社区药房人员对活跃结核病例发现实践的有效性,挑战和改进策略:范围审查
Journal of the American Pharmacists Association : JAPhA
|November 2, 2025
概括
社区药房可以通过解决工作流集成和资源挑战来改善结核病 (TB) 病例的发现. 电子推和药房人员 (PP) 能力建设等策略对于有效的结核病检测至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结核病 (TB) 仍然是一个重要的全球卫生问题,延迟诊断有助于其传播.
- 药房经常是表现出结核病症状的个体的初始联系点,但它们在发现活跃病例方面的潜力仍然在很大程度上未得到充分利用.
研究的目的:
- 系统地审查有关药房人员 (PP) 在活跃结核病例发现中的作用的现有文献.
- 确定实施和维持基于药房的结核病例检测倡议的挑战和有效策略.
主要方法:
- 根据PRISMA-ScR指南进行了全面的范围审查,搜索了PubMed和Scopus数据库.
- 纳入了专注于社区药房人员 (PP) 参与活跃结核病例发现的研究,分析了有效性,挑战和策略.
- 数据综合采用了实施研究综合框架 (CFIR).
主要成果:
- 2003年12项研究符合纳入标准,所有这些研究都表明PP对结核病例发现的贡献.
- 确定的挑战包括将结核病检测整合到药房工作流程中,患者访问障碍,资源限制,以及PP在结核病查和转诊方面的信心和知识差距.
- 确定的有效策略包括电子推系统,PP能力建设,免费诊断服务,PP激励和加强与结核病计划的协调.
结论:
- 通过PP改善活跃结核病例的检测,需要克服工作流集成,患者获取和资源分配方面的障碍.
- 加强PP参与的关键策略包括能力建设,实施电子推,提供免费诊断和提供激励措施.
- 加强药房人员和结核病计划人员之间的合作对于建立高效和可持续的转诊途径至关重要.
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