需要产生的:基于药房的减少伤害和性传播感染的快速服务
Journal of the American Pharmacists Association : JAPhA
|August 21, 2024
概括
社区药房可以提供重要的降低危害和STI快速服务,特别是对于那些没有初级保健的人. 患者激励在明尼苏达州农村的一个计划中显著提高了传染病检测和检测.
科学领域:
- 公共卫生 公共卫生
- 药房实践 在药房实践.
- 传染病管理 传染病管理
背景情况:
- 解决艾滋病毒,型肝炎病毒 (HCV),性传播感染 (STIs) 和物质使用障碍的综合症至关重要.
- 医疗保健工作人员短缺,特别是在农村地区,限制了获得基本服务的机会.
- 美国明尼苏达州农村的一个印度卫生服务医院的目标是将降低伤害和表达性传播感染服务整合到其药房实践中.
研究的目的:
- 通过提供基于药房的降低伤害和STI快速服务来扩大获得护理的机会.
- 为社区成员提供服务,重点关注缺乏初级保健提供者的人.
主要方法:
- 计划设计涉及与部落和医疗人员的合作.
- 药房作为教育,减少伤害的供应,以及STI测试/治疗的摄入点.
- 协作实践协议,常务命令和患者激励措施被用来增强服务提供.
主要成果:
- 该计划在2022年10月至2023年11月期间为101名独特的患者提供了500次访问.
- 71%的服务用户缺乏初级保健提供者.
- 在引入患者激励措施后,快速性传播感染测试增加了10倍以上,性传播感染或HCV的阳性率为44%.
结论:
- 药房提供了一个可访问和有效的平台,提供减少危害,性传播感染和HCV服务.
- 对患者的激励可以显著提高受服务不足人群中的传染病检测和检测率.
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