可访问性-可持续性悖论:优化社区药剂师在公共卫生中的作用
Katie F Leslie1, Cassandra Hobbs1, Olihe N Okoro2
1Department of Pharmacy Practice, Sullivan University College of Pharmacy and Health Sciences, Louisville, Kentucky.
Journal of the American Pharmacists Association : JAPhA
|February 16, 2026
概括
社区药剂师对公共卫生至关重要,但面临着不可持续的实践环境. 解决可访问性-可持续性悖论需要将扩展的角色与可行的支付和劳动力支持相协调,以保持获得护理的机会.
科学领域:
- 公共卫生 公共卫生
- 药房实践 在药房实践中
- 卫生政策 卫生政策
背景情况:
- 社区药剂师是非常容易接触的卫生专业人员,对公共卫生至关重要.
- 随着COVID-19的流行,它们的重要性得到了强调,但也揭示了社区药房的结构性弱点.
- 越来越多的关闭和工作负载强度威胁到获取药房护理的基础设施.
研究的目的:
- 探索社区药房中的"可访问性-可持续性悖论".
- 确定导致社区药房实践不可持续性的因素.
- 倡导必要的变化,以保护社区药房作为公共卫生接入点.
主要方法:
- 这是一个评论,分析现有的文献和实践趋势.
- 它检查了扩大临床期望和当前的实践/支付模式之间的不一致.
- 确定了诸如药房荒漠,劳动力疲劳和不充分的补偿等因素.
主要成果:
- 社区药房实践面临着一个"可访问性-可持续性悖论",即在越来越难以维持的环境中提供基本服务.
- 诸如药房荒漠化,劳动力疲劳,以及对不提供服务的补偿不足等因素加剧了这个问题.
- 药房中的许多有影响力的公共卫生倡议缺乏可持续的融资机制.
结论:
- 将扩展的实践范围与可持续的报销,劳动力支持和实践模型相协调至关重要.
- 如果不解决这些问题,将损害社区药房在公共卫生中发挥的作用.
- 对社区药剂师的可持续支持是公共卫生的必要条件,而不仅仅是劳动力问题.
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