Disaster Health Management: Do Pharmacists Fit in the Team?
Disaster Health Management: Do Pharmacists Fit in the Team?
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DOI：
10.1017/s1049023x18001152
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发表时间：
2019-02-01
影响因子：
2.2
通讯作者：
Nissen, Lisa M.
中科院分区：
文献类型：
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作者：
Watson, Kaitlyn E.;Tippett, Vivienne;Nissen, Lisa M.
除了传统的物流作用外，药师在灾害中也承担着重要的新角色。尽管如此，我们对其他供应商对这些活动的接受程度知之甚少。本研究的目的是确定灾害和卫生专业人员对灾害中药剂师的新兴作用的国际意见。方法世界灾害与急诊医学协会（WADEM; Madison, Wisconsin USA）第20届大会于2017年4月在加拿大多伦多举行，与会代表受邀完成一项匿名调查，调查内容涉及对药剂师在灾害中角色的态度的八个问题。定量数据采用IBM (IBM Corp.; Armonk, New York USA) SPSS统计软件第23版进行分析，定性数据手工编码。结果在共发出222份调查问卷中，完成126份，回应率为56.8%。在受访者中，96.8%（122/126）认为药剂师除了在物流方面发挥作用外，还在灾难中发挥作用。在灾难中药剂师可能扮演的11个角色中，有8个角色被72.4%或更多的参与者评为“同意”或“非常同意”。缺乏对药剂师的角色和能力的理解是药剂师在灾害管理中扮演的角色的最高障碍。结论这个多学科的灾害卫生“社区”同意药剂师除了在供应链物流中既定的作用外，还在灾害中发挥作用。与会者承认，药剂师可能在灾难中承担多种临床角色。确定了可能阻碍药剂师进一步参与灾害卫生管理规划和应对的若干障碍。
Background In addition to the traditional logistics role, pharmacists are undertaking important new roles in disasters. Despite this, little is known about the level of acceptance of these activities by other providers. Problem The aim of this study was to determine the international opinion of disaster and health professionals regarding the emerging roles of pharmacists in disasters. Methods Delegates at the World Association for Disaster and Emergency Medicine's (WADEM; Madison, Wisconsin USA) 20(th) Congress in Toronto, Canada (April 2017) were invited to complete an anonymous survey posing eight questions regarding attitudes towards pharmacists' roles in disasters. Quantitative data were analyzed using IBM (IBM Corp.; Armonk, New York USA) SPSS statistical software version 23, and qualitative data were manually coded. Results Of the 222 surveys handed out, 126 surveys were completed yielding a 56.8% response rate. Of the respondents, 96.8% (122/126) believed pharmacists had a role in disasters additional to logistics. Out of 11 potential roles pharmacists could perform in a disaster, provided on a 5-point Likert scale, eight roles were given a rating of "Agree" or "Strongly Agree" by 72.4% or more of the participants. Lack of understanding of a pharmacist's roles and capabilities was the highest described barrier to pharmacists' roles in disaster management. Conclusions This multi-disciplinary disaster health "community" agreed pharmacists have roles in disasters in addition to the established role in supply chain logistics. Participants accepted that pharmacists could possibly undertake numerous clinical roles in a disaster. Several barriers were identified that may be preventing pharmacists from being further included in disaster health management planning and response.