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Updated: Jan 11, 2026

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药房工作人员愿意在美国东南部建立基于暴露前预防的合作实践协议
Journal of the American Pharmacists Association : JAPhA
|November 8, 2025
概括
大多数药房工作人员愿意建立协作实践协议 (CPAs) 以扩大患者护理,特别是有正式培训. 然而,与传染病CPA的经验有限,就像预防艾滋病毒一样,需要进一步研究.
科学领域:
- 药房实践 在药房实践中
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 协作实践协议 (CPA) 允许药剂师在提供者的监督下提供患者护理功能.
- 美国注册会计师可以扩大获得关键服务的机会,例如人类免疫缺陷病毒 (HIV) 暴露前预防 (PrEP).
研究的目的:
- 评估药房工作人员愿意采用CPA并提供特定的患者护理功能.
- 确定影响CPA在药房设置中的建立因素.
主要方法:
- 在线调查分发给美国东南部8个州的药房工作人员.
- 使用实施研究综合框架收集的调查数据包括CPA历史,态度和意愿.
- 使用描述性统计和Poisson回归分析了初步数据.
主要成果:
- 在246名受访者中,有27%的受访者已经拥有CPA,其中30%的受访者是传染病患者.
- 大约75%的员工表示愿意为额外的患者服务建立CPA.
- 药物治疗管理 (91%) 的意愿度最高,实验室测试解释 (54%) 和订购 (52%) 的意愿度最低.
- 对CPA的正式培训是对意愿的最强有力的预测因素.
结论:
- 大多数药房工作人员愿意通过CPA扩展服务,但目前对传染病CPA的经验较低.
- 需要进一步调查,以了解实施HIV预防专用CPA的障碍和促进因素.
- 未来的研究应该专注于优化CPA的开发和采用,以改善公共卫生服务.
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