在费城药房绘制布普伦诺芬获取地图
Shoshana V Aronowitz1, Rachel French, Allison Schachter
1From the University of Pennsylvania School of Nursing, Philadelphia, PA (SA); University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (RF, AS, ES, NO, JP, ML); University of Pennsylvania Center for Emergency Care Policy and Research, Philadelphia, PA (ES); University of Pennsylvania Urban Health Lab, Philadelphia, PA (SA, ES); and University of Pennsylvania Center for Addiction Medicine and Policy, Philadelphia, PA (SA, RF, NO, JP, ML).
费城的布普伦诺啡因供应不同,有26%的药房没有库存. 一个新的地图应用程序可以帮助患者找到更容易获得这一关键阿片类药物使用障碍药物的药房.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药房层面的障碍可能会阻碍获得阿片类药物使用障碍 (OUD) 的关键药物 - - 布普伦诺芬.
- 门诊药房对布普伦诺芬的可靠储存不一致,影响了患者的护理.
- 在药物获取方面存在的地理和人口差异需要调查.
研究的目的:
- 评估费城门诊药房中布普伦诺芬的可用性和储存实践.
- 根据药房特征和地理位置确定布普伦诺芬获取的变化.
- 开发一个资源,一个地图应用程序,引导患者到储存布普伦诺芬的药房.
主要方法:
- 对费城422家门诊药房进行了电话调查,调查涉及布普伦诺芬的储存和配送.
- 药房数据与美国人口普查局邮政编码级别的种族和种族数据联系在一起.
- 地理信息系统 (GIS) 软件用于数据分析和创建地图应用程序.
主要成果:
- 达到了83%的响应率 (351家药房).
- 68%的药房定期储存布普伦诺芬;26%的药房没有储存或订购.
- 确定了"更容易进入"的药房 (定期储存,分发给新患者,没有剂量限制),并指出了白人和黑人居住区之间的差异.
结论:
- 费城的布普伦诺啡因获取不公平,很大一部分药房没有储存药物.
- 一个开发的地图应用程序可以帮助个人定位费城药房库存布普伦诺芬.
- 解决药房层面的障碍对于改善公平获得OUD治疗至关重要.
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