亚洲发展中国家卫生系统中的社区药房:形成,监管和实施
Shaymaa Alenezi1, Mona Alanazi2, Reaam Aljazaeri2
1Al-Dawaa Pharmacy, Raiydh 12211, Saudi Arabia.
Pharmacy (Basel, Switzerland)
|August 25, 2023
概括
亚洲的社区药房是关键的医疗保健接入点. 然而,法规往往无法防止以利为导向的做法导致不理想的患者护理和药物安全问题.
科学领域:
- 制药科学 制药科学
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 社区药房 (CPs) 是亚洲的初级医疗保健接触点,影响药品获取和患者旅程.
- 在亚洲国家中,CP的建立和运作有很大差异,由不同的监管环境所塑造.
- 了解CP的绩效和治理对于优化医疗保健服务至关重要.
研究的目的:
- 对亚洲社区药房的建立和监管进行全面的文献审查.
- 提高对CP性能,功能和管理监管框架的理解.
- 确定与CP相关的实施策略,患者结果影响,障碍和挑战.
主要方法:
- 进行了叙事文学评论.
- 为了选择相关研究,应用了特定的包含和排除标准.
- 审查综合了关于CP建立,监管和实践的发现.
主要成果:
- 在法规的预期目标和其在CP中的实际实施之间存在显著的差异.
- 公共卫生实践的纳入CP是最近的,但通常以不充分的理解和护理为特征.
- 利驱动的动机导致了诸如不良文档,不适当的处方和不足的患者咨询等缺陷.
结论:
- 监管干预是必要的,以加强社区药房服务和改善患者的结果.
- 解决监管意图和实施之间的差距对于有效的药房实践至关重要.
- 需要加强监督和培训,以减轻亚洲社区药房中以利为导向的缺陷.
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