists reported receiving discharge medication lists and reported discharge medication lists are beneficial, but less than half purposefully used medication lists. To close TOC gaps, health-care providers must collaborate to overcome barriers for successful TOC services.
机译:背景:从一个医疗保健环境转移到另一个医疗保健环境或回家的患者的存在障碍,并且在此期间,医疗保健系统缺乏会议患者需求。社区药剂师纳入在护理过渡期间构成了当前通信故障和高速率的药物误差的解决方案。本研究的目的是确定社区药剂师的参与和对TOC服务的看法。方法:对社区药房链雇用的药剂师使用电子调查的横截面研究。结果:7236年调查的药剂师,546(7.5%)回应。只有33名(6%)的药剂师报告他们的药房参与TOC服务。大多数药剂师(81.5%)报告了接受放电药物清单。对TOC参与的最常见的报告障碍缺乏与周围医院的电子整合(51.1%)。大多数药剂师同意(1)(1)接受放电药物清单(83.3%),(2)接受放电药物清单对患者的健康有益(89.1%),(3)放电药物清单收据改善药物安全性(88.8 %)。结论:大多数药剂师报告接受放电药物清单和报告的放电药物清单是有益的,但不到一半的有目的利用药物清单。要关闭TOC差距,卫生保健提供者必须合作以克服成功的TOC服务的障碍。

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