药师参与慢病患者药物治疗管理的效果研究
The Effect of Pharmacists Participating in the Management of Drug Therapy for Chronic Diseases
DOI: 10.12677/PI.2018.73012, PDF,   
作者: 庞 允*, 李 义, 孙朝阳:西安交通大学医院,陕西 西安
关键词: 药物治疗管理慢病患者效果研究Drug Therapy Management Chronic Effect of Research
摘要: 目的:了解欧美国家药物治疗管理的服务现状,为科学、有效地促进药物的合理使用,促进我国药学服务发展、建立药物治疗管理体系提供参考。方法:通过查阅国内外文献数据,梳理并分析国内现状。结果:欧美国家经过二十年的发展,全新的药物治疗管理服务(Medication Therapy Man-agement, MTM)模式已广泛应用于心力衰竭、慢性呼吸系统疾病及糖尿病等慢性病中,并在临床药学服务中取得了较好的效果。结论:国内MTM服务尚处在探索阶段。目前全面开展MTM服务工作方面仍存在诸多挑战,我国临床药师工作可借鉴国外药学服务经验,建立规范化的药学服务模式,完善临床药师工作内容,促进我国药学事业的健康发展。
Abstract: Objective: To study the status quo of the service of the European and American countries medication management, to science, effectively promote the rational use of drugs, promote the development of pharmaceutical care in our country, establishing the management system to provide the reference drug treatment. Methods: Through consulting the domestic and foreign literature data, comb and analyze the domestic situation. Results: After twenty years of development, the European and American countries new drug Therapy Management service (MTM) mode has been widely used in heart failure, chronic diseases such as chronic respiratory diseases and diabetes, and good results have been achieved in clinical pharmacy service. Conclusions: The domestic MTM service is still in the exploratory stage. MTM service aspect comprehensive development at present there are still many challenges, the clinical pharmacists work in our country can draw lessons from foreign experience in pharmaceutical care, establish a standardized pharmaceutical service mode, perfect the clinical pharmacists work content, to promote the healthy development of the pharmaceutical industry in China.
文章引用:庞允, 李义, 孙朝阳. 药师参与慢病患者药物治疗管理的效果研究[J]. 药物资讯, 2018, 7(3): 65-70. https://doi.org/10.12677/PI.2018.73012

参考文献

[1] 刘国恩. 中国药物经济学评价指南及导读[M]. 北京: 科学出版社, 2014.
[2] Sarkar, U., López, A., Maselli, J.H. and Gonzales, R. (2011) Adverse Drug Events in US Adult Ambulatory Medical Care. Health Services Research, 46, 1517-1533. [Google Scholar] [CrossRef] [PubMed]
[3] Warholak, T.L. and Nau, D.P. (2010) Quality and Safety in Pharmacy Practice. McGraw-Hill Medical.
[4] 李英华, 毛群安, 石琦, 陶茂萱, 聂雪琼, 李莉, 黄相刚, 石名菲. 2012年中国居民健康素养监测结果[J]. 中国健康教育, 2015(2): 99-103.
[5] 李歆, 平其能. 美国药物治疗管理服务的应用现状及对我国的启示[J]. 医学与哲学, 2011, 32(2): 71-73.
[6] 刘伊, 管晓东, 信枭雄, 郭志刚, 韩晟, 史录文. 药物治疗管理研究综述[J]. 中国药事, 2015, 29(11): 1172-1180.
[7] PCPCC. McInnis, T., Strand, L.M. and Webb, C.E. (2010) The Patient Centered Medical Home: Intgrating Comprehensive Medication Management to Optimize Patient Outcomes. Patient-Centered Primary Care Collabora-tive.
[8] Smith, M., Giuliano, M.R. and Starkowski, M.P. (2011) In Connecticut: Improving Patient Medication Management in Pri-mary Care. Health Affairs, 30, 646-654. [Google Scholar] [CrossRef] [PubMed]
[9] Group, T.L. (2005) Medication Therapy Management Services: A Critical Review. Journal of the American Pharmacists Association (JAPHA), 45, 580-587. [Google Scholar] [CrossRef] [PubMed]
[10] Fera, T., Bluml, B.M. and Ellis, W.M. (2009) Diabetes Ten City Challenge: Final Economic and Clinical Results. Journal of the American Pharmacists Association, 49, 383-391. [Google Scholar] [CrossRef
[11] Harris, I.M., Westberg, S.M., Frakes, M.J. and Van Vooren, J.S. (2009) Out-comes of Medication Therapy Review in a Family Medicine Clinic. Journal of the American Pharmacists Association (JAPHA), 49, 623-627. [Google Scholar] [CrossRef
[12] Strand, L.M., Cipolle, R.J., Morley, P.C. and Frakes, M.J. (2004) The Impact of Pharmaceutical Care Practice on the Practitioner and the Patient in the Ambulatory Practice Setting: Twenty-Five Years of Experience. Current Pharmaceutical Design, 10, 3987-4001. [Google Scholar] [CrossRef] [PubMed]
[13] Alvarez-Risco, A. and van Mil, J.W. (2007) Pharmaceutical Care in Community Pharmacies: Practice and Research in Peru. Annals of Pharmacotherapy, 41, 2032-2037. [Google Scholar] [CrossRef
[14] Barnett, M.J., Frank, J., Wehring, H., Newland, B., Von Muenster, S., Kumbera, P., Halterman, T. and Perry, P.J. (2009) Analysis of Pharmacist-Provided Medication Therapy Management (MTM) Services in Community Pharmacies over 7 Years. Journal of Managed Care Pharmacy (JMCP), 15, 18. [Google Scholar] [CrossRef] [PubMed]
