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Factors associated with attendance at a pharmacist-led group diabetes self-management education class and impact on health outcomes 参加药剂师主导的糖尿病自我管理教育小组课程的相关因素及其对健康结果的影响
IF 1.8 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-11 DOI: 10.1016/j.rcsop.2024.100526
Olivia Ramey, Christopher Gildea

Background

Group education has demonstrated benefits among people with diabetes, including reduced A1C and improved self-monitoring practices. Despite this, attendance rates are low for a variety of reasons, including lack of understanding of potential benefits among patients.

Objectives

The pharmacist-led diabetes self-management education program at a community hospital has low attendance. This project assesses characteristics associated with attendance and compares outcomes among attendees and non-attendees.

Methods

Retrospective data was collected between July 2022 and December 2023. Variables included: age, sex, class attendance, pre- and ≥ 90-day post-class A1C, pre- and post-class BMI, attending pharmacist-led clinic prior to scheduled class, social determinants of health screening survey responses, and diagnosis of depression or anxiety.

Results

103 patients were identified. 53 % attended at least one class out of a series of four. Attendance at the pharmacist-led diabetes clinic (70 % among attendees versus 30 % among non-attendees, p < 0.001) was associated with attendance. Age, gender, concurrent mental health diagnoses (depression and anxiety), and SDOH related needs were not associated with attendance. Baseline A1C was similar for attendees and non-attendees (9.6 vs. 9.7 %, respectively). Post-class A1C was 7.4 % for attendees of at least one class and 8 % for non-attendees. Patients who attended all four classes achieved a mean A1C <7 %.

Discussion

There are many factors that lead to lack of engagement with group education for diabetes. Referral to group education by a pharmacist who has established rapport with the patient and can speak to specific details about benefits of the classes may improve attendance at diabetes group education.
背景集体教育已证明对糖尿病患者有益,包括降低 A1C 和改善自我监测方法。尽管如此,由于种种原因,包括患者对潜在益处缺乏了解,参加率很低。目标一家社区医院由药剂师主导的糖尿病自我管理教育项目参加率很低。本项目评估了与参加率相关的特征,并比较了参加者和未参加者的结果。方法在 2022 年 7 月至 2023 年 12 月期间收集了回顾性数据。变量包括:年龄、性别、课堂出勤率、课前和课后≥90 天的 A1C、课前和课后的 BMI、在预定课堂前参加药剂师指导的门诊、健康的社会决定因素筛查调查回复以及抑郁或焦虑诊断。53% 的患者至少参加了四次课程中的一次。参加药剂师指导的糖尿病门诊(参加者占 70%,未参加者占 30%,p < 0.001)与出席率有关。年龄、性别、并发心理健康诊断(抑郁和焦虑)以及 SDOH 相关需求与参加率无关。参加者和未参加者的基准 A1C 相似(分别为 9.6% 和 9.7%)。至少参加过一次课程的患者课后的 A1C 为 7.4%,未参加者为 8%。参加所有四堂课的患者的平均 A1C 为 7%。药剂师与患者建立了良好的关系,并能详细介绍课程的益处,由药剂师转介患者参加集体教育可能会提高糖尿病集体教育的参加率。
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引用次数: 0
Effectiveness and safety of cannabis-based products for medical use in patients with fibromyalgia syndrome: A systematic review 纤维肌痛综合征患者使用大麻类医疗产品的有效性和安全性:系统回顾
IF 1.8 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-11 DOI: 10.1016/j.rcsop.2024.100524
Valentina Lopera , Juan Carlos Restrepo , Pedro Amariles
Background: There is a need to explore pharmacological options for syndrome (FMS), such as medical cannabis. The aim of this systematic review was to synthesize and analyze the available information about the effectiveness/efficacy and safety of cannabis-based products for medical use (CBPMs) and cannabis-based medicines (CBMs), in patients with FMS. Methods: Interventional or observational studies, systematic reviews and meta-analysis regarding the effectiveness/efficacy and safety of CBPMs and CBMs in patients with FMS were retrieved from the PubMed/Medline database until April 2024. Then, the information was summarized in tables, with the type of CBPM and CBM, the method used in the study and the effective-ness/efficacy and safety outcomes. Results: 19 publications were selected from the search or form the relevant references. Different CBPM and CBM were used across the studies. Also, different instruments for measuring the effectiveness were used. In general, the use of CBPMs and CBM showed an important improvement in pain, quality of life, and sleep habits. There were no serious adverse events. Conclusions: The results show that CBMPs and CBMs could be effective and safe in patients with FMS; however, the evidence is limited and there is a need for high-quality clinical studies conducted with improved methodological design.
背景:有必要探索治疗综合征(FMS)的药物选择,如医用大麻。本系统性综述的目的是综合并分析有关医用大麻产品(CBPMs)和大麻药物(CBMs)对 FMS 患者的有效性/疗效和安全性的现有信息。方法:从 PubMed/Medline 数据库中检索有关 CBPM 和 CBM 对 FMS 患者的有效性/疗效和安全性的干预性或观察性研究、系统性综述和荟萃分析,直至 2024 年 4 月。然后,将这些信息汇总成表格,包括CBPM和CBM的类型、研究中使用的方法以及有效性/有效性和安全性结果。结果从检索或相关参考文献中筛选出 19 篇文献。这些研究使用了不同的 CBPM 和 CBM。此外,还使用了不同的有效性测量工具。总体而言,CBPM 和 CBM 的使用对疼痛、生活质量和睡眠习惯都有显著改善。没有出现严重的不良事件。结论研究结果表明,CBMPs 和 CBMs 对 FMS 患者是有效且安全的;但是,相关证据还很有限,因此需要通过改进方法设计来开展高质量的临床研究。
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引用次数: 0
Determining user implementation needs for pharmacist-prescribed contraception using concept mapping: A participatory, multiple stakeholder approach 利用概念图确定用户对药剂师处方避孕药具的实施需求:多方利益相关者参与式方法
IF 1.8 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-11 DOI: 10.1016/j.rcsop.2024.100525
Jenny L. Newlon , Jennifer A. Campi , Sally Rafie , Ashley H. Meredith

