药师参与慢病患者药物治疗管理的效果研究

PharmacyInformation,2018,7(3),65-70PublishedOnlineMay2018inHans.://doi.org/10.12677/pi.2018.73012:,,.[J].,2018,7(3):65-70.DOI:10.12677/pi.2018.73012TheEffectofPharmacistsParticipatingintheManagementofDrugTherapyforChronicDiseasesYunPang*,YiLi,ChaoyangSunXianJiaotongUniversityHospital,XianShaanxiReceived:Apr.30th,2018;accepted:May16th,2018;published:May23rd,2018AbstractObjective:TostudythestatusquooftheserviceoftheEuropeanandAmericancountriesmedica-tionmanagement,toscience,effectivelypromotetherationaluseofdrugs,promotethedevelop-mentofpharmaceuticalcareinourcountry,establishingthemanagementsystemtoprovidethereferencedrugtreatment.Methods:Throughconsultingthedomesticandforeignliteraturedata,combandanalyzethedomesticsituation.Results:Aftertwentyyearsofdevelopment,theEuro-peanandAmericancountriesnewdrugTherapyManagementservice(MTM)modehasbeenwidelyusedinheartfailure,chronicdiseasessuchaschronicrespiratorydiseasesanddiabetes,andgoodresultshavebeenachievedinclinicalpharmacyservice.Conclusions:ThedomesticMTMserviceisstillintheexploratorystage.MTMserviceaspectcomprehensivedevelopmentatpresenttherearestillmanychallenges,theclinicalpharmacistsworkinourcountrycandrawlessonsfromforeignexperienceinpharmaceuticalcare,establishastandardizedpharmaceuticalservicemode,perfecttheclinicalpharmacistsworkcontent,topromotethehealthydevelopmentofthepharmaceuticalindustryinChina.KeywordsDrugTherapyManagement,Chronic,EffectofResearch*201843020185162018523*DOI:10.12677/pi.2018.7301266(MedicationTherapyManagement,MTM)MTMMTMCopyright?2018byauthorsandHansPublishersInc.ThisworkislicensedundertheCreativeCommonsAttributionInternationalLicense(CCBY).[1]2005~2007450[2][3]201215%[4]1996~2016OVID2.(MedicationTherapyManagementMTM)[5]2008MTM5[6]2010[7]3.MTMMTM//OpenAccessDOI:10.12677/pi.2018.7301267[7]MTM[8]-[15][5]2090MTMMTM(drug-relatedproblems,DRPs)4.MTM4.1.DRPs(ADE)HanlonJT[16]3(24%6%P=0.0006)12(28%5%P=0.0002)(30.2%)(40.0%)P=0.19(55.1%vs19.8%,P0.001)637[17]MTMADEMTM54.6%MTM(33.8%vs47.1%;P0.001)4.2.ReneeStark[18]20072008.16MeeraV[19]IsettsBJ[20]165148913754%80%15942,729,424[21]2014[22]199820,000107,00012:1DOI:10.12677/pi.2018.73012684.3.[23]6[24]13566(/)HbA1c(P0.05)[25]61257.2%(95%CI44.8%~68.7%)30.0%(95%CI23.2%~37.8%P=0.001)6[26]904MTM(UPDRS)(MDS-UPDRS)UPDRSMDS-UPDRSMTM4.4.COPD[27][28]3221250.8%vs80.7%P0.0155.2%vs83.3%P0.01(RTR)[29]MTMRTRMTMRTRsMTM(OR=1.1395CI1.02~1.26P=0.02)AudreyJ.Imberg[30]MTMMTMMTM5.MTMMTMDOI:10.12677/pi.2018.7301269MTMMTMMTMMTMMTMMTM[1].[M].:,2014.[2]Sarkar,U.,Lpez,A.,Maselli,J.H.andGonzales,R.(2011)AdverseDrugEventsinUSAdultAmbulatoryMedicalCare.HealthServicesResearch,46,1517-1533.[3]Warholak,T.L.andNau,D.P.(2010)QualityandSafetyinPharmacyPractice.McGraw-HillMedical.[4],,,,,,,.2012[J].,2015(2):99-103.[5],.[J].,2011,32(2):71-73.[6],,,,,.[J].,2015,29(11):1172-1180.[7]PCPCC.McInnis,T.,Strand,L.M.andWebb,C.E.(2010)ThePatientCenteredMedicalHome:IntgratingCompre-hensiveMedicationManagementtoOptimizePatientOutcomes.Patient-CenteredPrimaryCareCollaborative.[8]Smith,M.,Giuliano,M.R.andStarkowski,M.P.(2011)InConnecticut:ImprovingPatientMedicationManagementinPrimaryCare.HealthAffairs,30,646-654.[9]Group,T.L.(2005)MedicationTherapyManagementServices:ACriticalReview.JournaloftheAmericanPharmac-istsAssociation(JAPHA),45,580-587.[10]Fera,T.,Bluml,B.M.andEllis,W.M.(2009)DiabetesTenCityChallenge:FinalEconomicandClinicalResults.JournaloftheAmericanPharmacistsAssociation,49,383-391.[11]Harris,I.M.,Westberg,S.M.,Frakes,M.J.andVanVooren,J.S.(2009)OutcomesofMedicationTherapyReviewinaFamilyMedicineClinic.JournaloftheAmericanPharmacistsAssociation(JAPHA),49,623-627.[12]Strand,L.M.,Cipolle,R.J.,Morley,P.C.andFrakes,M.J.(2004)TheImpactofPharmaceuticalCarePracticeonthePractitionerandthePatientintheAmbulatoryPracticeSetting:Twenty-FiveYearsofExperience.CurrentPharma-ceuticalDesign,10,3987-4001.[13]Alvarez-Risco,A.andvanMil,J.W.(2007)PharmaceuticalCareinCommunityPharmacies:PracticeandResearchinPeru.AnnalsofPharmacotherapy,41,2032-2037.[14]Barnett,M.J.,Frank,J.,Wehring,H.,Newland,B.,VonMuenster,S.,Kumbera,P.,Halterman,T.andPerry,P.J.(2009)AnalysisofPharmacist-ProvidedMedicationTherapyManagement(MTM)ServicesinCommunityPharmaciesover7Years.JournalofManagedCarePharmacy(JMCP),15,18.[15]Ramalhod,O.D.,Brummel,A.R.andMiller,D.B.(2010)MedicationTherapyManagement:10YearsofExperienceinaLargeIntegratedHealthCareSystem.JournalofManagedCarePharmacy(JMCP),16,185.[16]Hanlon,J.T.,Weinberger,M.,Samsa,G.P.,Schmader,K.E.,Uttech,K.M.,Lewis,I.K.,Cowper,P.A.,Landsman,P.B.,Cohen,H.J.andFeussner,J.R.(1996)ARandomized,Co