在北卡罗来纳州社区药房提供非处方纳洛:一项秘密购物者研究
Delesha M Carpenter1, Grace T Marley2, Izabela E Annis1
1Eshelman School of Pharmacy, Division of Pharmaceutical Outcomes and Policy, University of North Carolina at Chapel Hill, 1 University Heights, CPO 2125, Asheville, NC, USA.
Drug and alcohol dependence
|January 5, 2025
概括
现在可以获得非处方纳洛,但获得和成本因药房类型而异. 与连锁药房相比,独立药房更不太可能储存或提供同日取回纳洛.
科学领域:
- 公共卫生 公共卫生
- 药房实践 在药房实践中
- 医疗保健服务研究 医疗服务研究
背景情况:
- 无处方药 (OTC) 纳洛于2023年9月在社区药房上市.
- 这项研究调查了影响纳洛在OTC推出后可用性和成本的因素.
- 研究的关键因素包括药房类型 (独立或连锁) 和农村地区.
研究的目的:
- 为了确定纳洛的可用性和成本是否因药房类型和农村位置而有所不同.
- 探索药房类型和农村地区在影响纳洛获取方面之间的相互作用.
- 为改善社区药房内纳洛可访问性的策略提供信息.
主要方法:
- 在北卡罗来纳州的600家药房进行了横截面的秘密购物者研究 (2023年11月 - 2024年1月).
- 经过培训的购物者通过电话收集的数据包括纳洛分发,OTC可用性,当天取货,产品位置和自付费用.
- 概括估计方程 (GEE) 分析了纳洛获取和成本的变化,按药房类型,农村地区及其相互作用进行分析.
主要成果:
- 在500家销售纳洛的药房中,57.4%提供了OTC产品,通常储存在柜台后 (62.5%).
- 在82.8%的药房可以在同一天取药.
- 与连锁药店相比,独立药店销售纳洛,提供当天取货,或在货架上储存OTC纳洛的可能性明显低. 农村不是一个重要的因素.
结论:
- 药房类型,特别是独立药房,对纳洛的获取构成重大障碍,并影响自付费用.
- 农村地区没有显著影响纳洛的可用性或成本.
- 干预措施应优先解决独立社区药房内的访问和成本障碍,以改善纳洛的分发.
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