北卡罗来纳州社区药房的常务订单中纳洛的可用性
Journal of the American Pharmacists Association : JAPhA
|February 2, 2024
概括
在北卡罗来纳州的药房中,纳洛的获取情况有很大差异,只有一半通过常设订单发放. 连锁药店比独立药店更容易分发纳洛,而独立药店的成本也更高.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 北卡罗来纳州 (NC) 有一个常规命令,允许在没有处方的情况下购买纳洛.
- 这项研究调查了同日纳洛的可访问性和NC的成本变化.
研究的目的:
- 根据北卡罗来纳州的药房类型和农村地区,研究纳洛的可访问性和成本.
- 评估全州常务命令对纳洛可用性的影响.
主要方法:
- 对202家NC社区药房进行了横截面电话审计.
- 经过培训的"秘密购物者"使用标准化脚本询问纳洛的可用性和成本.
- 分析了数据,以确定纳洛成本,药房类型和农村地区之间的关系.
主要成果:
- 纳洛在53%的药店可以在没有处方的情况下购买;26%的人错误地表示需要处方,21%的人没有储存.
- 纳洛的可用性因药房类型 (连锁或独立) 有显著差异,连锁药房更频繁地根据常规订单进行分发.
- 纳洛鼻雾剂的平均成本在连锁药店为84.69美元,在独立药店为113.54美元 (P < 0.001). 根据农村地区,成本并没有显著差异.
结论:
- 大约一半的北卡罗来纳州社区药房在常务命令下分发纳洛,阻碍了立即获得这一关键药物的机会.
- 独立药房的纳洛成本更高可能是由于商店层面的政策.
- 需要进一步研究成本差异,特别是随着鼻内纳洛即将过渡到非处方药的地位.
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