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Online Pharmacies Selling Prescription Drugs: Systematic Review 网上药店销售处方药:系统评价
Pub Date : 2022-04-01 DOI: 10.3390/pharmacy10020042
Chiau Soon Long, Harshily Kumaran, K. Goh, F. S. Bakrin, L. Ming, I. Rehman, J. Dhaliwal, M. A. Hadi, Y. Sim, C. S. Tan
Introduction: The patronage of online pharmacies is rapidly growing, driven by the convenience and cheaper costs of purchasing prescription drugs electronically, especially under the lockdown situation. However, there are issues regarding the quality of the prescription drugs sold online and the legitimacy of online pharmacies. The use of prescription drugs without the supervision of a licensed health care practitioner may potentially harm consumers. Objectives: This systematic review was conducted to improve the body of knowledge on three main aspects of online pharmacies: (1) type and characteristics of the online pharmacies selling drugs; (2) the quality of pharmaceutical drugs purchased online; and (3) the characteristics of consumers of online pharmacies. Methods: Based on a pre-defined search strategy, PubMed and Scopus were utilised to search articles written in the English language published between January 2009 and February 2020. Studies focusing on the sale of prescription drugs were included. The terms used for the literature search were “online pharmacy”, “internet pharmacy”, “e-pharmacy”, “prescription”, “quality”, “medication safety”, and “counterfeit medicine”. These terms were used alone and in combination with Boolean operators. The institutional webpages including the World Health Organization (WHO) and the United States Food and Drug Administration (USFDA) were also examined for any additional studies. No methodological limitations in terms of study design were applied. A standardised data collection form was used to compile the data. Results: Based on the inclusion and exclusion criteria, a total of 46 articles were eligible and included in the final analysis. There were 27 articles on types and characteristic of online pharmacies, 13 articles on the quality of prescription drugs sold from online pharmacies, and 11 articles on consumers purchasing prescription drugs from online pharmacies. Readers should note that five articles discussed both the types and characteristics of online pharmacies, and the quality of the drugs sold from the outlets. The response rate (products received out of the number of orders) ranged from 20% to 100%, whereas the proportion of consumers buying prescription drugs online ranged from 2.3% to 13%. Reasons for online purchase of prescription drugs include the difficulty of obtaining a prescription for certain medications such as opioid analgesics, cheaper cost, since the costs associated with seeing a physician to obtain a prescription are reduced, and the need to obtain drugs such as opioid analgesics and benzodiazepine for misuse. Conclusions: Almost half of the online pharmacies are not properly regulated and fraudulent issues were uncovered. To address this issue, stricter regulation by World Health Organization and implementation should be carried out together with frequent monitoring of the licensure system and pharmacy verification on every online pharmacy, this would reduce the number of ill
