Chuc Nguyen T K, Larsson Mattias, Do Nguyen T, Diwan Vinod K, Tomson Goran B, Falkenberg Torkel
Hanoi Medical University, Vietnam.
J Clin Epidemiol. 2002 Nov;55(11):1148-55. doi: 10.1016/s0895-4356(02)00458-4.
The objective of this study was to assess the effects of a multicomponent intervention on private pharmacy practice. From 641 private pharmacies in Hanoi, 68 pharmacies were randomly selected and matched into 34 pairs. Each pair consisted of a control and an intervention pharmacy. Three interventions were applied sequentially: Regulatory enforcement, Education, and Peer influence. Four tracer conditions were selected: uncomplicated acute respiratory infection (ARI), sexually transmitted disease (STD), requesting the prescription-only drugs prednisolone, and a short course of cefalexin. Practice was assessed through the Simulated Client Method (SCM). The intervention pharmacies improved significantly compared to the control pharmacies (P <.05) in all tracer conditions. For ARI, antibiotic dispensing decreased (P <.02) and questions regarding breathing increased (P <.01). For STD, advice to go to the doctor and dispensing the correct syndromic treatment increased (P <.01). Dispensing of prednisolone and cefalexin decreased (P <.01) and prescription requests increased (P <.01). Our conclusion is that it is possible to improve private pharmacy practice with a multicomponent intervention.
本研究的目的是评估多组分干预对私立药房业务的影响。从河内的641家私立药房中，随机选取68家药房并配对成34对。每对由一家对照药房和一家干预药房组成。依次实施了三项干预措施：监管执法、教育和同行影响。选取了四种追踪情况：单纯性急性呼吸道感染（ARI）、性传播疾病（STD）、索取仅凭处方销售的药物泼尼松龙以及短期服用头孢氨苄。通过模拟客户法（SCM）对业务进行评估。在所有追踪情况下，干预药房与对照药房相比均有显著改善（P<.05）。对于ARI，抗生素配药减少（P<.02），关于呼吸的问题增多（P<.01）。对于STD，建议就医以及正确的综合征治疗配药增加（P<.01）。泼尼松龙和头孢氨苄的配药减少（P<.01），处方索取增加（P<.01）。我们的结论是，通过多组分干预有可能改善私立药房业务。
