减少危害服务的可用性和对此的态度:农村药房的视角
Journal of the American Pharmacists Association : JAPhA
|November 17, 2024
概括
农村药房提供降低伤害的服务,如纳洛,并愿意扩大. 然而,对注射药物使用者 (PWIDs) 的负面态度表明需要药房专注的降低伤害培训.
科学领域:
- 药房实践 在药房实践.
- 公共卫生 公共卫生
- 减少伤害 减少伤害
背景情况:
- 关于农村药房减少危害 (HR) 服务范围的数据有限.
- 了解当前的人力资源服务供应对于改善农村卫生结果至关重要.
研究的目的:
- 描述农村药房提供的人力资源服务的范围.
- 评估药剂师对提供人力资源服务的态度和意愿.
- 确定在农村药房环境中扩大人力资源服务的障碍和促进因素.
主要方法:
- 在农村社区药房实践研究网络中,向药剂师分发了一项横截面的在线调查.
- 调查项目评估了提供纳洛和布普伦诺芬分发的频率,HIV/HCV测试和非处方注射器销售.
- 药剂师愿意提供药物测试条以及对注射毒品 (PWIDs) 的人的态度也得到了评估.
主要成果:
- 大多数受访药剂师定期分发纳洛,相当一部分药剂师每天分发布诺芬.
- 很少提供艾滋病毒和C型肝炎检测,尽管许多药房都有关于无处方注射器销售的政策.
- 大多数药剂师表示愿意出售芬太尼和西拉试验条,但注意到对PWID的负面态度.
结论:
- 农村社区药剂师积极参与降低危害,并表示愿意提供额外的服务.
- 对注射毒品的人的污名化态度仍然存在,这强调了有针对性的减少危害培训的必要性.
- 专注于药房的培训可以帮助减少耻辱和增强知识,从而增加在农村地区提供必要的减少伤害服务.
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