Continuity of care from acute to ambulatory care setting. 1998

S R Dvorak, and R A McCoy, and G D Voss
CareTrends Health Education and Research Institute, Division of Complete Home Care, Inc., Sioux Falls, SD 57105, USA.

Pharmacists' perceptions of a pharmacy-to-pharmacy referral form designed to promote continuity of care for patients being discharged from a hospital were studied. Patients being discharged from a nonteaching, tertiary care hospital to a private residence and having at least one prescription for a new medication were invited to participate in the study. A pharmacy-to-pharmacy referral form was completed on the basis of each patient's medical record and discharge orders. Patients were provided with a copy of the form and told to give it to their community pharmacist with their discharge prescriptions; an additional copy was mailed the same day to the pharmacy. The pharmacist was instructed to telephone the hospital pharmacy on receipt of the form to schedule a telephone interview. A total of 127 patients were enrolled in the study; the average number of discharge medications per patient was 4.8. A total of 120 interviews were conducted with 91 community or ambulatory care pharmacists. In 102 cases (85%), the pharmacists indicated that the referral form provided information that resulted in a benefit to the patient through indication-specific counseling. In 104 cases (87%), pharmacists indicated that the form provided information that had a positive impact on patient-pharmacist interactions, and 75 interviews (62%) indicated that pharmacists were able to incorporate the information into a database to direct future patient care. Community and ambulatory care pharmacists who received information from hospital pharmacists about patients being discharged from the hospital reported that the information aided in patient care.

UI MeSH Term Description Entries
D007400 Interprofessional Relations The reciprocal interaction of two or more professional individuals. Etiquette, Medical,Medical Etiquette,Relations, Interprofessional
D010351 Patient Discharge The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities. Discharge Planning,Discharge Plannings,Discharge, Patient,Discharges, Patient,Patient Discharges,Planning, Discharge,Plannings, Discharge
D010593 Pharmaceutical Services Total pharmaceutical services provided by qualified PHARMACISTS. In addition to the preparation and distribution of medical products, they may include consultative services provided to agencies and institutions which do not have a qualified pharmacist. Pharmaceutic Services,Pharmaceutical Care,Pharmacy Services,Services, Pharmaceutic,Services, Pharmaceutical,Services, Pharmacy,Care, Pharmaceutical,Pharmaceutic Service,Pharmaceutical Service,Pharmacy Service,Service, Pharmaceutic,Service, Pharmaceutical,Service, Pharmacy
D012017 Referral and Consultation The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide. Consultation,Gatekeepers, Health Service,Hospital Referral,Second Opinion,Consultation and Referral,Health Service Gatekeepers,Hospital Referrals,Referral,Referral, Hospital,Referrals, Hospital,Consultations,Gatekeeper, Health Service,Health Service Gatekeeper,Opinion, Second,Opinions, Second,Referrals,Second Opinions
D003266 Continuity of Patient Care Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care. Continuum of Care,Continuity of Care,Care Continuity,Care Continuity, Patient,Care Continuum,Patient Care Continuity
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000208 Acute Disease Disease having a short and relatively severe course. Acute Diseases,Disease, Acute,Diseases, Acute
D000553 Ambulatory Care Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility. Outpatient Care,Outpatient Health Services,Clinic Visits,Health Services, Outpatient,Outpatient Services,Services, Outpatient Health,Urgent Care,Care, Ambulatory,Care, Outpatient,Care, Urgent,Cares, Urgent,Clinic Visit,Health Service, Outpatient,Outpatient Health Service,Outpatient Service,Service, Outpatient,Service, Outpatient Health,Services, Outpatient,Urgent Cares,Visit, Clinic,Visits, Clinic
D013023 South Dakota State bounded on the north by North Dakota, on the east by Minnesota, on the south by Nebraska, and on the west by Montana and Wyoming.

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