在社区药房的致命手段管理创新:在六个国家的实施前研究
Jill E Lavigne1, Jennifer West2, Delesha M Carpenter3
1Wegmans School of Pharmacy, St John Fisher University, Rochester, New York.
Journal of the American Pharmacists Association : JAPhA
|June 21, 2025
概括
社区药剂师在致命手段管理 (LMM) 策略中看到了潜力,例如合规包装和自杀行为障碍 (MTM-SBD) 的药物治疗管理. 实施促进者超过了障碍,支付模式需要扩展以获得更广泛的采用.
科学领域:
- 药房实践 在药房实践.
- 实施科学 实施科学
- 公共卫生 公共卫生
背景情况:
- 自杀是美国的主要死亡原因,通常是通过故意过量服用.
- 社区药剂师是致命手段管理 (LMM) 的关键利益相关者.
- 对LMM创新的实施障碍和促进因素尚未得到充分了解.
研究的目的:
- 识别社区药房中新型致命手段管理 (LMM) 创新的实施促进者和障碍.
主要方法:
- 与六个州的农村社区药剂师进行半结构化采访.
- 使用实施研究综合框架 (CFIR).
- 探索创新的LMM策略,包括MTM-SBD,合规包装和员工培训.
主要成果:
- 合规包装和MTM-SBD被确定为最有前途的LMM战略.
- 促进者包括可适应的工作流程,训练有素的员工和潜在的患者需求.
- 障碍包括缺乏MTM协议,支付代码和自杀行为障碍 (SBD) 的保险覆盖.
结论:
- 农村社区的药剂师更喜欢MTM和自杀风险管理的合规包装.
- 实施促进者通常会克服这些战略的障碍.
- 关键障碍仅限于扩展当前的支付模式,以包括SBD指示.
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