The role of the clinical pharmacist in the respiratory or sleep multidisciplinary team.

IF 2.3 Q2 RESPIRATORY SYSTEM Breathe Pub Date : 2023-12-01 Epub Date: 2023-12-19 DOI:10.1183/20734735.0123-2023

Jessica Clements, Elaine Bowman, Rowan Tolhurst, Maeve Savage, Alicia Piwko, Christabelle Chen, Elaine Lyons, Nixon Leung, Sarah Mulholland, Gráinne d'Ancona

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Abstract

The role of the pharmacist has evolved significantly, not least over the last 20 years. It delivers a skilled profession with a vital role in medicines optimisation and the management of patients with a respiratory or sleep disorder. While pharmacists are capable of acting as independent practitioners delivering direct patient care, this article explores their contribution to multidisciplinary teams within asthma, COPD, cystic fibrosis, tuberculosis, interstitial lung disease and sleep medicine. Having identified patient cohorts needing specialist medicines support, notably those with poor medicines adherence or specific medicines-related needs (for example during adolescence, or women who are pregnant or breastfeeding), these pharmacists work within primary, secondary and specialist tertiary care. The aim of this review is to share and inspire innovative models of working to include more pharmacists in respiratory and sleep medicine.

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临床药剂师在呼吸或睡眠多学科团队中的作用。

药剂师的角色发生了重大变化，尤其是在过去 20 年中。药剂师是一门技术娴熟的职业，在药物优化和呼吸或睡眠障碍患者管理方面发挥着至关重要的作用。虽然药剂师能够作为独立的执业医师直接为患者提供护理，但本文探讨了药剂师在哮喘、慢性阻塞性肺病、囊性纤维化、肺结核、间质性肺病和睡眠医学多学科团队中的贡献。这些药剂师确定了需要专科药物支持的患者群体，特别是那些用药依从性差或有特殊药物相关需求的患者（如青春期、孕妇或哺乳期妇女），他们在初级、二级和专科三级医疗机构工作。本综述旨在分享和启发创新的工作模式，让更多的药剂师参与到呼吸与睡眠医学的工作中来。

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