[15] Ramalhod, O.D., Brummel, A.R. and Miller, D.B. (2010) Medication Therapy Management: 10 Years of Experience in a Large Integrated Health Care System. Journal of Managed Care Pharmacy (JMCP), 16, 185. [Google Scholar] [CrossRef] [PubMed]
[16] Hanlon, J.T., Weinberger, M., Samsa, G.P., Schmader, K.E., Uttech, K.M., Lewis, I.K., Cowper, P.A., Landsman, P.B., Cohen, H.J. and Feussner, J.R. (1996) A Randomized, Controlled Trial of a Clinical Pharmacist Intervention to Improve Inappropriate Prescribing in Elderly Outpatients with Polypharmacy. American Journal of Medicine, 100, 428-437. [Google Scholar] [CrossRef
[17] Touchette, D.R., Masica, A.L., Dolor, R.J., Schumock, G.T., Choi, Y.K., Kim, Y. and Smith, S.R. (2012) Safety-Focused Medication Therapy Management: A Randomized Controlled Trial. Jour-nal of the American Pharmacists Association, 52, 603-612. [Google Scholar] [CrossRef
[18] Stark, R.G., John, J. and Leidl, R. (2011) Health Care Use and Costs of Adverse Drug Events Emerging from Outpatient Treatment in Germany: A Model-ling Approach. BMC Health Services Research, 11, 9. [Google Scholar] [CrossRef] [PubMed]
[19] Viswanathan, M., Kahwati, L.C., Golin, C.E., Blalock, S.J., Coker-Schwimmer, E., Posey, R. and Lohr, K.N. (2015) Medication Therapy Management Interventions in Outpatient Settings: A Systematic Review and Me-ta-Analysis. JAMA Internal Medicine, 175, 76-87. [Google Scholar] [CrossRef] [PubMed]
[20] Isetts, B.J., Schon-delmeyer, S.W., Artz, M.B., Lenarz, L.A., Heaton, A.H., Wadd, W.B., Brown, L.M. and Cipolle, R.J. (2008) Clinical and Economic Outcomes of Medication Therapy Management Services: The Minnesota Experience. Journal of the American Pharmacists Association, 48, 203-214.
[21] Shaya, F.T., Chirikov, V.V., Rochester, C., Zaghab, R.W. and Kucharski, K.C. (2015) Impact of a Comprehensive Pharmacist Medication-Therapy Management Service. Journal of Medical Economics, 18, 828-837. [Google Scholar] [CrossRef] [PubMed]
[22] Brummel, A., Lustig, A., Westrich, K., Evans, M.A., Plank, G.S., Penso, J. and Dubois, R.W. (2014) Best Practices: Improving Patient Outcomes and Costs in an ACO through Comprehensive Medication Therapy Management. Journal of Managed Care Pharmacy, 20, 1152-1158. [Google Scholar] [CrossRef
[23] Hassali, M.A., Nazir, S.U., Saleem, F. and Masood, I. (2015) Literature Review: Pharmacists’ Interventions to Improve Control and Management in Type 2 Diabetes Mellitus. Alternative Therapies in Health & Medicine, 21, 28-38.
[24] Mehuys, E., Van Bortel, L., De Bolle, L., Van Tongelen, I., Annemans, L., Remon, J.P. and Giri, M. (2011) Effectiveness of a Community Pharmacist Intervention in Diabetes Care: A Randomized Controlled Trial. Journal of Clinical Pharmacy and Therapeutics, 36, 602-613. [Google Scholar] [CrossRef] [PubMed]
[25] Margolis, K.L., Asche, S.E., Bergdall, A.R., Dehmer, S.P., Groen, S.E., Kadrmas, H.M., Kerby, T.J., Klotzle, K.J., Maciosek, M.V., Michels, R.D., O’Connor, P.J., Pritchard, R.A., Sekenski, J.L., Sperl-Hillen, J.M. and Trower, N.K. (2013) Effect of Home Blood Pressure Telemonitoring and Phar-macist Management on Blood Pressure Control: A Cluster Randomized Clinical Trial. JAMA, 310, 46-56. [Google Scholar] [CrossRef] [PubMed]
[26] Henrichsmann, M. and Hempel, G. (2016) Impact of Medication Therapy Manage-ment in Patients with Parkinson’s Disease. International Journal of Clinical Pharmacy, 38, 54-60. [Google Scholar] [CrossRef] [PubMed]
[27] Wu, A. (2016) A Pharmacist’s Role in the Management of Chronic Obstructive Pulmonary Disease. U.S. Pharmacist, 41, 42-46.
[28] Xin, C., Xia, Z., Jiang, C., Lin, M. and Li, G. (2015) Effect of Pharmaceutical Care on Medication Adherence of Patients Newly Prescribed Insulin Therapy: A Randomized Controlled Study. Patient Preference & Adherence, 9, 797-802. [Google Scholar] [CrossRef
[29] Chisholm-Burns, M.A., Spivey, C.A., Tolley, E.A. and Kaplan, E.K. (2016) Medication Therapy Management and Adherence among US Renal Transplant Recipients. Patient Preference & Adherence, 10, 703-709. [Google Scholar] [CrossRef
[30] Imberg, A.J., Swanoski, M.T., Renier, C.M. and Sorensen, T.D. (2012) Maximizing Medication Therapy Management Services through a Referral Initiative. American Journal of Health-System Pharmacy, 69, 1234-1239. [Google Scholar] [CrossRef] [PubMed]