在老年人中药剂师主导的阿片类药物和二zepines的处方:检查实施和感知
Tamera D Hughes1, Elizabeth Sottung1, Juliet Nowak1
1Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Pharmacy (Basel, Switzerland)
|August 28, 2024
概括
药剂师主导的降低处方计划可以帮助老年人减少阿片类药物和二二类药物的使用,降低跌倒风险. 关键需求包括药剂师准入,患者教育和提供者支持,以成功实施.
科学领域:
- 老年病的医生 老年病的医生
- 药理学 药理学是指药理学的学科.
- 主要护理是指初级护理.
背景情况:
- 专注于减少老年人使用阿片类药物和二类药物的跌倒.
- 检查了一名药剂师顾问,描述了该计划的实施和看法.
研究的目的:
- 为了评估医疗保健提供者与药剂师领导的脱处方计划的经验.
- 识别促进者和障碍者实施计划,以减少老年人中的多药性.
主要方法:
- 使用与医疗保健提供者的半结构面试进行的定性研究.
- 在2021年8月至12月期间进行的采访.
- 使用诱导编码技术分析的数据.
主要成果:
- 来自农村诊所的五名医疗保健提供者 (MD,PA-Cs) 参与了.
- 最初的障碍包括患者的抵抗力和提供者的担忧;随着时间的推移,患者的态度得到了改善.
- 成功的基本因素:保证药剂师的准入,定制的教育,提供者资源和财务支持,包括远程医疗.
结论:
- 在初级保健中药剂师的整合显示出对老年人处方阿片类药物和二类药物的承诺.
- 远程医疗咨询和在其他环境中更广泛的应用需要进一步研究.
- 计划的成功取决于意识,患者教育,资源可访问性和提供者支持.
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