THE IMPACT OF THE DIAL ACCESS AND SASKATCHEWAN CONSUMER DRUG INFORMATION SERVICES ON PATIENTS' CLINICAL OUTCOME
Notice bibliographique
Résumé
Although drug information centres are thought to play a prominent role in meeting the drug information needs of both consumers and health care professionals, there is little information in the literature evaluating the effect of these services on patient outcomes. We conducted a study to determine if the Dial Access Drug Information Service and the Saskatchewan Consumer Drug Information Service impacted positively on a patient's clinical outcome. Drug information requests were eligible for the study if the following criteria were met: the request was patient specific, the service made a recommendation involving the patient's therapy, and the requester of the information was willing to participate in the study. For each request, a desired therapeutic outcome was documented. Each inquirer was asked to rate the impact of the service with respect to patient outcome as well as their opinion of objectivity and timeliness of the response. A panel of specialists determined whether the responses and recommendations given by the service were appropriate; what impact the service had on the patient; and assessed the "seriousness" of the inquiry. A total of 98 and 68 patient specific requests were received in the health care section and consumer section, respectively. The expert panel concluded that 94.9% of the health care requests and 98.5% of the consumer requests were answered appropriately and the majority of the requests involved potentially serious drug-related problems. The panel also determined that 46.8% of the recommendations in the health care section and 41.0% of the recommendations in the consumer section resulted in positive patient outcomes. For a significant number of queries, tangible outcomes could not be measured but the patient benefited from the information supplied by the drug information pharmacist in 24.7% of the health care professional queries and 42.6% of the consumer queries. Based on these results and the inquirers' opinion, the Dial Access Drug Information Service and the Consumer Drug Information Service provides drug information in an accurate, unbiased, timely manner and the services benefit the patient. However, it is difficult to determine if the service impacts positively on patient outcome because it is not the primary care giver; it is a support service which assists health care professionals in achieving specific patient outcomes. Further studies are necessary to develop criteria for acceptable standards of practice for drug information centres in order to ensure these services are impacting positively on patient care.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,016 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,000 | 0,002 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».