Background

As of October 2024, 29 states and the District of Columbia allow community pharmacists to prescribe hormonal contraceptives. Pharmacists have reported many challenges and barriers to service implementation.

Methods

Concept mapping was used to gather insights from diverse stakeholders to identify resources to facilitate implementation of pharmacist-prescribed contraceptive services. Stakeholders included end-users (pharmacy managers, staff pharmacists) and decision-makers (pharmacy owners/executives). Participants' ideas for resources were collected via multi-stakeholder focus groups. Participants then rated each idea (i.e. statement) in terms of importance and feasibility (1 = not at all important/feasible, 4 = extremely important/feasible) and sorted ideas into groups based on similarity via an online survey. Sorting data were analyzed using multidimensional scaling and hierarchical cluster analysis to develop a cluster map. Descriptive statistics were used to analyze rating data to develop a go-zone map, where statements rated above average in terms of both importance and feasibility are plotted in the “go-zone” and are considered the most actionable ideas.

Results

Participants (focus groups n = 19, survey n = 48) generated 46 unique statements which created four clusters via multidimensional scaling: 1) implementation guidance for practice setup, 2) marketing resources, 3) billing and payment resources, and 4) appointment management. The majority of the statements (13 of 15) considered the most actionable were from the implementation guidance and appointment management clusters.

Conclusions

Stakeholders seek guidance on implementation, marketing, billing and payment, and appointment management. To increase the ability of community pharmacies to meet the contraceptive needs of patients, resources should be dedicated to creating tools and solutions to address these identified needs.
背景截至 2024 年 10 月,29 个州和哥伦比亚特区允许社区药剂师开具荷尔蒙避孕药具处方。药剂师报告了服务实施过程中遇到的许多挑战和障碍。方法采用概念绘图法收集不同利益相关者的观点,以确定促进药剂师处方避孕药具服务实施的资源。利益相关者包括最终用户(药房经理、员工药剂师)和决策者(药房业主/高管)。通过多方利益相关者焦点小组收集了参与者对资源的想法。然后,参与者对每个想法(即陈述)的重要性和可行性进行评分(1 = 完全不重要/不可行,4 = 非常重要/可行),并通过在线调查根据相似度对想法进行分类。使用多维标度和分层聚类分析对分类数据进行分析,以绘制聚类图。使用描述性统计来分析评级数据,以绘制 "行动区 "图,在 "行动区 "中,重要性和可行性均高于平均值的陈述被视为最可行的想法。结果参与者(焦点小组 n = 19,调查 n = 48)产生了 46 个独特的陈述,通过多维缩放创建了四个群组:1)实践设置的实施指导;2)营销资源;3)计费和支付资源;4)预约管理。大多数被认为最具可操作性的陈述(15 条陈述中的 13 条)来自实施指导和预约管理集群。为提高社区药房满足患者避孕需求的能力,应将资源专门用于创建工具和解决方案,以满足这些已确定的需求。
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引用次数: 0
The Arabic medication-related burden quality of life (MRB-QoL) tool: Cross-cultural adaptation and content validation 阿拉伯语药物相关负担生活质量(MRB-QoL)工具:跨文化改编和内容验证
IF 1.8 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-10 DOI: 10.1016/j.rcsop.2024.100523
Sundos Q. Al-Ebrahim , Jeff Harrison , Timothy F. Chen , Hamzah Alzubaidi , Mohammed A. Mohammed