导读:由于电子购买处方药方便、成本更低,尤其是在封锁形势下,网上药店的光顾人数正在迅速增长。然而,网上销售的处方药的质量和网上药店的合法性存在问题。在没有执业医师监督的情况下使用处方药可能会对消费者造成潜在伤害。目的:本系统综述旨在完善网上药店三个主要方面的知识体系:(1)网上药店销售药品的类型和特点;(2)网上购买的药品质量;(3)网上药店的消费者特点。方法:基于预定义的检索策略,利用PubMed和Scopus检索2009年1月至2020年2月间发表的英文文章。研究的重点是处方药的销售。文献检索的术语为“网上药房”、“互联网药房”、“电子药房”、“处方”、“质量”、“用药安全”、“假药”。这些术语可以单独使用,也可以与布尔运算符结合使用。还检查了包括世界卫生组织(卫生组织)和美国食品和药物管理局(食品和药物管理局)在内的机构网页,看是否有任何其他研究。在研究设计方面没有方法学限制。采用标准化数据收集表格汇编数据。结果:根据纳入和排除标准,共有46篇文献符合纳入最终分析。涉及网络药店类型及特点的文章有27篇,涉及网络药店销售的处方药质量的文章有13篇,涉及消费者从网络药店购买处方药的文章有11篇。读者应该注意到,有五篇文章讨论了网上药店的类型和特点,以及网上药店销售的药品质量。回复率(订单数量中收到的产品)从20%到100%不等,而网上购买处方药的消费者比例从2.3%到13%不等。网上购买处方药的原因包括难以获得某些药物(如阿片类镇痛药)的处方,费用较便宜,因为与看医生获得处方相关的费用减少了,并且需要获得阿片类镇痛药和苯二氮卓类药物等药物以防止滥用。结论:近一半的网上药店没有得到适当的监管,并发现了欺诈问题。为了解决这一问题,世界卫生组织应加强监管和实施,并对每个网上药店的许可证制度进行频繁监测和药房核查,这将减少非法或不合法的网上药店的数量。
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引用次数: 14
Virtualized Gamified Pharmacy Simulation during COVID-19 COVID-19期间的虚拟化游戏化药房模拟
Pub Date : 2022-03-26 DOI: 10.3390/pharmacy10020041
D. Hope, G. Grant, G. Rogers, M. King
Extended and immersive gamified pharmacy simulation has been demonstrated to provide transformative learning in pharmacy education, preparing graduates for real-world practice. An international consortium of universities has implemented local adaptations of the Pharmacy Game into their curricula. From early 2020, pharmacy academics modified the delivery of gamified simulation in response to the COVID-19 pandemic, while still aiming to deliver the important learning outcomes of enhanced communication, collaboration, confidence and competence. Australian universities went into full lockdown from March 2020, and the critical gamified simulation at Griffith University was delivered entirely virtually in 2020. An array of synchronous and asynchronous approaches and software platforms was employed, including Microsoft Teams, Forms and Stream plus the online interview platform Big Interview. These allowed for the simulation activities, including dispensing, counselling and clinical cases, to be conducted by students online. In 2021, Griffith University conducted hybrid delivery of its Pharmacy Game, balancing student participation both in person and online. Microsoft Power Apps was added to the hosting platform to enhance the simulation interface, and Power Virtual Agent artificial intelligence chatbots, with natural language processing, were used to enable asynchronous clinical interaction. The combination of learning technologies provided the means to deliver successful gamified simulation in the virtual and hybrid environments while still achieving outstanding learning outcomes from the capstone activity. This paper details the technologies used to virtualize the Australian Pharmacy Game and the analytics available to educators to assess student participation, engagement and performance.
扩展和沉浸式游戏化药房模拟已被证明在药学教育中提供变革性学习,为毕业生准备现实世界的实践。一个国际大学联盟已经在他们的课程中实施了药学游戏的本地改编。从2020年初开始,药学学者为应对COVID-19大流行修改了游戏化模拟的交付方式,同时仍致力于提供加强沟通、协作、信心和能力的重要学习成果。澳大利亚的大学从2020年3月开始全面封锁,格里菲斯大学的关键游戏化模拟在2020年完全虚拟交付。采用了一系列同步和异步方法和软件平台,包括Microsoft Teams、Forms和Stream以及在线面试平台Big interview。这允许学生在网上进行模拟活动,包括配药、咨询和临床病例。2021年,格里菲斯大学(Griffith University)进行了药学游戏的混合交付,平衡了学生亲自和在线的参与。在托管平台中加入Microsoft Power Apps增强仿真界面,使用Power Virtual Agent人工智能聊天机器人进行自然语言处理,实现临床异步交互。学习技术的结合提供了在虚拟和混合环境中提供成功的游戏化模拟的手段,同时仍然从顶点活动中获得出色的学习成果。本文详细介绍了用于虚拟化澳大利亚药房游戏的技术,以及教育工作者用于评估学生参与、参与和表现的分析方法。
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引用次数: 9
Acknowledgment to Reviewers of Pharmacy in 2021 向2021年的药学审稿人致谢
Pub Date : 2022-01-27 DOI: 10.3390/pharmacy10010021
Rigorous peer-reviews are the basis of high-quality academic publishing [...]
