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Auditing the scope of antithrombotic care in iPACT (International Pharmacists for Anticoagulation Care Taskforce) represented countries
Research in Social and Administrative Pharmacy ( IF 3.348 ) Pub Date : 2021-01-23 , DOI: 10.1016/j.sapharm.2021.01.008
Filipa Alves da Costa 1 , Debbie Rigby 2 , Dale Griffiths 3 , Sotiris Antoniou 4
Affiliation  

Countries strive to find suitable solutions to offer health services to their populations. Pharmacist-led services are a possible solution to supplement the care offer with a clear advantage of proximity, with demonstrated expertise in medication use. This paper aims to audit the scope of antithrombotic care services available; and to describe the arrangements adopted for meeting the needs of the population. A multi-stage project involved the development of the list of services, generated during a face-to-face expert meeting; the definition of each service by literature search; and their clustering into three main groups (general, specific and support); resulting in an online audit of each service's availability, the settings where the service was available and the possible providers. The audit was distributed to a taskforce devoted to antithrombotic care representing 22 countries, with response obtained for all. Most reported general services were Transfer of care and Comprehensive Medication Review. Among specific services, Point-of-care testing for INR and renal function and Patient Education on antithrombotic care (antiplatelets and anticoagulants) were the most frequent. Interprofessional Education as a support service was very common, but the use of the Choosing Wisely initiative to inform evidence-based decisions was still limited. There was wide diversity found in arrangements for the provision of services to support patients taking antithrombotic medication, albeit specific services were reported in over half the surveyed countries.



中文翻译:

审核 iPACT(国际抗凝治疗药剂师工作组)代表国家的抗血栓治疗范围

各国努力寻找合适的解决方案,为其民众提供卫生服务。药剂师主导的服务是一种可能的解决方案,可以通过明显的邻近优势来补充护理服务,并在药物使用方面表现出专业知识。本文旨在审核可用的抗血栓治疗服务的范围;并说明为满足民众需要而采取的安排。一个多阶段项目涉及在面对面专家会议期间制定的服务清单;文献检索对各项服务的定义;并将它们分为三个主要组(一般组、特定组和支持组);从而对每个服务的可用性、服务可用的设置和可能的提供者进行在线审核。审计被分发给一个代表 22 个国家的抗血栓治疗工作组,得到了所有人的回应。大多数报告的一般服务是转移护理和综合药物审查。在特定服务中,INR 和肾功能的即时检测以及抗血栓治疗(抗血小板和抗凝剂)的患者教育是最常见的。跨专业教育作为一种支持服务非常普遍,但使用“明智选择”倡议为基于证据的决策提供信息仍然有限。为支持服用抗血栓药物的患者提供服务的安排存在很大差异,尽管超过一半的受访国家报告了特定服务。大多数报告的一般服务是转移护理和综合药物审查。在特定服务中,INR 和肾功能的即时检测以及抗血栓治疗(抗血小板和抗凝剂)的患者教育是最常见的。跨专业教育作为一种支持服务非常普遍,但使用“明智选择”倡议为基于证据的决策提供信息的情况仍然有限。为支持服用抗血栓药物的患者提供服务的安排存在很大差异,尽管超过一半的受访国家报告了特定服务。大多数报告的一般服务是转移护理和综合药物审查。在特定服务中,INR 和肾功能的即时检测以及抗血栓治疗(抗血小板和抗凝剂)的患者教育是最常见的。跨专业教育作为一种支持服务非常普遍,但使用“明智选择”倡议为基于证据的决策提供信息的情况仍然有限。为支持服用抗血栓药物的患者提供服务的安排存在很大差异,尽管超过一半的受访国家报告了特定服务。INR 和肾功能的即时检测以及抗血栓治疗(抗血小板和抗凝剂)的患者教育是最常见的。跨专业教育作为一种支持服务非常普遍,但使用“明智选择”倡议为基于证据的决策提供信息的情况仍然有限。为支持服用抗血栓药物的患者提供服务的安排存在很大差异,尽管一半以上的受访国家报告了特定服务。INR 和肾功能的即时检测以及抗血栓治疗(抗血小板和抗凝剂)的患者教育是最常见的。跨专业教育作为一种支持服务非常普遍,但使用“明智选择”倡议为基于证据的决策提供信息的情况仍然有限。为支持服用抗血栓药物的患者提供服务的安排存在很大差异,尽管超过一半的受访国家报告了特定服务。

更新日期:2021-01-23
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