Background

The Medication-Related Burden Quality of Life (MRB-QoL) is a 31-item valid and reliable patient-reported measure of medicine burden on functioning and well-being in people with long-term conditions (LTC).

Objectives

To translate, culturally adapt, and content validate the MRB-QoL into Arabic.

Methods

A rigorous approach to cross-cultural adaptation proposed by the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) guideline was followed. After 3 forward translations and 2 backward translations, a multidisciplinary expert panel assessed the content validity (CV) of the items through a 2-round e-modified Delphi method followed by two-step cognitive debriefings with patients with LTC using think-aloud and probing techniques. An item-content validity index (I-CVI) score of ≥0.78 was considered acceptable. The original questionnaire developers and other researchers, as members of the review committee, reviewed and approved the Arabic version.

Results

Five semantic and 3 cultural translation discrepancies were identified and resolved by rewording the items. The 2 backward translations did not reveal significant problems, and equivalence to the original tool was confirmed following committee review. The Arabic version showed acceptable CV parameters. E-modified Delphi involved 9 experts in round one and 7 in round 2. The I-CVI scores ranged from 0.67 to 1.0, and agreement was reached after 2 rounds. The CVI for the final version of the MRB-QoL was 0.96. Expert panel review showed that the MRB-QoL-Arabic version is relevant (CVI = 0.92), important (CVI = 0.97), clear (CVI = 0.98), and comprehensive in measuring the burden of medicines. Data from 5 cognitive interviews showed that items and concepts included in the Arabic version of the MRB-QoL are relevant to the targeted sample, clear, and easy to understand.

