探索澳大利亚文化和语言多样化的患者中与药物相关问题的风险评估工具:系统性审查
Rawan Sawalha1,2, Sarah Al-Samawy3, Zeyad Mahmoud4
1School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, NSW, Australia. Rawan.sawalha@uon.edu.au.
European journal of clinical pharmacology
|April 28, 2025
概括
澳大利亚的医学风险评估工具往往忽视了文化背景,这是医学相关问题的关键因素. 未来的工具和指导方针必须包括文化和语言多样性 (CALD) 患者,以改善药物安全和健康公平.
科学领域:
- 制药科学 制药科学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 与药物相关的问题 (MRPs) 在医疗保健中构成了重大挑战.
- 评估患者的风险因素对于有效的药物管理至关重要.
- 文化和语言多样性 (CALD) 的人群可能面临着安全使用药物的独特障碍.
研究的目的:
- 评估澳大利亚医学风险评估工具,因为它们考虑了文化背景.
- 检查针对CALD患者量身定制的建议的临床指南.
- 识别MRP中文化和语言因素的现有工具和指导方针中的差距.
主要方法:
- 从1985年1月到2024年11月,在多个数据库 (如PubMed,Scopus,Web of Science) 进行系统的文献搜索.
- 包括关于澳大利亚MRP药物风险评估工具的开发或验证的出版物.
- 包括国家卫生重点领域 (NHPA) 的临床指南.
主要成果:
- 审查了13种药物风险评估工具和12种临床指南.
- 风险因素被分为患者,疾病,药物和医疗服务相关的.
- 只有一个工具考虑了CALD背景;指南提供了有限的定制支持 (例如,口译员使用,第一语言信息).
结论:
- 目前的药物风险评估工具缺乏一致的框架,并且在很大程度上忽视了CALD背景作为MRPs的风险因素.
- 需要包含文化和语言因素的包容性工具和指导方针.
- 完善这些工具对于提高药物安全性和为CALD人群实现公平的医疗保健结果至关重要.
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