社区药剂师在破坏性情况下对药物短缺的看法和经验:定性研究
Rivana Bachoolall1, Fatima Suleman2
1College of Health Sciences, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa. rbachoolall@gmail.com.
International journal of clinical pharmacy
|September 13, 2024
概括
像COVID-19流行病这样的破坏性事件加剧了南非社区药剂师的药品短缺问题. 药剂师报告了负面的财务影响,并建议改善沟通和政策,以减轻这些药物供应挑战.
科学领域:
- 药房实践 在药房实践.
- 供应链管理 供应链管理
- 公共卫生 公共卫生
背景情况:
- 药品短缺在南非带来了重大挑战,最近的事件加剧了这种情况,如COVID-19大流行,洪水,民间骚乱和电力中断.
- 这些干扰对社区药房药品供应的影响仍未得到充分研究.
研究的目的:
- 调查社区药剂师对药品短缺的看法和经验.
- 了解包括COVID-19流行病在内的破坏性情况对药物可用性的影响.
主要方法:
- 一种使用方便和雪球采样的定性方法.
- 半结构面试进行,录音,转录,并使用NVivo 14软件上的框架方法进行主题分析.
- 15名社区药剂师参与了这项研究.
主要成果:
- 主题分析揭示了五个主要主题:缺乏的感知,中断的影响,后果,缓解策略和建议.
- 破坏性情况被认为显著加剧了药品短缺.
- 对患者 (增加自付费用) 和药房 (收入损失) 报告了负面的财务后果.
- 缓解策略包括利益相关者参与,药物替代和库存管理.
结论:
- 社区药剂师认为,加强沟通,协作,明确的政策,强大的通知系统和确定的指导方针对于缓解药品短缺至关重要.
- 解决这些因素可以帮助改善药品的可访问性,并减少药品供应链中断的影响.
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