Optimizing the Dermatologic Formulary at a Free Clinic.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Southern Medical Journal Pub Date : 2024-12-01 DOI:10.14423/SMJ.0000000000001765

Alice J Lin, Sharon E Connor, Alaina J James

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引用次数: 0

Abstract

Objectives: Free clinics provide care to underserved populations nationwide. The Birmingham Free Clinic offers dermatology care and operates an onsite dispensary. Little is known about specialty care services and medication optimization in the free clinic setting. This study analyzed dermatologic diagnoses and medication distribution patterns to optimize the dermatologic formulary at a free clinic.

Methods: A retrospective chart review was performed of dermatology clinic visits between January 2020 and May 2022. The data analysis used descriptive statistics.

Results: Fifty-seven patients received 158 dermatologic diagnoses and were prescribed 216 medications. The five most common diagnoses were dermatitis (24.1%, 38/158), psoriasis (13.9%, 22/158), acne/rosacea (10.1%, 16/158), alopecia (8.9%, 14/158), and superficial bacterial/fungal infections (6.3%, 10/158). The five most frequently prescribed medications were triamcinolone 0.1% cream (13.4%, 29/216), doxycycline 100 mg (10.6%, 23/216), triamcinolone 0.1% ointment (5.6%, 12/216), ketoconazole 2% shampoo (4.6%, 10/216), and hydrocortisone 2.5% cream (3.7%, 8/216). Fifty-two percent of all prescribed medications were provided onsite. Triamcinolone 0.1% ointment and ketoconazole 2% shampoo were usually unavailable onsite.

Conclusions: Eighty-gram tubes of triamcinolone 0.1% ointment were added to the dermatologic formulary, and low-cost alternatives were suggested for ketoconazole 2% shampoo. This study provides a model for formulary optimization in free clinics with specialty care services.

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优化皮肤科处方在一个免费诊所。

目标：免费诊所为全国服务不足的人群提供护理。伯明翰免费诊所提供皮肤科护理和经营现场药房。在免费诊所设置的专业护理服务和药物优化知之甚少。本研究分析皮肤科诊断和药物分布模式，以优化皮肤科处方在免费诊所。方法：对2020年1月至2022年5月皮肤科门诊就诊情况进行回顾性图表分析。数据分析采用描述性统计。结果：57例患者接受了158项皮肤科诊断，使用了216种药物。最常见的5种诊断为皮炎（24.1%,38/158）、牛皮癣（13.9%,22/158）、痤疮/酒渣鼻（10.1%,16/158）、脱发（8.9%,14/158）和浅表细菌/真菌感染（6.3%,10/158）。最常用的5种药物分别是0.1%曲安奈德乳膏（13.4%,29/216）、强力霉素100 mg（10.6%, 23/216）、0.1%曲安奈德乳膏（5.6%,12/216）、酮康唑2%洗发水（4.6%,10/216）和2.5%氢化可的松乳膏（3.7%,8/216）。52%的处方药是在现场提供的。0.1%曲安奈德软膏和2%酮康唑洗发水通常现场没有。结论：在皮肤科处方中加入80g管0.1%曲安奈德软膏，建议采用低成本替代2%酮康唑洗发水。本研究为专科免费诊所的处方优化提供了一个模型。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Southern Medical Journal 医学-医学：内科

CiteScore

1.40

自引率

9.10%

发文量

222

审稿时长

4-8 weeks

期刊介绍： As the official journal of the Birmingham, Alabama-based Southern Medical Association (SMA), the Southern Medical Journal (SMJ) has for more than 100 years provided the latest clinical information in areas that affect patients'' daily lives. Now delivered to individuals exclusively online, the SMJ has a multidisciplinary focus that covers a broad range of topics relevant to physicians and other healthcare specialists in all relevant aspects of the profession, including medicine and medical specialties, surgery and surgery specialties; child and maternal health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices. Each month, articles span the spectrum of medical topics, providing timely, up-to-the-minute information for both primary care physicians and specialists. Contributors include leaders in the healthcare field from across the country and around the world. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.