药网干预的实施文件和过程评估:观察报告
Lori Ann Eldridge1, Beth E Meyerson2,3, Jon Agley4
1Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, NC, United States.
社区药房可以通过分发纳洛 (一种过量逆转药物) 来帮助应对阿片类药物危机. 然而,独立的药房需要更多的支持来成功实施这种减少危害的干预措施.
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:
- 美国面临着持续的阿片类药物过量危机,每年有超过10万例死亡.
- 减少危害的策略,包括纳洛 (阿片类药物过量逆转药物) 的获取,至关重要.
- 由于其可访问性和药剂师的专业知识,社区药房能够改善纳洛的获取和教育.
研究的目的:
- 试点PharmNet干预,该干预将纳洛的分发,意识和转介在社区药房进行整合.
- 在七家药房进行PharmNet的试点随机对照试验.
- 透明地报告可用的数据,并讨论由于数据收集不完整而导致的试验障碍.
主要方法:
- 一个深入的实施研究评估.
- 报告来自试点试验的可用观察数据.
- 讨论独立社区药房的实施考虑.
主要成果:
- 独立和连锁药店之间的资源差异影响干预措施的实施.
- 高员工要求可能会阻碍干预成功,即使有支持性的领导.
- 领导力支持至关重要,但如果没有足够的资源,可能是不够的.
结论:
- 独立的社区药房可能需要更多的支持来实施新的干预措施.
- 需要进一步实施科学研究,特别是针对独立药房.
- 报告所有数据的透明度,即使是来自不完整的试验,对于避免出版偏见至关重要.
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