严格的同行评议是高质量学术出版的基础[…]
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引用次数: 0
Acknowledgment to Reviewers of Pharmacy in 2020 感谢2020年的药学审稿人
Pub Date : 2021-01-27 DOI: 10.3390/pharmacy9010029
Pharmacy Editorial Office
Peer review is the driving force of journal development, and reviewers are gatekeepers who ensure that Pharmacy maintains its standards for the high quality of its published papers [...].
同行评议是期刊发展的推动力,审稿人是确保《药学》保持其发表论文高质量标准的看门人[…]。
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引用次数: 0
Acknowledgement to Reviewers of Pharmacy in 2019 向2019年药学审稿人致谢
Pub Date : 2020-01-20 DOI: 10.3390/pharmacy8010012
Pharmacy Editorial Office
The editorial team greatly appreciates the reviewers who have dedicated their considerable timeand expertise to the journal's rigorous editorial process over the past 12 months, regardless ofwhether the papers are finally published or not [...].
编辑团队非常感谢审稿人在过去12个月里,无论论文最终是否发表,都为期刊严格的编辑过程奉献了大量的时间和专业知识[…]。
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引用次数: 0
Sub-Standard Pharmaceutical Services in Private Healthcare Facilities Serving Low-Income Settlements in Nairobi County, Kenya 服务于肯尼亚内罗毕县低收入定居点的私营医疗保健机构的不标准药品服务
Pub Date : 2019-12-01 DOI: 10.3390/pharmacy7040167
K. Abuga, D. Ongarora, J. Karumbi, M. Olulo, W. Minnaard, I. Kibwage
Background: Quality pharmaceutical services are an integral part of primary healthcare and a key determinant of patient outcomes. The study focuses on pharmaceutical service delivery among private healthcare facilities serving informal settlements within Nairobi County, Kenya and aims at understanding the drug procurement practices, task-shifting and ethical issues associated with drug brand preference, competition and disposal of expired drugs. Methods: Forty-five private facilities comprising of hospitals, nursing homes, health centres, medical centres, clinics and pharmacies were recruited through purposive sampling. Structured electronic questionnaires were administered to 45 respondents working within the study facilities over an 8-week period. Results: About 50% of personnel carrying out drug procurement belonged to non-pharmaceutical cadres namely; doctors, clinical officers, nurses and pharmacy assistants. Drug brand preferences among healthcare facilities and patients were mainly pegged on perceived quality and price. Unethical business competition practices were recorded, including poor professional demeanour and waiver of consultation fees veiled to undercut colleagues. Government subsidized drugs were sold at 100% profit in fifty percent of the facilities stocking them. In 44% of the facilities, the disposal of expired drugs was not in conformity to existing government regulatory guidelines. Conclusions: There is extensive task-shifting and delegation of pharmaceutical services to non-pharmaceutical cadres and poor observance of ethical guidelines in private facilities. Strict enforcement of regulations is required for optimal practices.
背景:高质量的医药服务是初级卫生保健的一个组成部分,也是决定患者预后的关键因素。本研究的重点是为肯尼亚内罗毕县非正规住区提供服务的私营医疗保健机构的药品服务,旨在了解药品采购做法、任务转移和与药品品牌偏好、竞争和过期药品处置相关的伦理问题。方法:通过有目的抽样,对包括医院、养老院、保健中心、医疗中心、诊所和药房在内的45家私营机构进行调查。在为期8周的研究期间,对45名在研究机构工作的受访者进行了结构化的电子问卷调查。结果:从事药品采购的人员中约50%为非药学干部,即;医生、临床官员、护士和药房助理。医疗机构和患者对药品品牌的偏好主要与感知到的质量和价格挂钩。不道德的商业竞争行为被记录在案,包括不良的职业行为和隐瞒咨询费以压低同事的价格。政府补贴的药品在50%的储存机构中以100%的利润销售。在44%的设施中,过期药物的处置不符合现行的政府监管指引。结论:在私营机构中,存在大量的任务转移和将药学服务委托给非药学干部,以及对道德准则的不良遵守。为了实现最佳实践,需要严格执行法规。
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引用次数: 8
Building a Patient-Centered Weight Management Program: A Mixed Methods Project to Obtain Patients’ Information Needs and Ideas for Program Structure 建立以患者为中心的体重管理项目:获取患者信息需求的混合方法项目及项目结构思路
Pub Date : 2019-12-01 DOI: 10.3390/pharmacy7040165
Austin Arnold, Erin R. Holmes, Meagen M Rosenthal
Achieving and maintaining weight loss for large segments of the population remains elusive, despite evidence demonstrating the value of many weight management programs. This study aimed to gather patients’ perceptions on weight management education needs, and ideas for the structure of a weight management program to be delivered in community pharmacies. This was an exploratory mixed methods study combining qualitative focus group interviews with a cross-sectional survey. Three focus group interviews were conducted, along with a brief survey based on focus groups findings and sent to all eligible participants. The survey allowed for individual responses on the program components and narrowing down of focus group findings. Nearly half of the respondents (45.9%) wanted further education on limiting carbohydrate and sugar intake. Participants were most interested in identifying different exercises appropriate for those with physical limitations (48.6%). Most participants preferred 1 h meetings (70.3%) that contain a mix of one-on-one and group meeting formats (67.6%). The results of the study suggest a three-month weight management program, with a combination of group and individual in-person meetings occurring twice per month, would be of most interest to patients.
