将健康的社会决定因素纳入医疗系统专科药房的病人护理工作流程。

IF 2.5 4区医学 Q3 PHARMACOLOGY & PHARMACY

Journal of the American Pharmacists Association Pub Date : 2024-07-01 DOI:10.1016/j.japh.2024.102101

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引用次数: 0

摘要

背景：人们普遍认识到不利因素对健康的社会决定因素 (SDOH) 的影响及其对患者预后的影响。药剂师作为可以接触到的医疗保健专业人员，可以在识别和解决 SDOH 问题方面发挥关键作用。医疗系统的专科药房一直在帮助患者获得昂贵的专科药物，并确保患者坚持治疗。因此，他们在解决患者的 SDOH 问题方面具有得天独厚的优势：目的：评估将标准化 SDOH 筛查和转诊方法纳入医疗系统专科药房患者护理工作流程的有效性：北卡罗来纳大学医疗保健中心（UNC Health）专科和家庭配送药房是一家医疗系统所有的专科药房，为北卡罗来纳州、南卡罗来纳州和弗吉尼亚州的患者提供服务。该药房获得了使用审查认证委员会（Utilization Review Accreditation Commission）和医疗保健认证委员会（Accreditation Commission for Health Care）的认证：实践创新：将标准化的 SDOH 筛查和转诊方法纳入医疗系统专科药房的患者护理工作流程。如果专科药剂师在筛查中发现了 SDOH 问题，患者将被转介至医疗系统内负责将患者与当地社区资源联系起来以解决其 SDOH 问题的机构：对 SDOH 问题的类型、SDOH 转介的频率、转介周转时间、转介结果和患者人口统计数据进行了评估，以确定该项目的影响。结果采用描述性统计进行分析：共纳入 69 名患者（女性：38 人，占 55.1%；年龄（平均值±SD：48.9±16.3）。报告了 87 个 SDOH 问题，54 名患者（78.3%）在转介后与当地资源建立了联系，转介的平均周转时间为 2.2 个工作日：这项试点研究的结果凸显了将 SDOH 筛查和转诊方法纳入专科药房工作流程的有效性。专科药房可以成功识别并解决影响患者的非医疗因素。

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Incorporating social determinants of health into patient care workflows within a health-system specialty pharmacy

Background

The influence of adverse factors on social determinants of health (SDOH) and their impact on patient outcomes is widely recognized. Pharmacists, as accessible healthcare professionals, can play a pivotal role in identifying and addressing SDOH concerns. Health-system specialty pharmacies have consistently assisted patients in accessing expensive specialty medications and ensuring adherence to therapy. As such, they are uniquely positioned to address SDOH concerns of patients.

Objective

To assess the effectiveness of incorporating standardized SDOH screening and referral methods into the patient care workflows of a health-system specialty pharmacy.

Practice description

The University of North Carolina Health Care (UNC Health) Specialty and Home Delivery Pharmacy is a health-system owned specialty pharmacy serving patients in North Carolina, South Carolina, and Virginia. It holds accreditations from the Utilization Review Accreditation Commission and Accreditation Commission for Health Care.

Practice innovation

A standardized SDOH screening and referral method were integrated into patient care workflows of a health-system specialty pharmacy. If SDOH concerns were identified upon screening by a specialty pharmacist, patients were referred to an entity within the health-system responsible for connecting patients to local community resources to address their SDOH concerns.

Evaluation methods

The types of SDOH concerns, frequency of SDOH referrals, referral turnaround time, outcomes of the referrals, and patient demographics were evaluated to determine the impact of this project. Descriptive statistics were used to analyze results.

Results

Sixty-nine patients were included (female: n = 38, 55.1%; age (mean±SD: 48.9 ± 16.3). Eighty-seven SDOH concerns were reported, 54 patients (78.3%) were connected to local resources upon referral, and the average turnaround time of referrals was 2.2 business days.

Conclusion

The findings of this pilot study highlight the effectiveness of incorporating SDOH screening and referral methods into specialty pharmacy workflows. Specialty pharmacies can successfully identify and address nonmedical factors impacting patients.

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来源期刊

Journal of the American Pharmacists Association 医学-药学

CiteScore

3.30

自引率

14.30%

发文量

336

审稿时长

46 days

期刊介绍： The Journal of the American Pharmacists Association is the official peer-reviewed journal of the American Pharmacists Association (APhA), providing information on pharmaceutical care, drug therapy, diseases and other health issues, trends in pharmacy practice and therapeutics, informed opinion, and original research. JAPhA publishes original research, reviews, experiences, and opinion articles that link science to contemporary pharmacy practice to improve patient care.