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コミュニティベースの薬局レジデンスプログラムの地域分布を評価する
Chardaé Whitner1, Inas Mahdi1, Aicha Ndiaye1
1University of Florida College of Pharmacy (Jacksonville, Florida.
American journal of pharmaceutical education
|September 3, 2025
まとめ
コミュニティベースの薬局レジデンスプログラムは,最も医療を必要とする地域には適切に配置されていません. これらのプログラムを医療サービス不足地域 (MUA) と医療専門家の不足地域 (HPSA) に拡大することで,医療へのアクセスを改善できます.
科学分野:
- 薬剤師の教育と実践
- 医療サービス研究
- 地理的な健康格差
背景:
- コミュニティベースの薬局レジデンスプログラムは,専門薬局サービスの開発に不可欠です.
- これらのプログラムの地理的分布を理解することは 医療への公平なアクセスを確保するために不可欠です
- 医療サービス不足地域 (MUAs) と医療専門家の不足地域 (HPSAs) のような連邦指定は,重要な医療ニーズを持つ地域を特定します.
研究 の 目的:
- アメリカン・ソサエティ・オブ・ヘルス・システム・ファーマシスト (ASHP) のコミュニティベースの薬局レジデンスプログラムの地理的分布を分析する.
- プログラム場所と 連邦政府が指定した 医療ニーズと社会的脆弱性の領域を比較する
- 戦略的プログラム拡大の機会を特定する.
主な方法:
- コミュニティベースの268の薬局レジデンスプログラム (2023年9月〜2024年9月) の住所が収集されました.
- プログラムの位置は,ArcGIS Proを使用して分析されました.
- 分布は,医療サービス不足地域 (MUA),初等保健医療専門家の不足地域 (P-HPSA),CDCの社会的脆弱性指数 (SVI) と比較して評価された.
主要な成果:
- プログラムの37.3%はMUAで,41.4%はP-HPSAでした.
- プログラムの68.3%は,高いCDC SVIのある地域でした.
- 最も脆弱な地域では プログラムの2.6%しか提供されていないことが 最も必要な地域への支援の欠如を示しています
結論:
- 現在のコミュニティベースの薬局レジデンスプログラムの分布は,最も医療を必要とする地域と完全に一致していません.
- MUA,P-HPSA,および高いCDC SVIエリアへの居住プログラムの拡大は重要な戦略です.
- この拡大は医療の格差をなくし 薬剤師主導の臨床サービスへのアクセスを改善します
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