Rural and small metro area naloxone-dispensing pharmacists' attitudes, experiences, and support for a frontline public health pharmacy role to increase naloxone uptake in New York State, 2019.
Rural and small metro area naloxone-dispensing pharmacists' attitudes, experiences, and support for a frontline public health pharmacy role to increase naloxone uptake in New York State, 2019.
复制标题
DOI：
10.1016/j.jsat.2021.108372
复制
发表时间：
2021-10
影响因子：
3.9
通讯作者：
Lewis CF
中科院分区：
文献类型：
--
作者：
Tofighi B;Lekas HM;Williams SZ;Martino D;Blau C;Lewis CF
本研究的目的是评估纽约州非城市地区社区药剂师对纳洛酮配药和咨询的态度和经验，以更好地了解影响纳洛酮药房供应的个体和结构因素。该研究在2019年10月至2019年12月期间对零售、独立和超市药店的社区药剂师进行了由访谈者管理的半结构化调查。调查共29项，明确药师的人口学特征和执业特征；与纳洛酮配药相关的经验和信念；以及对扩大药房服务以包括为阿片类药物使用者提供现场公共卫生服务的态度。该研究使用卡方检验来确定每个特征与自我报告的纳洛酮分配之间的关联（有vs无）。研究小组接触的80名社区药剂师中，总共有60人同意参与。大多数人支持扩大以药店为基础的疫苗接种（93.3%）、现场艾滋病毒检测或转诊（分别为75%和96.7%）、提供安全注射器使用（93.3%）和处置（98.3%）的信息，以及转诊到医疗/社会服务（88.3%），特别是药物使用治疗（90%）。大多数受访药剂师否认对业务的负面影响，超过一半的人报告了活性纳洛酮的分配（58.3%）。与不配发纳洛酮的药师相比，配发纳洛酮的药师更有可能使用多种语言（p<0.03），并且更有可能专门支持现场HIV检测（p<0.02）。社区药剂师对纽约农村和小城市地区药房的纳洛酮配药高度支持，那些能流利使用其他语言并支持现场艾滋病毒检测的社区药剂师与纳洛酮的积极配药相关。虽然纳洛酮的主动分配很低，但药剂师似乎支持“一线公共卫生提供者”模式，这可以促进纳洛酮的吸收，值得大规模调查。农村和小城市地区的药剂师普遍赞成纳洛酮的配药。
The purpose of this study is to assess community pharmacists’ attitudes and experiences related to naloxone dispensation and counseling in non–urban areas in New York state to better understand individual and structural factors that influence pharmacy provision of naloxone. The study conducted interviewer-administered semistructured surveys among community pharmacists in retail, independent, and supermarket pharmacies between October 2019 and December 2019. The 29-item survey ascertained pharmacists’ demographic and practice characteristics; experiences and beliefs related to naloxone dispensation; and attitudes toward expansion of pharmacy services to include on-site public health services for persons who use opioids. The study used Chi square tests to determine associations between each characteristic and self-reported naloxone dispensation (any vs. none). A total of 60 of the 80 community pharmacists that the study team had approached agreed to participate. A majority were supportive of expanding pharmacy-based access to vaccinations (93.3%), on-site HIV testing, or referrals (75% and 96.7%, respectively), providing information on safe syringe use (93.3%) and disposal (98.3%), and referrals to medical/social services (88.3%), specifically substance use treatment (90%). A majority of pharmacist respondents denied negative impacts on business with over half reporting active naloxone dispensation (58.3%). Pharmacists dispensing naloxone were more likely to be multilingual (p<0.03), and to specifically support on-site HIV testing (p<0.02) than those who were not dispensing naloxone. Community pharmacists were highly favorable of naloxone dispensation in rural and small metro area pharmacies in NY, and those fluent in additional language(s) and supportive of on-site HIV testing were associated with active naloxone dispensation. While active naloxone dispensation was low, pharmacists appear supportive of a “frontline public health provider” model, which could facilitate naloxone uptake and warrants large-scale investigation. Rural and small metro area pharmacists are generally favorable of naloxone dispensation.
登录
查看更多内容
DOI：
10.1016/j.japh.2017.01.017
发表时间：
2017-03-01
影响因子：
2.1
作者：
Morton, Kate J.;Harrand, Brianna;Clark, Karen
通讯作者：
Clark, Karen
影响因子：
4.4
作者：
Sherman, Susan G.;Gann, Donald S.;Bielenson, Peter
通讯作者：
Bielenson, Peter
DOI：
10.1016/j.japh.2017.01.013
发表时间：
2017-03-01
影响因子：
2.1
作者：
Green, Traci C.;Case, Patricia;Bratberg, Jeffrey
通讯作者：
Bratberg, Jeffrey
DOI：
10.1016/j.sapharm.2012.11.003
发表时间：
2013-11-01
影响因子：
3.9
作者：
McMillan, Sara S.;Wheeler, Amanda J.;Kelly, Fiona
通讯作者：
Kelly, Fiona
旧金山阿片类药物用户的预防过量预防和纳洛酮处方。
DOI：
10.1007/s11524-010-9495-8
发表时间：
2010-12
影响因子：
6.6
作者：
Enteen, Lauren;Bauer, Joanna;McLean, Rachel;Wheeler, Eliza;Huriaux, Emalie;Kral, Alex H.;Bamberger, Joshua D.
通讯作者：
Bamberger, Joshua D.