药房实践和第一民族健康公平:一个范围审查
Michelle Rothwell1, Karen Carlisle2, Alice Cairns3
1College of Medicine and Dentistry/Division of Tropical Health and Medicine, James Cook University, Nguma-bada Campus, Cairns, Queensland, Australia; Pharmacy Department, Cairns and Hinterland Hospital and Health Service, Queensland Health, Queensland, Australia.
Research in social & administrative pharmacy : RSAP
|July 1, 2025
概括
先进的药房实践模型对于解决第一民族健康不平等和慢性疾病管理至关重要. 整合文化上适当的护理和解决社会需求可以改善健康结果并减少住院治疗.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
- 土著健康土著健康
背景情况:
- 最初的人民经历了显著的健康不平等,包括更高的慢性疾病率.
- 有效的慢性疾病管理依赖于最佳的药物护理,以改善生活质量和临床结果.
研究的目的:
- 确定全球药房实践策略和干预措施,以促进第一民族的健康公平.
- 分析报告的结果,影响,障碍,支持者和这些干预措施的实践差距.
主要方法:
- 根据PRISMA-ScR指南进行了系统审查.
- 包括专注于第一民族的研究,与国际模式一致的药房干预措施以及公平的医疗保健目标.
- 对36篇被审查的文章进行了诱导性内容分析.
主要成果:
- 关键策略包括临床药房实践,改善药品获取和加强药品管理.
- 先进的药房实践表明改善了临床结果,减少了慢性疾病指标,减少了急诊/住院.
- 对社会需求的查和转诊是显著的发现差距.
结论:
- 先进的,文化上适当的药房实践模式对于实现第一民族健康平等至关重要.
- 需要解决健康的社会决定因素的创新模型,以获得最大的影响.
- 药剂师需要加强沟通,领导力和对土著健康的理解,以促进伙伴关系和推动变革.
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