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在威斯康星州农村社区药房开发和实施纳洛处方的最佳实践警报过程:试点研究
Sura O AlMahasis1, Martha A Maurer2
1Social and Administrative Sciences Division, School of Pharmacy, University of Wisconsin-Madison, Madison, WI.
Journal of the American Pharmacists Association : JAPhA
|March 1, 2025
概括
社区药房可以通过最佳实践警报 (BPA) 流程增加对高风险患者的纳洛处方. 这一战略提高了纳洛的获取和利用,这对于打击阿片类药物过量流行病至关重要.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国面临着不断恶化的阿片类药物过量流行,威斯康星州的阿片类药物相关死亡人数显著增加.
- 纳洛是一种拯救生命的阿片类药物对手,但其获取和利用仍然不够理想.
- 社区药房是改善纳洛获取干预的关键点.
研究的目的:
- 在社区药房开发和实施最佳实践警报 (BPA) 流程.
- 评估BPA是否促使药剂师与高风险患者讨论纳洛,并增加纳洛处方.
- 确定在社区药房实施BPA流程的促进者和障碍.
主要方法:
- 在威斯康星州3个农村社区药房进行试点研究.
- 实施BPA流程,包括患者识别,纳洛讨论和处方提供.
- 收集量化月度数据和与药剂师进行半结构化访谈.
主要成果:
- 该BPA过程导致纳洛讨论和处方的增加.
- 关键的促进者包括员工购买,足够的员工,伙伴关系,以及对纳洛的讨论方法的规范化.
- 发现的障碍是纳洛的成本/共同支付和时间限制.
结论:
- 在社区药房实施BPA有效地增加了高风险人群的纳洛处方.
- 积极的框架,足够的人员,伙伴关系和员工参与对于成功实施至关重要.
- 解决成本障碍和时间限制对于更广泛的采用至关重要.
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