팀의료에서의 임상전담약사 활동 평가
The Evaluation of Clinical Pharmacy Services in an Educational Hospital
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Background and Purpose : Clinical pharmacy services (CPSs) have become an important part of pharmaceutical care in hospitals. This study was conducted to evaluate the attitude and satisfaction of health care professionals and suggest future directions for CPSs. Methods : A survey was administered in October 2015. A total 106 physicians and nurses (71 from the Internal Medicine department, 35 from the Surgery department) collaborated with clinical pharmacists who participated in this study. The survey consisted of questions related to CPSs (e.g., therapeutic drug monitoring (TDM) and total parenteral nutrition (TPN) consultation, adverse drug reaction (ADR) monitoring, drug information (DI), prescription intervention, self-medication management, medication counseling) to determine the medical staff’s awareness, satisfaction, and needs for such CPSs. All items were evaluated using a 5-point Likert scale, in which a positive response was defined as a score greater than 3. Results : The overall response rate was 97.2%(103/106). Among the respondents, 91.3%(94/103) were aware of the CPSs. The cardiology and hematology teams displayed higher awareness and satisfaction levels than the other teams. The cardiology team appeared to be well aware of medication counseling, DI, and self-medication management. The satisfaction of these services were rated as 4 or 5 by the majority of respondents (>90%). Similarly, most hematology team respondents rated DI and medication counseling services as 4 or 5(83.3%). While the Intensive Care Unit (ICU) team demonstrated a lower degree of awareness of the CPSs, over 90% respondents exhibited a high need for all CPSs. Of the seven clinical services provided, the services highly demanded by the Internal Medicine department respondents were DI, medication counseling, and ADR monitoring; whereas, the Surgery department respondents highly ranked DI, medication counseling, and prescription intervention as a further need for CPSs. Regardless of the medical team, most respondents suggested enhancements to patient consultation and DI. Conclusion : There were some differences in awareness, satisfaction and needs for CPSs across medical teams. Based on the results, enhancement of CPSs are needed according to each medical team’s needs.
Abstract
Background and Purpose : Clinical pharmacy services (CPSs) have become an important part of pharmaceutical care in hospitals. This study was conducted to evaluate the attitude and satisfaction of health care professionals and suggest future directions for CPSs. Methods : A survey was administered in October 2015. A total 106 physicians and nurses (71 from the Internal Medicine department, 35 from the Surgery department) collaborated with clinical pharmacists who participated in this study. The survey consisted of questions related to CPSs (e.g., therapeutic drug monitoring (TDM) and total parenteral nutrition (TPN) consultation, adverse drug reaction (ADR) monitoring, drug information (DI), prescription intervention, self-medication management, medication counseling) to determine the medical staff’s awareness, satisfaction, and needs for such CPSs. All items were evaluated using a 5-point Likert scale, in which a positive response was defined as a score greater than 3. Results : The overall response rate was 97.2%(103/106). Among the respondents, 91.3%(94/103) were aware of the CPSs. The cardiology and hematology teams displayed higher awareness and satisfaction levels than the other teams. The cardiology team appeared to be well aware of medication counseling, DI, and self-medication management. The satisfaction of these services were rated as 4 or 5 by the majority of respondents (>90%). Similarly, most hematology team respondents rated DI and medication counseling services as 4 or 5(83.3%). While the Intensive Care Unit (ICU) team demonstrated a lower degree of awareness of the CPSs, over 90% respondents exhibited a high need for all CPSs. Of the seven clinical services provided, the services highly demanded by the Internal Medicine department respondents were DI, medication counseling, and ADR monitoring; whereas, the Surgery department respondents highly ranked DI, medication counseling, and prescription intervention as a further need for CPSs. Regardless of the medical team, most respondents suggested enhancements to patient consultation and DI. Conclusion : There were some differences in awareness, satisfaction and needs for CPSs across medical teams. Based on the results, enhancement of CPSs are needed according to each medical team’s needs.
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