TELEPHONE MANAGEMENT OF DRUG-RELATED PROBLEMS IN A FAMILY-PRACTICE CLINIC
TELEPHONE MANAGEMENT OF DRUG-RELATED PROBLEMS IN A FAMILY-PRACTICE CLINIC
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DOI：
10.1093/ajhp/39.1.101
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发表时间：
1982-01-01
期刊：
影响因子：
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通讯作者：
BARRETT, JE
中科院分区：
文献类型：
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作者：
ERICKSON, SH;ROMANO, JA;BARRETT, JE
Telephone management of drug-related problems by a clinical pharmacist in a family practice center was monitored for an eight-week period.A receptionist received the phone calls and took a message, noting the name of the caller, the phone number, the patient’s name, and the nature of the problem. Then, this message was placed with the patient’s chart for the pharmacist to return the call. The pharmacist collected the following information: (1) the category of the caller (patient, physician, pharmacist, relative, or other); (2) the name of patient and reason for the call (refill request, drug Information, report of side effect, illness, or other); (3) whether or not a physician was consulted; (4) the action taken (e.g., authorizing or denying refills, recommending clinic appointments, changing the dose or prescribing new drug therapy, or requesting drug information); (5) the number of calls necessary to manage the problem; and (6) the time required to handle the problem.During the study period, 581 drug-related phone calls were referred to the pharmacist. The pharmacist responded to an average of 15 phone calls per day and spent an average of 104 minutes per day handling drug-related problems on the telephone. Fifty-four percent of the calls were from patients. Only 9% of the phone calls required physician consultation. Half of the phone calls were requests for refills, and 26% concerned treatment of illnesses or complaints of symptoms, Common illnesses - and symptoms managed by the pharmacist included upper respirarory infections, pain, vaginitis, gastrointestinal problems, headaches, otitis, and allergies. Nineteen percent of the phone calls were for drug information and 4% were reports of adverse drug reactions. The pharmacist intervened in the patient’s drug therapy for 23% of the calls.
