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摘要


為爭取失能病人黃金復健時間,減緩失能程度,臺灣自2014年起開始實施「全民健康保險急性後期整合照護計畫」,至2018年止,六類疾病模式正在執行中。有關急性後期醫療團隊成員,在心臟衰竭、衰弱高齡及腦中風三類模式中,規定需包含有藥師。藥師在藥物治療管理上的專業,可提供病人個別化的疾病管理照護,目前國內針對藥師執行急性後期照護的文獻較缺乏,因此本文從美國及臺灣發展急性後期照護的歷程與規劃,並藉由回顧國內外文獻,探討藥事照護應用於急性後期照護的服務內涵,包含用藥整合、藥物治療評估以及到宅藥事照顧,期望能透過提供適切的藥事照護,協助改善病人的照顧成效。

並列摘要


To reduce the degree of disability by intensive rehabilitation, The Taiwan Bureau of National Health Insurance has implemented the Post-Acute Care (PAC) plan since 2014 and six disease models are under implementation by 2018. Pharmacists are included in the PAC medical team in three disease models as required by regulations, namely, heart failure, frail elders and post-stroke. The professionalism of pharmacists in drug therapy provides an individualized disease management. At present, there is a lack of PAC's literature in Taiwan. This article reviews the implementation of PAC plan in the United States and Taiwan. By reviewing the local and foreign literature, we explore the service contents of PAC's pharmaceutical care including medication integration, drug regimen review, and pharmaceutical home care services. An improvement of the care efficacy through appropriate pharmaceutical care is anticipated.

並列關鍵字

Post-Acute Care pharmacist integrated care

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