Conclusion

The MRB-QoL Arabic version was developed and content validated. However, further evaluation of its other psychometric properties is necessary before it can be utilized in clinical and research settings. Using this tool will enable a more accurate understanding of the effects of treatment burden on patient well-being, thereby guiding care toward minimally disruptive medicine.
背景药物相关负担生活质量(MRB-QoL)是一项由 31 个项目组成的有效可靠的患者报告指标,用于衡量药物对长期病患(LTC)的功能和幸福感造成的负担。目标将 MRB-QoL 翻译成阿拉伯语并进行文化适应和内容验证。方法采用国际药物经济学与结果研究学会(ISPOR)指南提出的严格的跨文化适应方法。经过 3 次正译和 2 次反译后,一个多学科专家小组通过 2 轮电子修正德尔菲法评估了项目的内容效度 (CV),然后使用思考-朗读和探究技术与 LTC 患者进行了两步认知汇报。项目-内容效度指数(I-CVI)得分≥0.78 即可接受。最初的问卷开发人员和其他研究人员作为审查委员会的成员,对阿拉伯语版本进行了审查和批准。结果发现了 5 处语义翻译差异和 3 处文化翻译差异,并通过重新措辞解决了问题。2 个逆向翻译未发现重大问题,经委员会审查后确认与原始工具等效。阿拉伯语版本显示了可接受的 CV 参数。第一轮有 9 名专家参加,第二轮有 7 名专家参加。I-CVI 分值从 0.67 到 1.0 不等,两轮后达成一致。MRB-QoL 最终版本的 CVI 为 0.96。专家组评审表明,MRB-QoL-阿拉伯语版在衡量药物负担方面具有相关性(CVI = 0.92)、重要性(CVI = 0.97)、清晰性(CVI = 0.98)和全面性。来自 5 个认知访谈的数据显示,阿拉伯语版 MRB-QoL 所包含的项目和概念与目标样本相关、清晰且易于理解。然而,在将其用于临床和研究环境之前,有必要对其其他心理测量特性进行进一步评估。使用该工具将能更准确地了解治疗负担对患者福祉的影响,从而指导护理工作朝着最小破坏性医疗的方向发展。
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引用次数: 0
Mapping the Mpox discourse: A network and sentiment analysis 绘制 Mpox 话题图:网络和情感分析
IF 1.8 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-09 DOI: 10.1016/j.rcsop.2024.100521
Ikhwan Yuda Kusuma , Ádám Visnyovszki , Muh Akbar Bahar
Mpox, a zoonotic disease re-emerging from animals to humans, poses a risk of evolving into a global pandemic due to its high infectivity and potential asymptomatic transmission. This study maps the structure and configuration of mpox-related discussions on Twitter/X, identifies key influencers and top hashtags, and analyzes public sentiment. Data were collected using NodeXL Pro from May 7, 2022, to January 15, 2023, with the keyword “Monkeypox” and visualized using Gephi. Social network analysis ranked nodes by betweenness centrality scores to highlight key communicators, and the YifanHu layout algorithm visualized the network. Influential users, source topics, and hashtags were identified, and sentiment analysis was conducted using Azure Machine Learning tools. The analysis identified 11,397 mpox-related tweets. The network structure resembled a community with diverse participants. Influential users included health and science journalists, writers, academics, medical doctors, and public figures. News media and organizational websites were the top information sources, emphasizing the need for accessible scientific information. “Monkeypox” and “Mpox” were the most prevalent hashtags. Negative sentiments dominated the discussion. This analysis provides insights into network structure, key influencers, information sources, and public sentiment, aiding tailored health initiatives to address misinformation and advocate valid health information and emergency responses.
麻疹是一种从动物传染给人类的人畜共患疾病,由于其传染性强和潜在的无症状传播,有演变为全球大流行病的风险。本研究绘制了 Twitter/X 上与 mpox 相关讨论的结构和配置图,确定了主要影响者和热门标签,并分析了公众情绪。使用 NodeXL Pro 收集了 2022 年 5 月 7 日至 2023 年 1 月 15 日以 "猴痘 "为关键词的数据,并使用 Gephi 进行了可视化。社交网络分析通过间度中心性得分对节点进行排序,以突出关键传播者,而一帆虎布局算法则将网络可视化。确定了有影响力的用户、源话题和标签,并使用 Azure 机器学习工具进行了情感分析。分析确定了 11,397 条与 mpox 相关的推文。网络结构类似于一个有不同参与者的社区。有影响力的用户包括健康和科学记者、作家、学者、医生和公众人物。新闻媒体和组织网站是最主要的信息来源,这强调了对可获取科学信息的需求。"猴痘 "和 "Mpox "是最流行的标签。负面情绪在讨论中占主导地位。这项分析提供了对网络结构、主要影响者、信息来源和公众情绪的洞察,有助于量身定制的健康倡议,以应对错误信息并倡导有效的健康信息和应急响应。
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引用次数: 0
Rural community pharmacists' willingness to receive, administer, and recommend COVID-19 vaccines after the First U.S. vaccine rollout 美国首次推出 COVID-19 疫苗后,农村社区药剂师接受、管理和推荐 COVID-19 疫苗的意愿
IF 1.8 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-05 DOI: 10.1016/j.rcsop.2024.100520
Sura O. AlMahasis , Brent Fox , David Ha , Jingjing Qian , Chih-hsuan Wang , Salisa C. Westrick

Introduction

Vaccines remain the cornerstone for prevention of COVID-19. Particularly in rural areas, community pharmacists are among the most accessible healthcare professionals. Their advocacy for immunization can help overcome patients' vaccine hesitancy and close the disparity gap between rural and urban regions. This study explored factors influencing the willingness to recommend and administer COVID-19 vaccines among rural community pharmacists after the first U.S. vaccine rollout.

Methods

A convenience sample of rural community pharmacists completed a selfadministered, validated paper/online survey (n = 86, 23.4% response rate). Measures included COVID-19 vaccination status, perceived benefits of offering COVID-19 immunization services at the pharmacy, and willingness to recommend and administer COVID-19 vaccines. Descriptive, bivariate, and multivariate statistics were used to analyze potential nonresponse bias, survey responses, and associations between variables as appropriate. Alpha was set at 0.05.

Results

The proportion of pharmacists who were vaccinated against COVID-19 was 79.1%. Over 75% of participants were in favor of recommending COVID-19 immunizations to eligible family members and patients and almost 85% agreed that they would administer COVID-19 vaccines to their patients. Most pharmacists perceived COVID-19 immunization services to be beneficial, such as attracting more patients into the pharmacy (81.2%), increasing pharmacy revenue (75.3%), and enhancing relationships with local clinics/public health agencies (74.1%). COVID-19 vaccination status and the perceived benefit of offering immunization services at the pharmacy were significantly associated with pharmacists' willingness to recommend and administer COVID-19 vaccines.

