Quản lý chống đông máu bởi dược sĩ cộng đồng tại New Zealand: đánh giá mô hình hợp tác trong chăm sóc ban đầu

International Journal of Pharmacy Practice - Tập 23 Số 3 - Trang 173-181 - 2015
Jeff Harrison1, John Shaw1, Jenny Harrison1
1School of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand

Tóm tắt

Tóm tắtMục tiêuBất chấp sự xuất hiện của các thuốc chống đông đường uống mới, thuốc đối kháng vitamin K vẫn là phương pháp chính trong việc phòng ngừa và điều trị thuyên tắc huyết khối. Việc ra mắt các xét nghiệm điểm chăm sóc với chi phí phải chăng đã mở ra cơ hội cho các dược sĩ cộng đồng cung cấp dịch vụ quản lý chống đông máu, từ đó sử dụng tốt hơn đào tạo của họ, giảm bớt khối lượng công việc cho các cơ sở y tế và cải thiện khả năng tiếp cận cùng sự thuận tiện cho bệnh nhân. Nghiên cứu này nhằm xác định hiệu quả của việc quản lý chống đông bởi các dược sĩ cộng đồng.Phương phápTất cả bệnh nhân tham gia chương trình thí điểm dịch vụ quản lý chống đông máu tại hiệu thuốc cộng đồng sử dụng xét nghiệm tỷ lệ chuẩn hóa quốc tế (INR) tại điểm chăm sóc và điều chỉnh liều bằng máy tính đều được đưa vào nghiên cứu theo dõi, bao gồm so sánh trước - sau. Các kết quả bao gồm thời gian trong khoảng điều trị (TTR), thời gian trên và dưới khoảng giá trị, số lượng và tỷ lệ kết quả ngoài ngưỡng hiệu quả và an toàn, cũng như so sánh giữa dịch vụ do dược sĩ dẫn dắt và dịch vụ do bác sĩ đa khoa (GP) dẫn dắt.

Từ khóa


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