PDF(Pubmed)
Abstract：
Despite reported benefits of pharmacy trainees (e.g., pharmacy students, pharmacy residents) in hospital settings, limited research on the impact of these trainees has been conducted in rural primary care. To explore the potential benefits and impact of pharmacy trainees practicing in a supervised collaborative rural primary care setting, a retrospective chart review was conducted. Drug therapy problems (DTPs) were classified using the Pharmaceutical Care Network Europe (PCNE V9) system. Valuation was measured using a validated tool developed by Overhage and Lukes (1999). Over 16 weeks on a part-time basis, pharmacy trainees (n = 3) identified 366 DTPs during 153 patient encounters. The most common causes for DTPs were related to patient transfers and the need for education. Drug level interventions carried out directly by trainees under supervision accounted for 13.1% of total interventions. Interventions that required prescriber authorization had an acceptance rate of 83.25%, 25% higher than previous acceptance rates found in urban primary care settings. About half (51%) of the interventions proposed and made by pharmacy trainees were classified as significant or very significant, suggesting these trainees added significant value to the pharmacy service provided to rural community residents. This study suggests that pharmacy trainees can be effective resources and contribute meaningfully to patient care in a collaborative rural primary care team setting.
摘要：
尽管有报道说药房学员有好处(例如，药学学生,药房居民)在医院环境中，在农村初级保健中，对这些受训人员的影响进行了有限的研究。探索药学学员在受监督的协作农村初级保健环境中执业的潜在益处和影响，进行了回顾性图表审查.药物治疗问题（DTP）使用欧洲药学监护网络（PCNEV9）系统进行分类。使用Overhage和Lukes(1999)开发的经过验证的工具来衡量估值。超过16周的兼职，药房受训人员（n=3）在153名患者的相遇中确定了366个DTPs。DTP的最常见原因与患者转移和教育需求有关。由受训人员在监督下直接进行的药物水平干预占总干预措施的13.1%。需要开处方者授权的干预措施的接受率为83.25%，比以前在城市初级保健机构中发现的接受率高出25%。大约一半（51％）的药学学员提出和提出的干预措施被归类为重要或非常重要，表明这些受训人员为农村社区居民提供的药房服务增加了重要价值。这项研究表明，药房学员可以成为有效的资源，并在合作的农村初级保健团队环境中为患者护理做出有意义的贡献。