Conclusion

The relatively high rates of COVID-19 vaccination uptake and the strong willingness of rural community pharmacists to recommend and administer COVID-19 vaccines, after the first national vaccine rollout, were encouraging. The findings underscore the importance of engaging rural community pharmacists in efforts to prepare for and respond to future pandemics and public health crises.
导言疫苗仍然是预防 COVID-19 的基石。特别是在农村地区,社区药剂师是最容易获得的医疗保健专业人员之一。他们对免疫接种的倡导有助于克服患者对疫苗的犹豫不决,缩小城乡之间的差距。本研究探讨了在美国首次推广 COVID-19 疫苗后,影响农村社区药剂师推荐和接种 COVID-19 疫苗意愿的因素。方法:农村社区药剂师的便利样本完成了一项自填的、经过验证的纸质/在线调查(n = 86,回复率为 23.4%)。调查内容包括 COVID-19 疫苗接种情况、在药房提供 COVID-19 疫苗接种服务的益处以及推荐和接种 COVID-19 疫苗的意愿。我们采用了描述性、双变量和多变量统计方法来分析潜在的非响应偏差、调查回复以及变量之间的关联。结果接种过 COVID-19 疫苗的药剂师比例为 79.1%。超过 75% 的参与者赞成向符合条件的家庭成员和患者推荐接种 COVID-19 疫苗,近 85% 的参与者同意为患者接种 COVID-19 疫苗。大多数药剂师认为 COVID-19 免疫接种服务是有益的,如吸引更多的患者到药房就诊(81.2%)、增加药房收入(75.3%)以及加强与当地诊所/公共卫生机构的关系(74.1%)。COVID-19疫苗接种情况和药房提供免疫服务的预期效益与药剂师推荐和接种COVID-19疫苗的意愿有显著相关性。 结论在首次全国疫苗推广后,COVID-19疫苗的接种率相对较高,农村社区药剂师推荐和接种COVID-19疫苗的意愿强烈,这令人鼓舞。研究结果强调了让农村社区药剂师参与准备和应对未来流行病和公共卫生危机工作的重要性。
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引用次数: 0
Capturing pharmacists’ perspectives on the value, risks, and applications of ChatGPT in pharmacy practice: A qualitative study 了解药剂师对 ChatGPT 在药学实践中的价值、风险和应用的看法:定性研究
IF 1.8 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-02 DOI: 10.1016/j.rcsop.2024.100518
Ammar Abdulrahman Jairoun , Sabaa Saleh Al-Hemyari , Moyad Shahwan , Ghala Rashid Alnuaimi , Nihal Ibrahim , Ammar Ali Saleh Jaber

Objectives

To investigate the pharmacists' perspectives on benefits and risks of using ChatGPT in pharmacy practice and explore how this disruptive and ground-breaking technology can be effectively integrated.

Methods and materials

A qualitative approach that draws data from licensed pharmacists using semi-structured interviews.

Results

Most participants felt ChatGPT could enhance the compliance, use, management, safety, adherence to medication, medication counseling, minimize medication errors, and streamline medication dispensing. However, when Chat-GPT has limited information and relies on obsolete medication databases, it risks providing inaccurate recommendations and inadequate medication details. Also, most participants highlighted the difficulty in interpreting ambiguous patient input or drug descriptions when using the application.

Conclusions

Despite its potential, utilizing ChatGPT in pharmacy practice must be dependent on evidence-based results that offer profound insight into AI technology.
目的 调查药剂师对在药学实践中使用 ChatGPT 的益处和风险的看法,并探讨如何有效整合这项具有颠覆性和开创性的技术。结果 大多数参与者认为 ChatGPT 可以提高用药的依从性、使用、管理、安全性、依从性和用药咨询,最大限度地减少用药错误并简化配药过程。但是,如果 Chat-GPT 的信息有限,并且依赖于过时的药物数据库,那么它就有可能提供不准确的建议和不充分的药物详细信息。结论尽管 ChatGPT 潜力巨大,但在药学实践中使用它必须依赖于基于证据的结果,这些结果能为人工智能技术提供深刻的见解。
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引用次数: 0
Patients' insights into unused medications during the COVID-19 outbreak: A qualitative study COVID-19 爆发期间患者对未使用药物的看法:定性研究
IF 1.8 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-26 DOI: 10.1016/j.rcsop.2024.100517
Mutaseim Makki , Asrul Akmal Shafie , Ahmed Awaisu , Rabia Hussain , Moza Al Hail , Walid Mohammed ElMotasim , Mohamed Yousif Mohamed Ali Taha , Einas Abdoun , Noriya Mohd J. Al-Khuzaei , Gamila Salama , Abdulrouf Pallivalapila , Wessam El Kassem , Binny Thomas

Background

The COVID-19 outbreak had significant global healthcare implications, including the use of medications. This is specifically evident in the surge in use of some medication and a decline in the use of others. As a result, some medications end up unused, which may have subsequent health, economic, and environmental impacts.

