Implementing disease management in community pharmacy practice.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0297604
Code Inist : 002B30A01C. Création : 27/11/1998.