在社区药房中对药品短缺的多站点重复流行研究
John C Hayden1, Siobhan Byrne1, Chloe Cullen1
1School of Pharmacy and Biomolecular Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
在社区药房中,药品短缺很常见,影响了2%的处方,并在80%的病例中推迟了患者的治疗. 解决这些短缺需要制造商层面的举措和改善药房劳动力规划.
科学领域:
- 制药科学 制药科学
- 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:
- 药品短缺是一个重大的全球性挑战.
- 以前的研究主要研究医院环境和医疗保健工作人员的观点.
- 需要更多关于社区药房实践中的短缺情况及其对患者的影响的数据.
研究的目的:
- 为了确定社区药房药品短缺的流行情况.
- 评估这些短缺对患者治疗的影响.
主要方法:
- 在爱尔兰的四家社区药房 (两个城市,两个农村) 收集的数据超过三个月 (2023年2月至4月).
- 处方要求短缺量记录在每件发放的物品上.
- 估计了患病率,并使用波桑回归分析了趋势.
主要成果:
- 在药房中观察到的平均短缺率为2% (95% CI 1.6-2.5%).
- 与农村相比,城市药房的短缺率更高.
- 80% (61/76) 的短缺导致患者治疗延迟.
结论:
- 在社区药房设置中,药品短缺很普遍.
- 这些短缺导致治疗延迟,药房工作人员的工作量增加.
- 解决方案需要制造商层面的监管,以及加强药房内部的劳动力规划和资源配置,以保护患者的结果.
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