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Yardlee Kauffman Vidya Nair Keith Herist Vasavi Thomas Paul J. Weidle 《Journal of the American Pharmacists Association》2012,52(6):e287-e291
ObjectivesTo present a rationale and a proposed structure to support pharmacist-delivered medication therapy management (MTM) for human immunodeficiency virus (HIV ) diseaseand to outline challenges to implementing and sustaining the service.Data sourcesProfessional literature.SummaryHistorically, the effect of pharmacy services for HIV-infected persons has been demonstrated in inpatient and clinic-based settings. Developing similar programs adapted for community pharmacists could be a model of care to improve patient adherence to antiretroviral therapy and retention in care. Initiation of antiretroviral therapy and regular monitoring of CD4+ cell count, HIV RNA viral load, adverse drug events, and adherence form the backbone of successful medical management of HIV infection. Support for these services can be provided to HIV-infected patients through pharmacist-managed HIV MTM programs in community pharmacy settings in collaboration with primary providers and other health care professionals.ConclusionCommunity pharmacists can help meet the growing need for HIV care through provision of MTM services. Although resources have been developed, including the general MTM framework, challenges of adequate training, education, and support of community pharmacists need to be addressed in order for HIV MTM to be a successful model. 相似文献
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Matthew Lengel Catherine H. Kuhn Marcia Worley Allison M. Wehr James W. McAuley 《Journal of the American Pharmacists Association》2018,58(2):179-185.e2
Objectives
To assess the impact of technician involvement on the completion of medication therapy management (MTM) services in a community pharmacy setting and to describe pharmacists' and technicians' perceptions of technician involvement in MTM-related tasks and their satisfaction with the technician's role in MTM.Design
Prospective observational study.Setting and participants
In the fall of 2015, pharmacists and selected technicians from 32 grocery store–based community pharmacies were trained to use technicians within MTM services.Main outcome measures
Completed MTM claims were evaluated at all pharmacies for 3 months before training and 3 months after training. An electronic survey, developed with the use of competencies taught in the training and relevant published literature, was distributed via e-mail to trained employees 3 months after training.Results
The total number of completed MTM claims at the 32 pharmacy sites was higher during the posttraining time period (2687 claims) versus the pretraining period (1735 claims). Of the 182 trained participants, 112 (61.5%) completed the survey. Overall, perceived technician involvement was lower than expected. However, identifying MTM opportunities was the most commonly reported technician MTM task, with 62.5% of technicians and 47.2% of pharmacists reporting technician involvement. Nearly one-half of technicians (42.5%) and pharmacists (44.0%) agreed or strongly agreed they were satisfied with the technician's role in MTM services, and 40.0% of technicians agreed that they were more satisfied with their work in the pharmacy after involvement in MTM.Conclusion
Three months after initial training of technicians in MTM, participation of technicians was lower than expected. However, the technicians involved most often reported identifying MTM opportunities for pharmacists, which may be a focus for future technician trainings. In addition, technician involvement in MTM services may increase satisfaction with many aspects of work for actively involved technicians. 相似文献3.
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Domiati Souraya Sacre Hala Lahoud Nathalie Sili Georges Salameh Pascale 《International journal of clinical pharmacy》2018,40(5):1165-1174
International Journal of Clinical Pharmacy - Background To follow international standards, the Lebanese Order of Pharmacists would like to start to implement the medication therapy management in... 相似文献
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Jack L. Watkins Andrea Landgraf Chad M. Barnett Laura Michaud 《Journal of the American Pharmacists Association》2012,52(2):170-174
ObjectivesTo determine the effect of formal medication therapy management (MTM) services on pharmacist workload, as well as to describe the population receiving MTM, describe the services provided, and determine the reimbursement rate for billed MTM services.Data sourcesMTM Current Procedural Terminology (CPT) code claims, electronic medical records, and pharmacist MTM logs.Data synthesisA retrospective review of all MTM charges from January 1, 2010, to March 31, 2010, was performed. Data collected included location of the MTM visit, age, gender, insurance, primary malignancy, comorbidities, home medications, time to complete and document the MTM visit, and rate of reimbursement.ResultsIn the 3-month period, 239 MTM visits were completed. It took pharmacists a median of 20 minutes (range 15–127) of face-to-face time and 18 minutes (5–90) for documentation per visit. To date, no claims for MTM have been rejected, and reimbursement rates range from 47% to 79% depending on the insurance provider.ConclusionsMTM in the ambulatory clinic is feasible despite the increase in pharmacist workload from documenting and billing. The increased visibility of clinical pharmacy services justifies the extra time required for formal MTM. 相似文献
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《中南药学》2019,(11):1894-1897
世界卫生组织认为,高血压是患者致残和死亡的重要的危险因素,每年影响超过10亿人,造成近940万人死亡。高血压患者常因衰老、合并症和多种药物而出现各种药物相关问题,已有强有力的证据证明以团队为基础的药物治疗管理(MTM)可以有效地治疗高血压等慢性疾病,尤其是当临床药师加入初级保健团队并能够做出独立的医疗药物管理决策时。临床药师是一种未充分利用的资源,显示出扩大初级保健在MTM方面的能力。药师通过MTM工作模式,可以有效解决高血压患者药物相关问题(DRPs),最终达到与患者共同管理疾病的目的。本文利用Strand分类系统,从适应证、有效性、安全性和依从性四个方面对高血压的DRPs进行分类分析,并从MTM五个核心因素出发,对临床药师利用高血压MTM解决DRPs的情况进行归纳,以期帮助临床药师在高血压MTM的临床实践,为我国的药学服务实践提供策略。 相似文献