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  1. Implementing disease management in community pharmacy practice.

    Article - En anglais

    Disease management (DM) is a comprehensive approach to preventing and treating disease that :

    • (I) targets patients with specific diseases ;

    • (2) provides integrated services across organizational and professional boundaries ;

    • (3) utilizes services based on the best scientific evidence available ;

    • and (4) focuses on outcomes.

    DM differs from pharmaceutical care in that pharmaceutical care targets not only patients with specific diseases but also those with risk factors for drug-related problems, a history of nonadherence, and frequent changes in medication regimens.

    Steps to starting a DM program include :

    • (1) identifying a target population based on the population's strategic importance to the goals and aims of the organization ;

    • (2) assessing the organization's available resources, both internal and external ;

    • (3) defining key indicators with which to assess the program for the purposes of internal quality control and of obtaining compensation from third-party payers ;

    • (4) implementing the program using the best scientific methods available ;

    • and (5) assessing the impact of the program.

    The development of a smoking cessation program at a nationwide retail pharmacy chain is used as an example of a DM program initiated in community pharmacy practice.

    Pharmacists are well positioned to take a major role in DM, because they are accessible to the community and because DM frequently involves drug therapy.

    DM is also widely used in managed care. (...)

    Mots-clés Pascal : Programme sanitaire, Soin pharmaceutique, Pharmacie officine, Modèle, Tabagisme, Sevrage, Homme

    Mots-clés Pascal anglais : Sanitary program, Pharmaceutical care, Drugstore, Models, Tobacco smoking, Weaning, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0297604

    Code Inist : 002B30A01C. Création : 27/11/1998.