Aim

To explore patients' insights into unused medications during the COVID-19 outbreak.

Materials and methods

Semi-structured interviews were conducted with 30 patients attending various public and private healthcare facilities in Qatar between January and July 2021. A thematic analysis approach was utilized, with 2 researchers independently analyzing, comparing, and discussing the coding. The resulting themes were further discussed in research group meetings until a consensus was reached.

Results

Seven themes emerged: awareness of unused medications and their impacts on health, economy, and the environment; barriers contributing to nonadherence/unused medications; sources of medications; factors facilitating medication use; patients' behaviors toward donated medications/reuse; patients' awareness of medication storage requirements; and patients' desire to appropriately dispose of unused medications.

Conclusion

The COVID-19 outbreak disrupted medication supply and adherence, resulting in an increase in unused medications and inappropriate disposal. Adherence is crucial for improving patients' health and preserving medications. Implementing mail-return systems for unused medications could be a viable solution during disease outbreaks.
背景COVID-19 的爆发对全球医疗保健产生了重大影响,其中包括药物的使用。这具体表现在一些药物的使用量激增,而另一些药物的使用量下降。材料与方法 2021 年 1 月至 7 月期间,对在卡塔尔多家公立和私立医疗机构就诊的 30 名患者进行了半结构式访谈。采用主题分析方法,由两名研究人员独立分析、比较和讨论编码。结果得出了七个主题:对未使用药物及其对健康、经济和环境影响的认识;导致不依从/未使用药物的障碍;药物来源;促进药物使用的因素;患者对捐赠药物/重复使用的行为;患者对药物储存要求的认识;以及患者希望妥善处理未使用药物。结论 COVID-19 的爆发破坏了药物供应和用药依从性,导致未使用药物和不当处置药物的增加。坚持用药对于改善患者健康和保存药物至关重要。在疾病爆发期间,实施未使用药物的邮寄退回系统可能是一个可行的解决方案。
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引用次数: 0
Assessment of knowledge, perception, and readiness for telepharmacy-assisted pharmaceutical services among young pharmacists in rural Indonesia 评估印度尼西亚农村地区年轻药剂师对远程药学辅助制药服务的了解、认知和准备程度
IF 1.8 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-26 DOI: 10.1016/j.rcsop.2024.100513
Muhammad Thesa Ghozali

Background

The implementation of telepharmacy technology has expanded significantly, particularly during the COVID-19 pandemic, to ensure continuous pharmaceutical care services. This practice is vital in rural and underserved areas where access to healthcare is limited.

Objective

This study aims to assess the knowledge, perception, and readiness of young pharmacists in rural Indonesia towards telepharmacy-assisted pharmaceutical services.

Methods

A cross-sectional study was conducted from January to July 2023 in rural areas of Java, Sumatra, and Kalimantan, Indonesia. A convenience sampling method was employed with the aim of recruiting 520 registered pharmacists under 35 years of age (23–34 years old). Data were collected using an online questionnaire adapted for the local context and analyzed using SPSS version 26.0.

Results

The study achieved an 86.67 % response rate. Most participants were female (73.1 %) and aged between 26 and 30 years (53.8 %). Nearly all pharmacists (97.1 %) held a Pharm.D degree. The knowledge assessment showed high awareness of telepharmacy's importance and its role during the COVID-19 pandemic, with 96.15 % recognizing the need for a strong internet connection. Positive perception was noted, with 90.38 % agreeing that telepharmacy enhances medication access in rural areas. However, concerns about increased error rates and workload were highlighted. A substantial proportion of pharmacists expressed readiness for conducting drug counselling via video consultation (44.23 %) and showed a willingness to undergo relevant training (59.62 %).

