肿瘤血液药学服务模式对患者体验的影响:一项基于PREMs的观察性研究。

IF 0.9 4区 医学 Q4 ONCOLOGY
Dolores Rosique-Robles, Alejandro Valcuende-Rosique, Joaquín Borrás-Blasco
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引用次数: 0

摘要

医疗质量越来越多地通过以患者为中心的指标来评估,患者报告的体验措施(PREMs)成为评估医疗模式有效性的重要工具,而不仅仅是临床结果。在肿瘤血液学中,治疗时间长,情绪要求高,患者经验在治疗依从性和感知安全性方面起着关键作用。方法本横断面研究在Sagunto大学医院进行,纳入90例接受积极血液肿瘤治疗的患者。肿瘤血液学药学护理(OH-PC)咨询的影响——一种将临床药师整合到直接患者护理中的差异化模型——使用基于IEXPAC域的验证仪器的16项李克特调查进行评估。结果OH-PC模型与传统的药物调剂方法相比有显著改善。患者报告可及性提高,信息质量提高,医患关系加强。值得注意的是,100%的受访者表示他们对自己的治疗得到了明确的解释,超过94%的受访者表示非常满意。该模型对IEXPAC的所有领域都产生了积极的影响:生产性互动(98.2%)、自我管理(95.1%)和关系模型(90.0%)。结论OH-PC会诊显著改善了患者报告的血液肿瘤护理体验。这些发现强调了药剂师在加强以患者为中心的护理方面的关键作用,并表明OH-PC模式可以扩展到其他慢性和复杂的护理环境中。为了持续的质量改进和医疗保健系统转型,建议集成prem。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of an oncohematologic pharmaceutical care model on patient experience: An observational study based on PREMs.

IntroductionHealthcare quality is increasingly assessed through patient-centered metrics, with Patient-Reported Experience Measures (PREMs) emerging as essential tools to evaluate the effectiveness of care models beyond clinical outcomes. In oncohematology, where treatments are prolonged and emotionally demanding, patient experience plays a critical role in therapeutic adherence and perceived safety.MethodsThis cross-sectional study was conducted at Sagunto University Hospital and included 90 patients undergoing active oncohematologic treatment. The impact of the Oncohematologic Pharmaceutical Care (OH-PC) consultation-a differentiated model integrating clinical pharmacists into direct patient care-was evaluated using a 16-item Likert survey based on validated instruments aligned with IEXPAC domains.ResultsThe OH-PC model showed significant improvements compared to the traditional medication dispensing approach. Patients reported enhanced accessibility, better quality of information, and stronger professional-patient relationships. Notably, 100% of respondents stated they received clear explanations about their treatment, and over 94% expressed high satisfaction. The model positively impacted all IEXPAC domains: productive interactions (98.2%), self-management (95.1%), and relational model (90.0%).ConclusionsThe OH-PC consultation significantly improved patient-reported experience in oncohematologic care. These findings highlight the pivotal role of pharmacists in enhancing patient-centered care and suggest that the OH-PC model could be scalable to other chronic and complex care settings. The integration of PREMs is recommended for continuous quality improvement and healthcare system transformation.

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来源期刊
CiteScore
2.70
自引率
7.70%
发文量
276
期刊介绍: Journal of Oncology Pharmacy Practice is a peer-reviewed scholarly journal dedicated to educating health professionals about providing pharmaceutical care to patients with cancer. It is the official publication of the International Society for Oncology Pharmacy Practitioners (ISOPP). Publishing pertinent case reports and consensus guidelines...
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