Acceptability of Naloxone Dispensing Among Pharmacists.
Acceptability of Naloxone Dispensing Among Pharmacists.
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DOI：
10.1177/0897190018798465
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发表时间：
2020-06
影响因子：
1.3
通讯作者：
Coffin P
中科院分区：
文献类型：
--
作者：
Do V;Behar E;Turner C;Geier M;Coffin P
解决阿片类药物流行病需要整个医疗保健系统的参与，包括药剂师。旧金山弗朗西斯科公共卫生部在六个安全网诊所启动了纳洛酮处方。我们评估了这种干预，证明从初级保健诊所开纳洛酮是可行的和可接受的。在参与纳洛酮干预的诊所服务药师中，评价向阿片类药物处方患者分配纳洛酮的可接受性。我们调查了58名为旧金山弗朗西斯科安全网诊所提供服务的药店的药剂师。面对面调查收集了有关人口统计数据、纳洛酮配药经验以及对规定权威的兴趣的信息。调查于2013年11月至2015年1月完成。我们进行了描述性分析，并评估了双变量关系。大多数受访者是工作人员（56.9%）或主管药剂师（34.5%）。大多数人（92.9%）知道他们的药房储存了纳洛酮，86.8%的人认为应该为一些或所有长期服用阿片类药物的患者开具处方。大多数（82.1%）在过去12个月内至少分发过一次纳洛酮。超过一半的人愿意提供纳洛酮教育。近一半（43.4%）的人表示，他们希望当局在没有处方的情况下提供。超过一半（55.2%）的人报告没有配药问题。常见的问题是缺乏足够的纳洛酮知识。只有12%的人报告了向患者分发纳洛酮时存在的一个以上问题，这与教育患者感到不舒服有关（p=0.03）。药师可以接受纳洛酮配药。他们最常提到的问题是缺乏足够的纳洛酮教育。这可以通过改进教学材料、鼓励广泛的患者教育或强制性培训来解决。
Addressing the opioid epidemic requires participation from the entire healthcare system, including pharmacists. The San Francisco Department of Public Health initiated naloxone prescribing at six safety net clinics. We evaluated this intervention, demonstrating that naloxone prescribing from primary care clinics is feasible and acceptable. To evaluate acceptability of naloxone dispensing to patients prescribed opioids among pharmacists serving clinics participating in a naloxone intervention. We surveyed 58 pharmacists at pharmacies that serviced San Francisco safety net clinics. In-person surveys collected information on demographics, experiences in dispensing naloxone, and interest in prescriptive authority. Surveys were completed November 2013 through January 2015. We conducted descriptive analyses and assessed bivariate relationships. Most respondents were staff (56.9%) or supervising pharmacists (34.5%). Most (92.9%) were aware their pharmacy stocked naloxone and 86.8% felt it should be prescribed to some or all patients on long-term opioids. Most (82.1%) dispensed naloxone at least once in the past 12 months. More than half were comfortable providing naloxone education. Nearly half (43.4%) indicated they would want authority to furnish without a prescription. Over half (55.2%) reported no problems dispensing. The common problem was lack of sufficient naloxone knowledge. Only 12% reported more than one problem in dispensing naloxone to patients, which was associated with being uncomfortable with educating patients (p=0.03). Naloxone dispensing was acceptable among pharmacists. Their most cited problem was lack of sufficient naloxone education. This may be resolved with improved instructional materials, incentives for extensive patient education, or mandatory training.
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DOI：
10.1007/s11524-015-9967-y
发表时间：
2015-08-01
影响因子：
6.6
作者：
Visconti, Adam J.;Santos, Glenn-Milo;Coffin, Phillip O.
通讯作者：
Coffin, Phillip O.
影响因子：
6
作者：
Nielsen, Suzanne;Menon, Nadia;Degenhardt, Louisa
通讯作者：
Degenhardt, Louisa
DOI：
10.1016/j.japh.2016.12.070
发表时间：
2017-03-01
影响因子：
2.1
作者：
Thornton, J. Douglas;Lyvers, Elizabeth;Dwibedi, Nilanjana
通讯作者：
Dwibedi, Nilanjana
DOI：
10.1136/bmj.f174
发表时间：
2013-01-30
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Walley AY;Xuan Z;Hackman HH;Quinn E;Doe-Simkins M;Sorensen-Alawad A;Ruiz S;Ozonoff A
通讯作者：
Ozonoff A