Jiankang YU,Yinhua GONG,Wenliu YU,Jun QIN,Rong CHEN,Yizhong YOU
Objective To construct the Internet+ intelligent pharmaceutical care pathway management model in the Pharmacist-managed cough and wheeze clinic of pulmonary and critical care medicine (PCCM) and evaluate its work result. Methods A total of 300 patients with asthma and COPD diagnosed in the outpatient clinic of PCCM in the First Affiliated Hospital of Soochow University from September 2020 to March 2021 were selected, and randomly divided into a control group and intervention group with 150 cases in each group.The control group received routine pharmacy services;The intervention group was included in the Internet+ intelligent pharmaceutical care pathway management in the pharmacist-managed cough and wheeze clinic of PCCM,including patient information filing and consultation,pharmacy evaluation,pharmacy intervention(human intervention and intelligent intervention),medication education,patient follow-up,Internet+ pharmaceutical care.The study period was six months.The scores of inhalation device usage,medication compliance (MMAS-8),and clinical effective control rate were compared between the two groups in the third and sixth months after enrollment.After six months of enrollment,the number of acute attacks/exacerbations,incidence of adverse drug reactions,satisfaction with pharmacy services,and willingness to pay for the pharmaceutical care in the pharmacy clinic were compared between the two groups. Results At the third and sixth months after enrollment,the inhalation device usage score,and MMAS-8 score of the intervention group were significantly higher than those at the time of enrollment and the control group during the same period (P<0.05);The clinically effective control rate was significantly higher than the control group during the same period (P<0.05).After six months of enrollment,the number of acute attacks/exacerbations in the intervention group was significantly less than those at the time of enrollment,and in the control group during the same period (P<0.05),the incidence of adverse reactions was reduced by 9.87%,the satisfaction of the work quality and the patient experience were 91.83%,96.64%,and the proportion of patients willing to pay was 67.12%. Conclusion The Internet+ intelligent pharmaceutical care pathway management in the pharmacist-managed cough and wheeze clinic of PCCM could provide effective,safe,and professional pharmaceutical care for the patients,which is a beneficial exploration to develop high-quality pharmaceutical care in a standardized and homogeneous manner.