Development of a virtual cross-sectional polypharmacy outpatient clinic.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Lærke Karner Overgaard, Daniel Pilsgaard Henriksen
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引用次数: 0

Abstract

Introduction: Multimorbidity and polypharmacy present significant challenges for the healthcare system. In Denmark, general practitioners (GPs) play a key role in coordinating patient care, while also relying on specialist support for complex cases. This study reports on the development and implementation of the Telepharmacological Outpatient Clinic (TPOC) (Danish: Telefarmakologisk Ambulatorium), a virtual cross-sectional polypharmacy counselling service.

Methods: The intervention was developed adopting an interdisciplinary approach. The service provided virtual consultations to GPs in the Region of Southern Denmark, offering multidisciplinary specialist counselling for patients with polypharmacy. The process included referral, medication review, video conference and follow-up. Data were collected on referrals, demographics and service utilisation.

Results: A total of 364 patients (median age 74 years, 61.0% female) were referred to the TPOC from March 2019 to February 2024. Referrals increased from a median of 3.5 per month in 2019-2020 to nine per month in 2023-2024. GPs from 21 of 22 municipalities referred patients. The service was well received by GPs and recognised by national authorities as a valuable model for managing multimorbidity.

Conclusions: The TPOC was shown to be a successful model for providing specialist support to GPs. Its growing utilisation and positive reception indicate relevance in addressing multimorbidity and polypharmacy challenges.

Funding: The TPOC is funded by the Region of Southern Denmark.

Trial registration: Not relevant.

虚拟横断面综合药房门诊的开发。
简介:多病和多药对医疗保健系统提出了重大挑战。在丹麦,全科医生(全科医生)在协调患者护理方面发挥关键作用,同时也依赖于复杂病例的专家支持。本研究报告了远程药理学门诊诊所(TPOC)(丹麦语:Telefarmakologisk Ambulatorium)的发展和实施,这是一种虚拟的跨部门综合药房咨询服务。方法:采用跨学科的方法进行干预。该服务向丹麦南部地区的全科医生提供虚拟咨询,为综合用药患者提供多学科专家咨询。该过程包括转诊、药物审查、视频会议和随访。收集了有关转诊、人口统计和服务利用率的数据。结果:2019年3月至2024年2月,共有364例患者(中位年龄74岁,女性61.0%)转诊至TPOC。转诊从2019-2020年的每月3.5例中位数增加到2023-2024年的每月9例。22个市镇中有21个的全科医生转诊病人。这项服务受到全科医生的好评,并被国家当局认可为管理多重疾病的宝贵模式。结论:TPOC被证明是为全科医生提供专家支持的成功模式。其日益增长的利用和积极的接受表明,在解决多病症和多药挑战的相关性。资助:TPOC由丹麦南部地区资助。试验注册:不相关。
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
Danish medical journal
Danish medical journal MEDICINE, GENERAL & INTERNAL-
CiteScore
2.30
自引率
6.20%
发文量
78
审稿时长
3-8 weeks
期刊介绍: The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.
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