尽管有证据表明许多体重管理计划的价值,但对于大部分人来说,实现并保持体重减轻仍然是难以捉摸的。本研究旨在收集患者对体重管理教育需求的看法,以及社区药房体重管理计划结构的想法。这是一项探索性混合方法研究,结合定性焦点小组访谈和横断面调查。进行了三次焦点小组访谈,并根据焦点小组的调查结果进行了简短的调查,并发送给所有符合条件的参与者。该调查允许对项目组成部分进行个人回应,并缩小焦点小组的调查结果。近一半的受访者(45.9%)希望进一步了解如何限制碳水化合物和糖的摄入。参与者最感兴趣的是确定适合身体限制的不同运动(48.6%)。大多数参与者更喜欢1小时会议(70.3%),其中包含一对一和小组会议形式的混合(67.6%)。研究结果表明,患者最感兴趣的是一个为期三个月的体重管理计划,其中包括每月两次的小组和个人面对面会议。
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引用次数: 1
Clinical Pharmacy Activities Documented (ClinPhADoc): Development, Reliability and Acceptability of a Documentation Tool for Community Pharmacists 临床药学活动文档化(ClinPhADoc):社区药师文档化工具的开发、可靠性和可接受性
Pub Date : 2019-12-01 DOI: 10.3390/pharmacy7040162
Nour Hamada, P. Quintana Bárcena, K. Maes, O. Bugnon, J. Berger
Documentation of community pharmacists’ clinical activities, such as the identification and management of drug-related problems (DRPs), is recommended. However, documentation is not systematic in Swiss community pharmacies, and relevant information about DRPs, such as consequences or involved partners, is frequently missing. This study aims to evaluate the interrater and test-retest reliability, appropriateness and acceptability of the Clinical Pharmacy Activities Documented (ClinPhADoc) tool. Ten community pharmacists participated in the study. Interrater reliability coefficients were computed using 24 standardized cases. One month later, test-retest reliability was assessed using 10 standardized cases. To assess the appropriateness, pharmacists were asked to document clinical activities in their own practice using ClinPhADoc. Acceptability was assessed by an online satisfaction survey. Kappa coefficients showing a moderate level of agreement (>0.40) were observed for interrater and test-retest reliability. Pharmacists were able to document 131 clinical activities. The good level of acceptability and brief documentation time (fewer than seven minutes) indicate that ClinPhADoc is well-suited to the community pharmacy setting. To optimize the tool, pharmacists proposed developing an electronic version. These results support the reliability and acceptance of the ClinPhADoc tool.
