The Role of the Pharmacist in Combating the Opioid Crisis: An Update.

IF 5.1 Q1 SUBSTANCE ABUSE Substance Abuse and Rehabilitation Pub Date : 2022-01-01 DOI:10.2147/SAR.S351096
Lucas Kosobuski, Carolyn O'Donnell, Cynthia P Koh-Knox Sharp, Nathaniel Chen, Laura Palombi
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引用次数: 1

Abstract

Introduction: The opioid overdose crisis has claimed hundreds of thousands of lives in the United States in the last decade, with overdose numbers continuing to climb. At the same time, the role of the pharmacist in combating the opioid crisis continues to evolve.

Methods: A literature search was conducted in Ovid MEDLINE that incorporated both MeSH terms and keywords to describe two concepts: the opioid epidemic and pharmacists/pharmacies. The search was limited to articles published after 2010 through the end of 2021 and returned 196 articles that were analyzed thematically.

Results: Thematic analysis revealed the following themes: prevention, interventions, public health role of the pharmacist, pharmacists in multiple roles, barriers, pharmacist and healthcare provider attitudes, educational initiatives for pharmacists and student pharmacists, and future research.

Discussion: While a great deal of progress has been made in the role of the pharmacist in supporting individuals with opioid use disorder (OUD) in the last two decades, pharmacists must seek to invest time and resources into practices with a strong evidence base to better mitigate the growing, devastating impact of the opioid crisis. Pharmacists must be willing to embrace new and non-traditional roles in patient care, service and research, and seek to advance evidence-based knowledge and practice.

Conclusion: Pharmacy practice has expanded greatly in the past decade with pharmacists taking on new and creative approaches to addressing the opioid crisis. Collaborative and interdisciplinary approaches to addressing the root causes of opioid misuse and opioid overdose are still desperately needed. These include attention to the critical roles of social determinants of health, stigma elimination, legislative advocacy for patients with OUD, and focused education for providers, pharmacists, and the community. Recognition and support of the value of collaboration to both improve public health and individual patient care, continued investments in pharmacy practice advancement in OUD treatment and harm reduction, and the creation of workflows and prescribing algorithms to assist in dosing medications to prevent withdrawal symptoms and achieve improved pain control are desperately needed.

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药剂师在对抗阿片类药物危机中的作用:更新。
导读:在过去的十年里,阿片类药物过量危机已经夺去了美国数十万人的生命,而且过量服用的人数还在继续攀升。与此同时,药剂师在对抗阿片类药物危机中的作用也在不断发展。方法:在Ovid MEDLINE中检索文献,纳入MeSH术语和关键词,描述阿片类药物流行和药剂师/药房两个概念。搜索仅限于2010年至2021年底发表的文章,并返回了196篇进行主题分析的文章。结果:专题分析揭示了以下主题:预防、干预措施、药剂师的公共卫生角色、药剂师多重角色、障碍、药剂师和卫生保健提供者的态度、药剂师和学生药剂师的教育举措以及未来的研究方向。讨论:虽然在过去二十年中,药剂师在支持阿片类药物使用障碍(OUD)患者方面的作用取得了很大进展,但药剂师必须寻求将时间和资源投入到具有强大证据基础的实践中,以更好地减轻阿片类药物危机日益严重的破坏性影响。药剂师必须愿意在病人护理,服务和研究中接受新的和非传统的角色,并寻求推进循证知识和实践。结论:在过去的十年中,药学实践已经大大扩大,药剂师采取了新的和创造性的方法来解决阿片类药物危机。仍然迫切需要采取合作和跨学科的方法来解决阿片类药物滥用和阿片类药物过量的根本原因。这些措施包括关注健康的社会决定因素的关键作用,消除耻辱感,对OUD患者进行立法宣传,以及对提供者、药剂师和社区进行重点教育。迫切需要承认和支持合作的价值,以改善公共卫生和个人病人护理,继续投资于药房实践,改进OUD治疗和减少伤害,以及创建工作流程和处方算法,以协助给药,防止戒断症状和改善疼痛控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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审稿时长
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期刊最新文献
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