初级保健儿科心理和行为健康药剂师咨询服务在三级儿科卫生系统的结果。

IF 3.7 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Research in Social & Administrative Pharmacy Pub Date : 2025-03-03 DOI:10.1016/j.sapharm.2025.03.003

Quinlan D. Alfredson, Haley A. Olkiewicz, Megan Ose

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引用次数: 0

摘要

背景：儿科患者心理健康状况的日益普遍突出了改善护理的必要性。由于等待时间长，儿童和青少年精神科医生短缺，初级保健提供者（pcp）和药剂师可以帮助填补这一空白。目的：本研究的目的是评估初级保健心理和行为健康药剂师咨询服务在儿科卫生系统的结果。方法：本研究是一项回顾性的单中心图表回顾，回顾了从2023年8月到2024年7月pcp向心理和行为健康药剂师提供的电子咨询。通过电子病历查询确定会诊者，其中收集了人口统计、临床和服务详细信息。结果：查询结果为149条。最常咨询的药物类别是抗抑郁药（48.32%,n = 72）和兴奋剂（42.28%,n = 63），而最常咨询的精神健康状况是焦虑（47.65%,n = 71）、注意缺陷/多动障碍（46.31%,n = 69）和抑郁症（22.82%,n = 34）。在126个有随访记录的咨询中，97.62% （n = 123）的药剂师建议被提供者接受。虽然一次咨询可以包括药剂师的多个建议，但接受度是作为一个整体来评估的，而不是单独的建议。结论：药学咨询服务可有效支持pcp管理儿童心理健康状况，建议接受度高，在提高用药方案的有效性、安全性和依从性方面具有重要价值。

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Outcomes of a primary care pediatric mental and behavioral health pharmacist consult service within a tertiary pediatric health system

Background

The increasing prevalence of mental health conditions in pediatric patients highlights the need for improved care. With long wait times and shortages in child and adolescent psychiatrists, primary care providers (PCPs) and pharmacists can help fill this gap.

Objective

The objective of this study was to evaluate the outcomes of a primary care mental and behavioral health pharmacist consult service in a pediatric health system.

Methods

This study was a retrospective, single-center chart review of electronic consults placed by PCPs to a mental and behavioral health pharmacist from August 2023 through July of 2024. Consults were identified through an electronic medical record query, where demographic, clinical, and service details were collected.

Results

The query yielded 149 consults. The most frequently consulted medication classes were antidepressants (48.32 %, n = 72) and stimulants (42.28 %, n = 63), while the most frequently consulted mental health conditions were anxiety (47.65 %, n = 71), attention-deficit/hyperactivity disorder (46.31 %, n = 69), and depression (22.82 %, n = 34). Of the 126 consults with documented follow up, 97.62 % (n = 123) of pharmacist recommendations were accepted by providers. While a single consult could include multiple recommendations from the pharmacist, acceptance was evaluated for the consult as a whole rather than individual recommendations.

Conclusion

The pharmacy consult service effectively supported PCPs in managing pediatric mental health conditions with a high acceptance of recommendations, demonstrating its value in enhancing medication regimen efficacy, safety, and adherence.

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来源期刊

Research in Social & Administrative Pharmacy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.20

自引率

10.30%

发文量

225

审稿时长

47 days

期刊介绍： Research in Social and Administrative Pharmacy (RSAP) is a quarterly publication featuring original scientific reports and comprehensive review articles in the social and administrative pharmaceutical sciences. Topics of interest include outcomes evaluation of products, programs, or services; pharmacoepidemiology; medication adherence; direct-to-consumer advertising of prescription medications; disease state management; health systems reform; drug marketing; medication distribution systems such as e-prescribing; web-based pharmaceutical/medical services; drug commerce and re-importation; and health professions workforce issues.