影响社区药剂师参与抗菌药物管理的因素:质量调查
Tasneem Rizvi1, Syed Tabish R Zaidi1, Mackenzie Williams1
1School of Pharmacy and Pharmacology, University of Tasmania, Hobart, TAS 7005, Australia.
Pharmacy (Basel, Switzerland)
|April 25, 2025
概括
由于医疗保健系统的分散和资金模式,社区药剂师面临抗菌药物管理 (AMS) 的障碍. 加强AMS需要在抗生素处方,发行和药剂师补偿方面的结构性变化.
科学领域:
- 药房实践 在药房实践.
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 关于社区药剂师对抗微生物药物管理 (AMS) 的看法的研究有限.
- 需要进行定性研究,以了解影响药剂师参与AMS的因素.
- 在初级保健中有效实施AMS需要了解社区药剂师的观点.
研究的目的:
- 探索社区药剂师参与AMS的感知障碍和推动因素.
- 确定影响澳大利亚初级保健机构实施AMS的因素.
主要方法:
- 使用半结构化的电话采访进行定性调查.
- 框架 分析方法应用于转录的采访数据.
- 涉及来自澳大利亚不同地区的20名社区药剂师.
主要成果:
- 患者需求与实践政策之间的脱节有助于过度的抗生素处方和发行.
- 碎片化的初级医疗保健限制了药剂师和全科医生之间的沟通,促进了不适当的抗生素使用.
- 目前的资金模式不鼓励药剂师参与临床干预和AMS.
结论:
- 在澳大利亚的初级保健中,对抗生素处方,发行和资金的紧急结构性改革是必要的.
- 修改药剂师领导的认知服务的资金对于促进AMS参与至关重要.
- 解决系统层面的问题对于改善抗微生物药物管理和打击滥用抗生素至关重要.
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