在北卡罗来纳州的零售药店处置药物计划的明确决定因素
Journal of the American Pharmacists Association : JAPhA
|November 8, 2023
概括
药房药物处置计划有助于防止阿片类药物转移. 虽然许多药剂师看到患者的好处,但实施受到成本,管理政策和当地控制的阻碍,这表明需要更广泛的可访问性.
科学领域:
- 公共卫生 公共卫生
- 药房实践 在药房实践中
- 实施科学 实施科学
背景情况:
- 基于药房的药物处置计划是减少未使用的处方阿片类药物的转移的一种策略.
- 转移阿片类药物对公共健康构成重大风险,需要有效的预防策略.
研究的目的:
- 评估零售药店中药物处置计划的实施情况.
- 通过实施研究的综合框架确定影响采用这些处置计划的因素.
主要方法:
- 在北卡罗来纳州皮特县采用了一种连续混合方法设计.
- 环境扫描评估了31家零售药店的计划实施情况.
- 药剂师采访 (n=15) 探讨了方案采用的决定因素.
主要成果:
- 只有32.3%的药房有药物处理盒,12.9%的药房有处置传单.
- 药剂师认识到患者的好处,以及他们在药物处置中的作用.
- 实施的关键决定因素包括计划成本,企业政策,地方决策自主性和以前的经验.
结论:
- 药剂师在通过处置计划防止阿片类药物转移方面发挥着至关重要的作用.
- 建议扩大药房垃圾箱的可用性和可访问性.
- 需要进一步研究大型垃圾箱实施的成本效益.
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