Clinical Pharmacist-Led Collaboration of Multiple Clinical Professions Model Focusing on Continuity of Pharmacotherapy: Japanese Version of the Lund Integrated Medicines Management (LIMM) Model.
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引用次数: 0
Abstract
(1) Background: In general, it is known that continuity of care can contribute to an increase in patient satisfaction, reduce health care costs, and improve patient outcomes. A guarantee of continuity in pharmacotherapy is a big challenge facing Japanese health care as a system that encourages cooperation/collaboration for pharmacists with other health care professions is currently lacking. (2) Method: This is a narrative review. (3) Results: The Lund Integrated Medicine Management (LIMM) model describes a systematic approach to individuals and was developed in Sweden to optimize pharmacotherapy among elderly inpatients. The aim of the LIMM model is to provide patients with continuous pharmacotherapy at different levels of care. The LIMM model, in which a clinical pharmacist is the catalyst and leads other health care professions in completing the process, has the potential to reduce potentially inappropriate prescriptions, reduce rehospitalization risk, unscheduled hospital revisits due to problems related to medications, reduce total medical expenditure, and provide a comprehensive understanding of patients' conditions of taking medicine. (4) Conclusions: Introducing a framework such as Sweden's LIMM model, anchored by clinical pharmacists, could provide a good opportunity to promote collaborations among different health care professionals and improve continuity in pharmacotherapy.
(1)背景:一般来说,连续性护理有助于提高患者满意度,降低医疗保健成本,改善患者预后。保证药物治疗的连续性是日本卫生保健面临的一个巨大挑战,因为目前缺乏鼓励药剂师与其他卫生保健专业人员合作的系统。(2)方法:这是一个叙述性的回顾。(3)结果:隆德综合医学管理(Lund Integrated Medicine Management, LIMM)模型描述了一种针对个体的系统方法,该模型由瑞典开发,用于优化老年住院患者的药物治疗。LIMM模型的目的是在不同的护理水平上为患者提供持续的药物治疗。在LIMM模式中,临床药剂师是催化剂,并领导其他医疗保健专业人员完成这一过程,这一模式有可能减少潜在的不适当处方,降低再住院风险,减少因药物相关问题而非计划的医院复诊,减少医疗总支出,并提供对患者服药情况的全面了解。(4)结论:以临床药师为主体,引入瑞典的LIMM模式等框架,可以促进不同医疗专业人员之间的合作,提高药物治疗的连续性。