基于社区药房的布普伦诺芬计划和药剂师的角色,知识,态度和提供布普伦诺芬相关服务的障碍:系统审查
Journal of the American Pharmacists Association : JAPhA
|December 29, 2024
概括
社区药剂师可以通过布普伦诺芬服务改善阿片类药物使用障碍 (OUD) 治疗机会. 然而,像被认为是调查和有限的知识等障碍阻碍了更广泛的采用,需要政策改革和加强合作.
科学领域:
- 药理学和公共卫生
- 成 药物 药物 药物 药物
- 药房实践 在药房实践中
背景情况:
- 布普伦诺芬对于治疗阿片类药物使用障碍 (OUD) 和减少过量死亡至关重要.
- 社区药房是布普伦诺芬的重要接入点,药剂师在开药和患者咨询方面发挥着关键作用.
- 尽管药剂师的参与越来越多,但社区药房对布普伦诺芬服务的获取仍然受到限制.
研究的目的:
- 系统地审查和综合现有关于OUD的药房基布普伦诺芬计划的文献.
- 调查社区药房中布普伦诺芬的储存/配送模式.
- 识别与提供布普伦诺芬服务相关的药剂师的知识,态度和障碍 (KAB).
主要方法:
- 在PubMed,科学网,CINAHL和谷歌学者中进行了系统的文献搜索.
- 包括美国的,同行评审的原始研究,从2002-2024年,专注于基于药房的布普伦诺芬计划和药剂师KAB.
- 遵循PRISMA系统审查指南.
主要成果:
- 38篇文章从488个初始搜索中满足了包含标准.
- 药房计划包括协作护理,分发协议和咨询.
- 与连锁药店相比,独立药房储存布普伦诺芬的可能性较低.
- 药剂师表现出有限的知识和谨慎的意愿,理由是对DEA调查,批发商限制,转移和临床医生沟通不良的担忧.
结论:
- 社区药剂师参与布普伦诺芬计划可以提高OUD治疗的机会.
- 通过RCT和纵向研究进行严格的评估是必要的,以确认有效性.
- 像被认为的DEA审查和批发商问题等障碍限制了药剂师的参与.
- 政策改革和改善临床医生和药剂师之间的沟通对于增加布诺啡的获取和使用至关重要.
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