دورية أكاديمية
Development and implementation of ambulatory care pharmacy services at an internal medicine clinic.
| العنوان: | Development and implementation of ambulatory care pharmacy services at an internal medicine clinic. |
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| المؤلفون: | Wells C; Department of Pharmacotherapy, Mountain Area Health Education Center, Asheville, NC.; Practice Advancement and Clinical Education, University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, NC, USA., Warren AC; Department of Pharmacotherapy, Mountain Area Health Education Center, Asheville, NC.; Practice Advancement and Clinical Education, University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, USA., Scott MA; Department of Pharmacotherapy; Mountain Area Health Education Center, Asheville, NC.; Practice Advancement and Clinical Education, University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, NC, USA. |
| المصدر: | American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists [Am J Health Syst Pharm] 2024 Aug 19; Vol. 81 (17), pp. e528-e534. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9503023 Publication Model: Print Cited Medium: Internet ISSN: 1535-2900 (Electronic) Linking ISSN: 10792082 NLM ISO Abbreviation: Am J Health Syst Pharm Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2019-> : [Oxford] : Oxford University Press Original Publication: Bethesda, MD : The Society, c1995- |
| مواضيع طبية MeSH: | Internal Medicine* , Ambulatory Care*/organization & administration , Pharmacists*/organization & administration, Humans ; Ambulatory Care Facilities/organization & administration ; Pharmacy Service, Hospital/organization & administration ; North Carolina ; Professional Role ; Patient-Centered Care/organization & administration ; Pharmaceutical Services/organization & administration ; Pharmacy Residencies/organization & administration |
| مستخلص: | Purpose: This report describes the step-by-step process that led to expansion of ambulatory care pharmacy services at a newly established internal medicine clinic within a patient-centered medical home in North Carolina. Summary: Implementation of clinical pharmacist services at the clinic was led by a postgraduate year 2 (PGY2) pharmacy resident and guided by the 9 steps described in the book Building a Successful Ambulatory Care Practice: A Complete Guide for Pharmacists. After a needs assessment and review of the demographics and insurance status of the clinic's target population, it was determined that pharmacist services would focus on quality measures including diabetes nephropathy screening, diabetes eye examination, blood glucose control in diabetes, discharge medication reconciliation, annual wellness visits, and medication adherence in diabetes, hypercholesterolemia, and hypertension. Clinic appointments were conducted under 3 models: a pharmacist-physician covisit model, a "floor model" of pharmacist consultation on drug information or medication management issues during medical resident sign-out sessions with supervising physicians (medical residents could also see patients along with the pharmacist at a covisit appointment), and a covisit model of stacked physician and pharmacist appointments. The pharmacist's services were expanded from 2 half-day clinic sessions per week initially to 5 or 6 half-day clinic sessions by the end of the residency year. Conclusion: By the fourth quarter of the first PGY2 residency year in which ambulatory care pharmacy services were provided in the clinic, the clinical and financial impact of those services justified the addition of a second full-time pharmacist to the clinic team. (© American Society of Health-System Pharmacists 2024. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.) |
| فهرسة مساهمة: | Keywords: ambulatory care; costs and cost analysis; patient-centered care; pharmaceutical services; pharmacists; pharmacy residencies |
| تواريخ الأحداث: | Date Created: 20240413 Date Completed: 20240819 Latest Revision: 20240819 |
| رمز التحديث: | 20240819 |
| DOI: | 10.1093/ajhp/zxae102 |
| PMID: | 38613410 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1535-2900 |
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| DOI: | 10.1093/ajhp/zxae102 |