The role of community pharmacy in the management of age-related musculoskeletal conditions

肌肉骨骼疾病(MSK)非常普遍，给个人、社会和经济造成了沉重的负担。由于大多数发病率是由于与年龄相关的形式，如关节炎，MSK的患病率和负担将随着人口老龄化而上升。建议将自我管理和生活方式支持与药物管理选择结合起来；然而，获得这种支持以及提供这种支持的方式存在很大差异。社区药房的设置和工作人员是促进社区健康和福祉的重要空间和资源。如果社区药房可以提供一种有效的生活方式和肌肉骨骼疾病的自我管理支持，那么这可以减少对初级和二级保健中稀缺的NHS资源的需求。通过与坎布里亚和东北地区当地药房专业网络的合作，该项目将致力于了解社区药房目前和未来的作用。首先，政策文件分析将绘制社区药房的版图，以确定其预期提供的服务。其次，对社区药房团队的全国调查将确定人们对提供服务的角色、优先事项和信心。第三，多地点的人种志将确定社区药房目前发生的事情。这些发现将向健康专业人士、公众和学术界受众传播。预期的项目影响包括对学术知识和辩论的贡献；以及优化基于社区药房的对MSK患者的支持的潜力，反过来促进更好的护理和更有效地使用NHS资源。

Musculoskeletal (MSK) conditions are highly prevalent and result in significant individual, societal and economic burden. With the majority of incidence being due to age-related forms such as arthritis, the prevalence and burden of MSK conditions is set to rise as the population ages. Self-management and lifestyle support are recommended alongside pharmacological management options; however, access to such support and the ways in which it is delivered is highly variable. The community pharmacy setting and its staff are an important space and resource to promote health and wellbeing in the community. If community pharmacy can provide an effective means of lifestyle and self-management support of musculoskeletal conditions, then this could reduce the demand on scarce NHS resources within primary and secondary care. Through collaborating with the Local Professional Network for Pharmacy for Cumbria and the North East, this project will aim to understand the current and future role of community pharmacy. First, a policy document analysis will map the community pharmacy landscape to identify the services it is expected to deliver. Second, a national survey of community pharmacy teams will identify perceived roles, priorities and confidence in delivering services. Third, a multi-site ethnography will identify what currently happens in practice in community pharmacies. The findings will be disseminated to a health professional, public and academic audience. Anticipated project impacts include contributions to academic knowledge and debate; and the potential to optimise community-pharmacy based support for people with MSK conditions, in turn promoting better care and more efficient use of NHS resources.