Exploration and effectiveness analysis of the work mode of a physician-pharmacist joint clinic in the management of rational drug use for elderly patients
Objective To introduce the work mode and effectiveness of the physician-pharmacist joint clinic for elderly patients at the Second Affiliated Hospital of Nanjing Medical University,and analyze its advantages and disadvantages,to provide a reference for the establishment of other pharmaceutical clinics.Methods A total of 680 patients who visited the clinic from July 2019 to July 2022 with established complete follow-up records were statistically analyzed for their general condition,disease and medication status,drug treatment-related issues,pharmaceutical service content,etc.Results Among the 680 patients,53.82%had hypertension,51.91%had three or more chronic diseases at the same time,and 43.82%used 4-6 drugs simultaneously.Among the 680 patients,441 had 854 drug treatment-related issues,with an average of 1.94 issues per person.The most common type of issue was medication compliance,accounting for 38.17%.After pharmacist intervention,the patient's compliance score significantly improved(P<0.05).Conclusion Pharmacists can significantly improve patient compliance,enhance the effectiveness and safety of drug treatment,and further promote rational drug use by establishing a physician-pharmacist joint clinic to participate in the management of chronic disease drug treatment for elderly patients.
Pharmaceutical service modePhysician-pharmacist joint clinicDrug treatment managementMedication compliance