Conclusion

Young pharmacists in rural Indonesia demonstrate a good level of knowledge and generally positive perceptions about telepharmacy, with notable readiness among pharmacists with less than five years of experience. While there is notable willingness to engage in telepharmacy practices and training, addressing concerns about workload and data security through targeted support and training will be crucial for the successful implementation of telepharmacy, potentially enhancing healthcare access in rural areas.
背景远程药学技术的应用已大幅扩展,尤其是在 COVID-19 大流行期间,以确保持续的药物护理服务。本研究旨在评估印尼农村地区年轻药剂师对远程药学辅助制药服务的了解、看法和准备情况。方法 2023 年 1 月至 7 月在印尼爪哇岛、苏门答腊岛和加里曼丹岛的农村地区开展了一项横断面研究。研究采用便利抽样法,旨在招募 520 名 35 岁以下(23-34 岁)的注册药剂师。数据收集采用了根据当地情况调整的在线问卷,并使用 SPSS 26.0 版进行了分析。大多数参与者为女性(73.1%),年龄在 26-30 岁之间(53.8%)。几乎所有药剂师(97.1%)都拥有药学博士学位。知识评估表明,人们对远程药学的重要性及其在 COVID-19 大流行期间的作用有很高的认识,96.15% 的人认识到需要强大的互联网连接。90.38%的人同意远程药学可提高农村地区的药物可及性。不过,他们也强调了对出错率和工作量增加的担忧。相当一部分药剂师表示愿意通过视频咨询开展药物咨询(44.23%),并表示愿意接受相关培训(59.62%)。虽然他们有参与远程药学实践和培训的明显意愿,但通过有针对性的支持和培训来解决他们对工作量和数据安全的担忧,对于成功实施远程药学至关重要,并有可能提高农村地区的医疗服务普及率。
{"title":"Assessment of knowledge, perception, and readiness for telepharmacy-assisted pharmaceutical services among young pharmacists in rural Indonesia","authors":"Muhammad Thesa Ghozali","doi":"10.1016/j.rcsop.2024.100513","DOIUrl":"10.1016/j.rcsop.2024.100513","url":null,"abstract":"<div><h3>Background</h3><div>The implementation of telepharmacy technology has expanded significantly, particularly during the COVID-19 pandemic, to ensure continuous pharmaceutical care services. This practice is vital in rural and underserved areas where access to healthcare is limited.</div></div><div><h3>Objective</h3><div>This study aims to assess the knowledge, perception, and readiness of young pharmacists in rural Indonesia towards telepharmacy-assisted pharmaceutical services.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted from January to July 2023 in rural areas of Java, Sumatra, and Kalimantan, Indonesia. A convenience sampling method was employed with the aim of recruiting 520 registered pharmacists under 35 years of age (23–34 years old). Data were collected using an online questionnaire adapted for the local context and analyzed using SPSS version 26.0.</div></div><div><h3>Results</h3><div>The study achieved an 86.67 % response rate. Most participants were female (73.1 %) and aged between 26 and 30 years (53.8 %). Nearly all pharmacists (97.1 %) held a Pharm.D degree. The knowledge assessment showed high awareness of telepharmacy's importance and its role during the COVID-19 pandemic, with 96.15 % recognizing the need for a strong internet connection. Positive perception was noted, with 90.38 % agreeing that telepharmacy enhances medication access in rural areas. However, concerns about increased error rates and workload were highlighted. A substantial proportion of pharmacists expressed readiness for conducting drug counselling via video consultation (44.23 %) and showed a willingness to undergo relevant training (59.62 %).</div></div><div><h3>Conclusion</h3><div>Young pharmacists in rural Indonesia demonstrate a good level of knowledge and generally positive perceptions about telepharmacy, with notable readiness among pharmacists with less than five years of experience. While there is notable willingness to engage in telepharmacy practices and training, addressing concerns about workload and data security through targeted support and training will be crucial for the successful implementation of telepharmacy, potentially enhancing healthcare access in rural areas.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"16 ","pages":"Article 100513"},"PeriodicalIF":1.8,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142428306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prospective healthcare students' perspectives and attitudes on pharmacy as a chosen career path 未来医学生对选择药学作为职业道路的看法和态度
IF 1.8 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-25 DOI: 10.1016/j.rcsop.2024.100512
Shadi Doroudgar, Mahsa Sedaghat, Nabeez Noor, Shervin Gorji
