Providing Comprehensive Medication Management in Telehealth
Providing Comprehensive Medication Management in Telehealth
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DOI：
10.1002/phar.2071
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发表时间：
2018-02-01
期刊：
影响因子：
4.1
通讯作者：
White, Taylor
中科院分区：
文献类型：
--
作者：
Badowski, Melissa E.;Walker, Scot;White, Taylor
本白色文件的目标是为提供远程医疗的临床药剂师提供方向。远程医疗保健正在迅速兴起，以改善患者获得医疗保健的机会，并优化患者的健康结果。随着访问电子健康记录门户网站的能力不断提高，预计北美每年将有多达7 500万次远程保健服务。虽然电子接入点无疑增加了医疗和药房服务的使用，但远程保健的真实的价值在于改善了对缺乏适当医疗和药房服务的偏远地区病人以及需要经常监测的高风险病人的服务。本文件旨在为那些对远程保健感兴趣或已经使用远程保健提供直接病人护理的人提供指导。具体来说，它侧重于远程医疗的一般概念，并演示了如何通过远程医疗提供全面的药物管理（CMM）符合美国临床药学院提出的临床药学实践标准。虽然临床药师必须有适当的资格和特权提供CMM，他们的护理过程也必须适应远程病人。患者评估、药物治疗评价、护理计划的制定和实施、随访、监测和所有护理过程的记录都受到现有技术、建立的合作以及适用的法规和远程保健实践要求的影响。
The goal of this white paper is to provide direction for clinical pharmacists providing telehealth. Telehealth care is rapidly emerging to improve patient access to health care and optimize patient health outcomes. With the increasing ability to access electronic health record portals, as many as 75 million telehealth encounters are expected in North America annually. Although electronic point of access undoubtedly increases the use of medical and pharmacy services, the real value of telehealth lies in improved access to patients in remote areas lacking adequate medical and pharmacy services and to high-risk patients requiring frequent monitoring. This document is intended to serve as a guide for those interested in or already using telehealth to provide direct patient care. Specifically, it focuses on general concepts of telehealth and demonstrates how the delivery of comprehensive medication management (CMM) by telehealth aligns with the Standards of Practice for Clinical Pharmacists set forth by the American College of Clinical Pharmacy. Although clinical pharmacists must be appropriately credentialed and privileged to provide CMM, their process of care must also be adapted to suit the remote patient. Patient assessment, evaluation of medication therapy, development and implementation of a plan of care, follow-up, monitoring, and documentation of all processes of care are influenced by the technology available, the collaborations established, and the applicable regulations and requirements for telehealth practice.