一项混合方法研究,调查在社区药房中控制物质的仿制替代品的潜力和挑战
I M Keller1, J M Alexa1, M W Meier2
1Pharmaceutical Care Research Group, Department of Pharmaceutical Sciences, University of Basel, Spitalstrasse 41, 4056 Basel, Switzerland.
Exploratory research in clinical and social pharmacy
|June 30, 2025
概括
一般的受控物质替代比非受控物质更少. 药剂师面临的挑战包括信任和法规,需要更好的医生教育和减少工作量以改善患者护理.
科学领域:
- 药房实践 在药房实践.
- 药物经济学 药物经济学
- 药物替代治疗 药物替代治疗
背景情况:
- 仿制药的使用普遍存在.
- 对仿制管制物质的配送实践还没有得到充分的研究.
- 了解这些做法对于患者安全和医疗保健效率至关重要.
研究的目的:
- 为了比较通用受控物质与非受控物质的配药实践.
- 确定社区药剂师在替代仿制药物控制物质方面所面临的挑战.
- 探索对药剂师的潜在支持机制.
主要方法:
- 一种混合方法的方法,结合了处方数据的描述性分析和定性访谈.
- 分析了708份处方,以确定原始和仿制药的处方和发行率.
- 采访了10名社区药剂师,以探索挑战和支持需求.
主要成果:
- 对受控物质的通用替代率 (37%) 与非受控物质 (74%) 相比明显较低.
- 医生对原始和通用受控/非受控物质的处方率相似.
- 药剂师报告了包括患者信任,满足患者需求和监管障碍在内的挑战.
结论:
- 在受控和非受控物质之间,通用替代率有很大差异.
- 加强医疗保健提供者之间的协作和改善患者教育是必不可少的.
- 解决药剂师面临的挑战可以优化仿制药物的使用,并确保患者的安全.
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