<div><h3>Background</h3><div>With the national increase in the number of colleges and schools of pharmacy as well as the decreased pharmacy school applicant pool in recent years, pharmacy school enrollment challenges are at the forefront of issues facing pharmacy programs today. Factors that can influence a candidate's likelihood to pursue pharmacy school are important to evaluate. Recent studies assessing factors that motivate potential pre-health candidates to pursue pharmacy school or other healthcare careers are limited.</div></div><div><h3>Objective</h3><div>To describe prospective candidates' perspectives and attitudes toward pharmacy as a career pathway and assess factors that motivate or deter them from pursuing pharmacy as a career and from considering a specific pharmacy school.</div></div><div><h3>Method</h3><div>The study was cross-sectional and used an online data collection form distributed via the Qualtrics platform from October 4, 2022 through October 12, 2022 using the social media platform Reddit. Reddit has hundreds of subcommunities known as subreddits, that allow for exchange of ideas and discussion regarding various topics. This social media platform is commonly used by pre-health students to discuss career options. The survey consisted of 28 items and two domains, demographics and prospective healthcare students' understanding of responsibilities of pharmacists and their overall perspective on pharmacy as a profession. The survey was targeted toward anyone with an intention of pursuing a health science degree or career.</div></div><div><h3>Result</h3><div>Four hundred participants completed the survey. Participants were mainly Caucasian, male, and with a mean age of 25 years. This study assessed prospective candidates' perspectives and attitudes toward pharmacy as a career pathway, appealing and unappealing characteristics about pursuing a career in the field of pharmacy, and factors that motivate or deter candidates from pursuing pharmacy. While 68 % of the participants had heard that career choices are vast and vary in the field of pharmacy, most still had concerns about the pharmacy field being heavily saturated and lack of job opportunities after graduation. Almost 60 % of responders gained information about pharmacy programs through social media platforms. The North American Pharmacist Licensure Examination pass rate, postgraduate residencies/fellowships, program duration and program reputation were among the top factors in choosing a pharmacy program.</div></div><div><h3>Conclusion</h3><div>Many survey participants had heard that there are a variety of job opportunities in the field of pharmacy, but the majority had heard that the pharmacy field is heavily saturated and that there are lack of opportunities after graduation. Most responders gained information through social media platforms. For prospective pharmacy school candidates, NAPLEX pass rate, number of graduates matched with PGY1 residencies and fellowships, a
背景近年来,随着全国药学院数量的增加以及药学院申请人数的减少,药学院的招生挑战成为当今药学项目面临的首要问题。评估影响考生就读药学院可能性的因素非常重要。目标描述潜在考生对药剂学这一职业途径的看法和态度,评估促使或阻止他们将药剂学作为职业以及考虑特定药剂学院校的因素。方法本研究为横断面研究,采用在线数据收集表,从 2022 年 10 月 4 日到 2022 年 10 月 12 日在社交媒体平台 Reddit 上通过 Qualtrics 平台发布。Reddit 有数百个子社区,被称为子 Reddits,可以就各种主题进行交流和讨论。这个社交媒体平台通常被健康预科学生用来讨论职业选择。调查包括 28 个项目和两个领域,即人口统计学和未来医疗保健专业学生对药剂师职责的理解以及他们对药剂师这一职业的总体看法。调查对象是任何有意攻读健康科学学位或从事健康科学职业的人。参与者主要为白种人,男性,平均年龄为 25 岁。本研究评估了潜在候选人对药剂学这一职业途径的看法和态度、从事药剂学职业的吸引力和不吸引力特征,以及激励或阻止候选人从事药剂学职业的因素。虽然 68% 的参与者听说药剂学领域的职业选择多种多样,但大多数人仍然担心药剂学领域严重饱和以及毕业后缺乏就业机会。近 60% 的受访者通过社交媒体平台获得了有关药学专业的信息。北美药剂师执照考试通过率、研究生实习/奖学金、课程持续时间和课程声誉是选择药剂学课程的首要因素。结论许多调查参与者听说药剂学领域有各种各样的工作机会,但大多数人听说药剂学领域已严重饱和,毕业后缺乏工作机会。大多数受访者通过社交媒体平台获取信息。对于未来的药学院候选人来说,NAPLEX 通过率、与 PGY1 住院医师和奖学金相匹配的毕业生人数以及课程的持续时间和声誉似乎是选择药学课程的最重要因素。潜在考生在选择药学专业时所考虑的因素以及他们用来研究专业的方法可能是药学专业招生的重要考虑因素。了解考生的偏好和对药学领域的基本了解有助于制定有针对性的招生策略,并为药学专业的决策和招生工作提供信息。
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引用次数: 0
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Exploratory research in clinical and social pharmacy
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