加强对被诊断患有艾滋病毒和共病慢性疾病的黑人患者的整体护理

IF 1.8 Q3 PHARMACOLOGY & PHARMACY

Exploratory research in clinical and social pharmacy Pub Date : 2025-04-22 DOI:10.1016/j.rcsop.2025.100607

Marc Fleming , Saharnaz Nedjat , Jon C. Schommer , Crystal K. Hodge

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引用次数: 0

摘要

药剂师可以在提供整体护理模式中发挥至关重要的作用。研究表明，与其他社区相比，艾滋病毒阳性的非裔美国患者尤其受益于这种方法。通常，社区药房的药剂师在获取病人的医疗记录方面受到限制，从而阻碍了全面护理的提供。目的：本研究探讨医疗记录可及性对从事药物治疗管理的药剂师整体病人护理方法的影响。方法：这是一项随机对照试验的亚分析，研究社区药剂师在诊断为艾滋病毒和多病合并高血压（HTN）和/或2型糖尿病（DM）的非裔美国人MTM期间获取医疗记录的影响。随机选择了30名参与者（15名在干预组，有医疗记录，15名在对照组），他们在2019年至2021年期间至少完成了7次研究访问。对研究药师访问记录进行定量内容分析，以确定药师干预的主题。使用Fisher精确测试比较各研究组主题重复的百分比。结果从药师来访记录中提取了13个主题。干预组对任何疾病、药物、运动/体重/饮食、性、睡眠、吸烟、酒精/大麻、疫苗接种、遗嘱/委托书、食物/住房和抑郁/压力等主题的重复程度更高。与职业目标和建议咨询服务提供者相关的主题在对照组中被重复得更多。这两个研究小组在7个主题的重复百分比上有统计学上的显著差异。结论医疗记录的可及性使药师更加关注心理健康、生活方式和健康的社会决定因素。

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Enhancing holistic patient care of black individuals diagnosed with HIV and comorbid chronic conditions

Background

Pharmacists can play a crucial role in delivering the holistic care model. Research suggests that HIV-positive African American patients particularly benefit from this approach compared to other communities. Typically, pharmacists in community pharmacy settings are limited in their access to a patient's medical record, preventing holistic care delivery.

Objectives

This study addressed the impact of access to medical records on a holistic patient care approach among pharmacists engaged in medication therapy management.

Methods

This was a sub-analysis of a randomized controlled trial of the impact of community pharmacist access to medical records during MTM for African Americans diagnosed with HIV and multimorbidity with hypertension (HTN) and/or type 2 diabetes mellitus (DM). A random sample was selected of 30 participants (15 in the intervention arm with access to medical records and 15 in the control arm) who completed at least seven study visits between 2019 and 2021. A quantitative content analysis of the study pharmacist visit notes was conducted to identify themes of pharmacist interventions. The percentages of the theme's repetitions were compared across study groups using the Fisher exact test.

Results

Thirteen themes were extracted from the pharmacists' visit notes. The intervention group demonstrated a higher repetition of themes concerning any disease, medicine, exercise/weight/diet, sexual, sleeping, smoking, alcohol/marijuana, vaccination, will/power of attorney, food/ housing, and depression/stress. Themes related to career goals and recommending consultation with a provider were repeated more in the control group. The two study groups had statistically significant differences in the percentages of repetition of seven themes.