■通过医院和社区药房的合作,描述门诊医院药物分配模型(OHM)的经验,并探索与医院药房唯一服务相比,患者对该策略的满意度。
■患者满意度是医疗保健质量的重要组成部分。
■在医院药房服务门诊部门进行了一种新的OHM配药模式,在巴塞罗那,西班牙。参与者是患有临床或社会脆弱性的稳定慢性治疗的患者,免疫力低下的患者,以及那些居住在距离医院很远的地方的人,这些人通过社区药房进行药物输送是合理的。使用临时的14项问卷收集人口统计数据进行了横断面研究,治疗持续时间,通常的收集药物的方式,以及等待药物收集时间的满意度,受到专业人士的关注,收到的治疗信息,和保密。
■研究人群包括4,057名患者(66.8%为男性),平均年龄为53(15.5)岁,其中1286人回答,反应率为31.7%。与调查响应显着相关的变量是年龄超过44岁,尤其是年龄为55-64岁(比值比[OR]2.51),且通过社区药房接受OHM(OR12.76).社区药房组(n=927)的患者与医院药房组(n=359)的患者相比,在等待OHM的时间(88.1%vs.66%),受到专业人士的关注(92.5%与86.1%),和收到的治疗信息(79.4%vs.77.4%)。关于保密,两种药房的结果相似.
■与在医院药房收集OHM相比,通过社区药房分配OHM是一种与患者满意度更高相关的策略,有了更大的可达性,主要是因为离病人家很近。社区药剂师的参与可以进一步优化接受OHM治疗的患者所接受的护理。
UNASSIGNED: To describe the experience of a dispensing model of outpatient hospital medicines (OHM) via collaboration of hospital and community pharmacies, and to explore patient satisfaction with the strategy as compared with the hospital pharmacy only service.
UNASSIGNED: Patient satisfaction is an important component of the quality of health care.
UNASSIGNED: A new model of dispensing OHM was conducted in the Outpatients Unit of the Service of Hospital Pharmacy of Hospital del Mar, in Barcelona, Spain. Participants were patients on stable chronic treatment with clinical or social fragility, immunocompromised patients, and those whose residence was located at a distance from the hospital that justified drug delivery through the community pharmacy. A cross sectional study was done using an ad hoc 14-item questionnaire collecting demographic data, duration of treatment, usual mode of collecting medication, and the degree of satisfaction regarding waiting time for the collection of medication, attention received by professionals, information received on treatment, and confidentiality.
UNASSIGNED: The study population included a total of 4,057 patients (66.8% men) with a mean age of 53 (15.5) years, of whom 1,286 responded, with a response rate of 31.7%. Variables significantly associated with response to the survey were age over 44 years, particularly the age segment of 55-64 years (odds ratio [OR] 2.51) and receiving OHM via the community pharmacy (OR 12.76). Patients in the community pharmacy group (n = 927) as compared with those in the hospital pharmacy group (n = 359) showed significantly higher percentages of \'satisfied\' and \'very satisfied\' (p < 0.001) in the waiting time for the collection of OHM (88.1% vs. 66%), attention received by professionals (92.5% vs. 86.1%), and information received on treatment (79.4% vs. 77.4%). In relation to confidentiality, results obtained were similar in both pharmacy settings.
UNASSIGNED: Dispensing OHM through the community pharmacy was a strategy associated with greater patient satisfaction as compared with OHM collection at the hospital pharmacy service, with greater accessibility, mainly due to close distance to the patient\'s home. The participation of community pharmacists could further optimize the care received by patients undergoing OHM treatment.