社区药剂师发现的与药物有关的问题:澳大利亚两个人口的描述性案例研究
Jack C Collins1, Jie Hu2, Sara S McMillan2,3,4
1The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Journal of pharmaceutical policy and practice
|November 3, 2023
概括
社区药剂师在澳大利亚原住民和严重精神疾病患者中发现了与药物相关的问题 (MRPs). 干预措施包括药物改变,突出了针对性初级保健方法的需要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 药房实践 在药房实践.
背景情况:
- 与药物相关的问题 (MRPs) 会对患者造成重大伤害和医疗费用.
- 弱势群体,包括澳大利亚原住民和患有严重和持续性精神疾病 (SPMI) 的个人,患MRPs的风险更高.
- 药剂师主导的药物审查是识别和管理MRPs的关键策略.
研究的目的:
- 描述社区药剂师发现的MRP类型.
- 记录澳大利亚原住民和SPMI患者在药物审查期间提出的建议.
- 分析已识别的MRP的严重程度和建议的管理策略.
主要方法:
- 利用来自两个澳大利亚试验的数据:土著药物审查服务 (IMeRSe) 和PharMIbridge.
- 社区药剂师进行了文化响应药物审查.
- 用一套既定的系统对MRP,其严重程度和建议进行了分类;严重程度被独立评估.
主要成果:
- 在411名参与者中发现了795个MRP.
- 常见的MRPs包括药物不服药 (澳大利亚土著) 和毒性/不良反应 (SPMI).
- 药剂师经常建议改变药物治疗;药剂师和独立评估人员之间的严重程度等级各不相同.
结论:
- 社区药剂师在风险人群中有效识别了各种MRP.
- 建议经常涉及药物治疗的调整,表明需要量身定制的干预措施.
- 研究结果支持加强初级保健策略和社区药剂师领导的MRP管理计划.
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