国内、外药物治疗管理文献研究现状分析Δ
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篇名: 国内、外药物治疗管理文献研究现状分析Δ
TITLE:
摘要: 目的:描述性分析国内、外药物治疗管理(Medication Therapy Management,MTM)研究现状,为我国开展同类工作提供参考。方法:计算机检索PubMed、Embase、Cochrane图书馆、中国知网、维普网、万方数据、中国生物医学文献数据库,同时补充检索谷歌、百度,检索时间均从各数据库建库起至2019年3月,中文检索词为“药物治疗管理”,英文检索词为“Medication therapy management”“Management”“Medication therapy”“Therapy management”“Medication”“Drug therapy management”等,纳入国内、外MTM研究,描述性分析文献发表情况、研究类型分布、疾病分布等及其中妇儿MTM文献现状,同时分析妇儿领域开展MTM的必要性和可行性。结果与结论:共纳入MTM相关文献403篇(国外344篇,国内59篇)。其中国外MTM文献包括二次研究154篇和原始研究190篇,主要从服务提供者、服务对象、服务过程、服务效果等方面研究MTM的临床价值、经济价值和人文价值;国内MTM文献包括二次研究37篇和原始研究22篇,主要介绍了美国的MTM,包括实施背景、概念、要素、应用现状等,并分析我国开展MTM的意义和展望等。国内、外MTM文献中疾病分布均集中在老年慢病领域,以内分泌和心脑血管疾病为主,如高血压、糖尿病、肾病等。共纳入妇儿MTM研究11篇(妇女5篇,儿童6篇),其中综述4篇、横断面研究5篇、病例报告2篇;纳入文献从干预措施次数、预防或改善药物相关问题个数、患者临床结局等方面对妇儿MTM效果进行了报道。国内、外MTM文献在发表数目、研究类型、研究内容等方面差异较大;已有文献的研究集中在老年慢病领域,妇儿领域开展MTM的文献很少。但结合联合国提出的千年发展目标和妇儿用药问题日益增多,在妇儿领域开展MTM服务显得十分必要,建议借鉴MTM服务模式开展妇儿慢病药学服务,促进药师转型,提高药学服务质量。
ABSTRACT: OBJECTIVE: To descriptively analyze the status quo of medication therapy management (MTM) at home and abroad, and to provide reference for the development of MTM in China. METHODS:Retrieved from PubMed, Embase, Cochrane Library, CNKI, VIP, Wanfang database, CBM,and simultaneously searched Google and Baidu, retrieve time from the database establishment to March 2019, Chinese retrieval words: “medication therapy management”, English retrieval words: “Medication therapy management” “Management”“Medication therapy”“Therapy management”“Medication”“Drug therapy management”, etc. Domestic and foreign MTM literatures were included. Descriptive analysis was conducted in terms of literature publication, research type distribution, disease distribution and the status quo of MTM literatures in women and children. The necessity and feasibility of MTM in the field of women and children were analyzed. RESULTS & CONCLUSIONS: A total of 403 MTM related literatures (344 foreign, 59 domestic) were included. Among them, the foreign MTM literatures had 154 secondary researches and 190 original studies, clinical value, economic value and humanistic value of MTM were studied in repsects of service providers, service objects, service processes, service effects and other parties. Domestic MTM literatures had 37 secondary researches and 22 original researches, which mainly introduced the US MTM, including implementation background, concept, elements, application status, etc.; the significance and prospects of MTM in China were analyzed. Domestic and foreign MTM literatures mostly focused on chronic diseases in the elderly, mainly endocrine and cardiovascular diseases, such as hypertension, diabetes, and kidney disease. 11 studies about women and children MTM were included (women 5 studies and children 6 studies); 4 of them were review, 5 were cross-sectional studies, and 2 were case reports. The effects of women and children MTM were introduced in the included literatures from the times of interventions, the number of drug-related problems prevention or improvement, the patient’s clinical outcomes, etc. MTM studies have great differences between at home and aboard in terms of the number of literatures, research types and contents. The researches focus on the field of chronic diseases in the elderly, and there is little literature on MTM in the field of women and children. It is necessary to provide MTM services for women and children in the light of the Millennium Development Goals proposed by the United Nations and the increasing problem of women and children medication. It is suggested to use the MTM model to develop women and children chronic disease pharmaceutical service so as to promote the transformation of pharmacists and improve the quality of pharmaceutical care.
期刊: 2019年第30卷第17期
作者: 林茂,陈哲,曾力楠,张川,费皓天,黄亮,张伶俐
AUTHORS: LIN Mao,CHEN Zhe,ZENG Linan,ZHANG Chuan,FEI Haotian,HUANG Liang,ZHANG Lingli
关键字: 药物治疗管理;妇女;儿童;药学服务
KEYWORDS: Medication therapy management; Women; Children; Pharmaceutical care
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