The Role of the Clinical Pharmacist in the Care of Patients With Cardiovascular Disease

被引:131
作者
Dunn, Steven P. [1 ]
Birtcher, Kim K. [2 ]
Beavers, Craig J. [3 ]
Baker, William L. [4 ]
Brouse, Sara D. [3 ]
Page, Robert L., II [5 ]
Bittner, Vera [6 ]
Walsh, Mary Norine [7 ]
机构
[1] Univ Virginia Hlth Syst, Charlottesville, VA 22908 USA
[2] Univ Houston, Coll Pharm, Houston, TX 77030 USA
[3] Univ Kentucky, UK HealthCare, Lexington, KY USA
[4] Univ Connecticut, Sch Pharm, Storrs, CT USA
[5] Univ Colorado, Sch Pharm, Denver, CO 80202 USA
[6] Univ Alabama Birmingham, Sch Med, Birmingham, AL USA
[7] St Vincent Heart Ctr, Indianapolis, IN USA
关键词
collaborative practice; medication adherence; medication therapy management; team-based care; ASHP NATIONAL-SURVEY; ADVERSE DRUG EVENTS; TEAM-BASED CARE; HEART-FAILURE; MYOCARDIAL-INFARCTION; AMERICAN-COLLEGE; RISK-FACTORS; SERVICES; MANAGEMENT; INTERVENTIONS;
D O I
10.1016/j.jacc.2015.09.025
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Team-based cardiovascular care, including the use of clinical pharmacists, can efficiently deliver high-quality care. This Joint Council Perspectives paper from the Cardiovascular Team and Prevention Councils of the American College of Cardiology provides background information on the clinical pharmacist's role, training, certification, and potential utilization in a variety of practice models. Selected systematic reviews and meta-analyses, highlighting the benefit of clinical pharmacy services, are summarized. Clinical pharmacists have a substantial effect in a wide variety of roles in inpatient and ambulatory settings, largely through optimization of drug use, avoidance of adverse drug events, and transitional care activities focusing on medication reconciliation and patient education. Expansion of clinical pharmacy services is often impeded by policy, legislation, and compensation barriers. Multidisciplinary organizations, including the American College of Cardiology, should support efforts to overcome these barriers, allowing pharmacists to deliver high-quality patient care to the full extent of their education and training. (C) 2015 by the American College of Cardiology Foundation.
引用
收藏
页码:2129 / 2139
页数:11
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