社区药剂师参与阿片类药物危害减少:一个农村州的农村-城市分析
Elizabeth Skoy1, Oliver Frenzel2, Elizabell Delgado3
1Department of Pharmacy Practice, North Dakota State University, Fargo, North Dakota, USA.
概括
北达科他州的农村患者.
科学领域:
- 公共卫生 公共卫生
- 药房实践 在药房实践中
- 减少阿片类药物的危害
背景情况:
- 滥用阿片类药物和过量服用仍然是严重的公共卫生问题.
- 社区药房在减少危害的倡议中发挥着至关重要的作用.
- 在获得医疗保健和医疗保健结果方面的地理差异得到了充分证实.
研究的目的:
- 为了比较农村和城市药房之间的阿片类药物滥用风险和危害减轻干预交付.
- 评估药剂师主导的干预措施在全州阿片类药物减伤计划中的差异.
- 确定患者与阿片类药物安全策略的接触的地理差异.
主要方法:
- 该研究利用了来自北达科他州全州阿片类药物危害减少计划ONE计划的数据.
- 药剂师对接受阿片类药物处方的患者进行了查,以发现滥用和过量使用的风险.
- 干预措施包括纳洛教育/分发,处方者联系和社区转诊,按药房设置 (农村与城市) 分析.
主要成果:
- 与农村药房 (17.1%) 相比,城市药房查的风险患者比例较高 (26.2%).
- 农村患者接受纳洛 (11.2%对20.7%) 和接受关键干预 (OR=0.76) 的可能性较低.
- 农村和城市环境之间的处方者接触,药物回收计划和社区支持转诊的差异.
结论:
- 一个计划成功地识别了有风险的患者,并在各种环境中提供减少伤害的干预措施.
- 农村和城市社区药房之间存在干预交付的显著差异.
- 需要量身定制的战略来缓解地理差异,并改善农村地区的阿片类药物危害减少结果.
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