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优化造血干细胞移植的家庭住院计划,整合电子健康并纳入临床药师参与

英文原题:Optimization of a home hospitalization program for hematopoietic stem cell transplantation with ehealth integration and clinical pharmacist involvement.

查看英文原题

Optimization of a home hospitalization program for hematopoietic stem cell transplantation with ehealth integration and clinical pharmacist involvement.

PubMed 2024/06/11(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

家庭住院是传统住院的一种替代方案,为血液病患者提供了相当的临床安全性。居家治疗的范围从静脉抗生素输注到更复杂的情形,如造血干细胞移植和CAR-T 细胞治疗后的早期护理。从传统住院中提前出院是可行的,有助于减少医院资源和等待名单。多学科团队的协同努力,包括血液科医生、护士和药师,确保患者安全和护理的连续性。传统的家庭住院模式依赖于上门访视以及与医生和护士的电话咨询。然而,使用 eHealth 技术,如 MY-Medula,可以增强沟通和监测,从而在不增加额外成本的情况下改善患者结局。临床药师积极参与家庭住院项目至关重要,不仅对于药物的正确物流管理,也为了确保其适宜性、优化治疗、解答团队和患者的疑问,并促进依从性。总之,实施使用 eHealth 工具和多学科护理模式的造血干细胞移植和CAR-T 细胞治疗家庭住院项目,可以在不增加医疗成本的情况下优化患者护理并改善生活质量。

展开英文摘要原文

Home hospitalization represents an alternative to traditional hospitalization, providing comparable clinical safety for hematological patients. At-home therapies can range from the delivery of intravenous antibiotics to more complex scenarios, such as the care during the early period after hematopoietic stem cell transplantation and chimeric antigen receptor T-cell therapy.

Early discharge from conventional hospitalization is feasible and helps reduce hospital resources and waiting lists. The coordinated efforts of multidisciplinary teams, including hematologists, nurses, and pharmacists, ensure patient safety and continuity of care. The traditional model of home hospitalization relies on home visits and telephone consultations with physicians and nurses.

However, the use of eHealth technologies, such as MY-Medula, can enhance communication and monitoring, and thereby improve patient outcomes with no additional costs. The active involvement of a clinical pharmacist in home hospitalization programs is essential, not only for the proper logistical management of the medication but also to ensure its appropriateness, optimize treatment, address queries from the team and patients, and promote adherence.

In conclusion, the implementation of hematopoietic stem cell transplantation and chimeric antigen receptor T-cell therapy home hospitalization programs that use both an eHealth tool and a multidisciplinary care model can optimize patient care and improve quality of life without increasing healthcare costs.

论文信息

作者
Moreno-Martinez ME、Riba M、García-Cadenas I、Esquirol A、Yusta M、Redondo S、De Dios A、Portos JM
单位
Pharmacy Department, Hospital de la Santa Creu I Sant Pau, IIB Sant Pau, Barcelona, Spain.Spain
期刊
Frontiers in immunology2024
原文标识
PubMed 38919607 · DOI 10.3389/fimmu.2024.1397115