医院药剂师在发达国家和发展中国家报告不良反应的观点:一项比较试点研究
Javeria Khalid1, Tarilate Temedie-Asogwa1, Marjan Zakeri1,2
1Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Houston, TX 77204, USA.
Pharmacy (Basel, Switzerland)
|August 27, 2025
概括
美国和巴基斯坦的医院药剂师对药物不良反应 (ADR) 报告表现出类似的知识和态度. 然而,系统性障碍阻碍了发展中国家更多的报告,需要量身定制的干预措施.
科学领域:
- 药物监督管理
- 药物安全
- 医疗服务研究
背景情况:
- 药物不良反应对患者安全构成重大风险,并增加全球医疗保健成本.
- 医院药剂师在药物管理中发挥着至关重要的作用,
- 特别是在缺乏药物监测系统的发展中国家,不充分报告不良反应是一个关键问题.
研究的目的:
- 为了比较美国 (发达国家) 和巴基斯坦 (发展中国家) 的医院药剂师对ADR报告的知识,态度,感知障碍和促进因素.
主要方法:
- 对具有至少一年经验的医院药剂师进行了使用预先验证的问卷调查.
- 为了招募参与者,采用了便利抽样.
- 收集了151名药剂师 (51名来自美国,100名来自巴基斯坦) 的数据.
主要成果:
- 美国和巴基斯坦药剂师在知识 (p=0.193) 或态度得分 (p=0.379) 中没有显著差异.
- 与美国相比,巴基斯坦对抗药物反应报告的障碍更为明显,影响了个人和系统水平.
- 已发现的促进者包括移动报告应用程序,专业培训和用户友好的报告工具.
结论:
- 发达国家和发展中国家的药剂师表现出相似的知识和积极态度.
- 特定环境的障碍极大地影响了ADR报告,特别是在像巴基斯坦这样资源有限的环境中.
- 干预措施必须根据当地医院的基础设施进行定制,以加强对抗药物反应报告,特别是在发展中国家.
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