建议记录社区药师的临床活动,如药物相关问题的识别和管理。然而,瑞士社区药房的文件并不系统,关于drp的相关信息,如后果或涉及的合作伙伴,经常缺失。本研究旨在评估临床药学活动记录(ClinPhADoc)工具的解释者和重测者的信度、适当性和可接受性。10名社区药剂师参与了这项研究。采用24个标准化案例计算了信度系数。1个月后,使用10个标准化案例评估重测信度。为了评估适当性,要求药剂师使用ClinPhADoc记录他们自己的临床活动。可接受性是通过在线满意度调查评估的。Kappa系数显示中等程度的一致性(>0.40),用于解释和测试重测信度。药剂师能够记录131例临床活动。良好的可接受性和简短的记录时间(少于7分钟)表明ClinPhADoc非常适合社区药房环境。为了优化该工具,药剂师建议开发电子版。这些结果支持ClinPhADoc工具的可靠性和可接受性。
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引用次数: 1
Pharmacists as Immunizers: The Role of Pharmacies in Promoting Immunization Campaigns and Counteracting Vaccine Hesitancy 药剂师作为免疫者:药店在促进免疫运动和对抗疫苗犹豫中的作用
Pub Date : 2019-12-01 DOI: 10.3390/pharmacy7040166
N. Bragazzi
Vaccines represent fundamental public health interventions aimed to counteract or, at least, partially mitigate the severe epidemiological and economic burden generated by communicable disorders, in terms of (i) outcome-related, (ii) behavior-related productivity gains, and (iii) community externalities in developed settings as well as in developing countries. Despite their importance, several parents choose not to immunize their children due to the rising phenomenon of anti-vaccination movements that divulge vaccine-related “fake news” and “post-modern, post-factual truths”. Vaccine hesitancy represents a threat that can seriously jeopardize the implementation and success of vaccination campaigns. Within this framework, from a public health perspective, community pharmacies can play a vital role in that pharmacists can: (i) act as immunizers (vaccine distributors, educators, facilitators and administrators), (ii) improve vaccine-related health literacy and vaccination coverage rates as well as (iii) remove barriers and obstacles to the access to healthcare settings offering immunization services and (iv) counteract vaccine hesitancy.
疫苗是基本的公共卫生干预措施,旨在抵消或至少部分减轻传染性疾病造成的严重流行病学和经济负担,从(一)与结果有关的、(二)与行为有关的生产力提高以及(三)发达环境和发展中国家的社区外部性方面来看。尽管疫苗很重要,但一些家长选择不给孩子接种疫苗,因为反疫苗运动的现象越来越多,这些运动泄露了与疫苗有关的“假新闻”和“后现代、后事实真相”。疫苗犹豫是一种威胁,可能严重危及疫苗接种运动的实施和成功。在这一框架内,从公共卫生的角度来看,社区药房可以发挥至关重要的作用,因为药剂师可以:(一)作为免疫者(疫苗分发者、教育者、促进者和管理人员),(二)提高与疫苗有关的卫生知识和疫苗接种覆盖率,以及(三)消除进入提供免疫服务的保健机构的障碍和障碍,(四)消除对疫苗的犹豫。
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引用次数: 10
Evolution of Interdisciplinary Transition of Care Services in a Primary Care Organization 初级保健机构护理服务跨学科转变的演变
Pub Date : 2019-12-01 DOI: 10.3390/pharmacy7040164
William J. Hitch, Irene Park Ulrich, A. Warren, D. Stick, Danielle Leyonmark, Mackenzie Farrar
Transitions of care create complex management challenges for providers and leave patients vulnerable to medication errors and hospital readmissions. This article examines the evolution of an interdisciplinary team of pharmacists and nurse care managers and their impact on safe and effective transitions from the acute care settings back into primary care. This article explores successes and challenges of this primary-care-based clinic in managing patients safely through often-complex situations, and explores future directions for improving care processes and outcomes.
护理的转变给提供者带来了复杂的管理挑战,使患者容易出现用药错误和再次住院。本文考察了药剂师和护士护理管理人员的跨学科团队的演变及其对安全有效地从急性护理环境过渡到初级保健的影响。本文探讨了这种以初级保健为基础的诊所在复杂情况下安全管理患者方面的成功和挑战,并探讨了改善护理过程和结果的未来方向。
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引用次数: 2
期刊
Pharmacy: Journal of Pharmacy Education and Practice
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