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社区药剂师调配——对专业地位的影响。

Community pharmacy compounding-impact on professional status.

机构信息

Faculty of Pharmacy, The University of Sydney, Pharmacy Building (A15), Sydney, NSW, 2006, Australia.

出版信息

Int J Clin Pharm. 2011 Apr;33(2):177-82. doi: 10.1007/s11096-011-9496-z. Epub 2011 Mar 30.

DOI:10.1007/s11096-011-9496-z
PMID:21448656
Abstract

AIM OF THE REVIEW

Extemporaneous compounding has been a core function for pharmacists and was the basis of pharmacy's claim to professional status. The re-emergence of compounding as a specialised practice warrants investigation regarding the influence of this practice on pharmacy's professional status. The aim of this study was to investigate the contribution of extemporaneous compounding to the professional status of pharmacists in community practice.

METHOD

A search of the literature was conducted using MEDLINE, EMBASE, IPA, ISI WEB OF KNOWLEDGE, PROQUEST SOCIAL SCIENCE JOURNALS, JSTOR and SOCIOLOGICAL ABSTRACTS databases to identify relevant original research articles, reviews or commentaries.

RESULTS

Compounding was an important part of pharmacy's claim to professional status. The expansion of the pharmaceutical industry and decline in demand for compounded medications led to a view that pharmacy suffered a loss of professional status. In recent decades patient centred services have been introduced as a reprofessionalisation strategy. Evidence suggests that compounding, as a specialty practice based on a patient centred approach, is increasingly provided in Australia and the United States.

CONCLUSION

Compounding has emerged as a specialised area of pharmacy practice in Australia and the United States, and when practiced as a patient centred activity may be a strategy for reprofessionalisation. The extension of compounding beyond mere supply and distribution of a pharmaceutical product to become a platform for development of collaborative professional relationships may also lead to enhanced professional status of pharmacists.

摘要

研究目的

临时配制一直是药剂师的核心职能,也是药学声称其专业地位的基础。随着配制作为一种专门实践的重新出现,有必要调查这种实践对药学专业地位的影响。本研究旨在调查临时配制对社区实践中药剂师专业地位的贡献。

研究方法

使用 MEDLINE、EMBASE、IPA、ISI WEB OF KNOWLEDGE、PROQUEST SOCIAL SCIENCE JOURNALS、JSTOR 和 SOCIOLOGICAL ABSTRACTS 数据库对相关原始研究文章、综述或评论进行文献检索,以确定相关研究。

研究结果

配制是药学声称其专业地位的重要组成部分。制药业的扩张和对配制药物需求的下降导致人们认为药学丧失了专业地位。近几十年来,以患者为中心的服务已被引入作为重新专业化的策略。有证据表明,配制作为一种以患者为中心的专业实践,在澳大利亚和美国越来越多地得到应用。

结论

配制已成为澳大利亚和美国药学实践的一个专门领域,当作为以患者为中心的活动进行实践时,可能是重新专业化的一种策略。将配制从单纯的药品供应和分发扩展到成为发展合作专业关系的平台,也可能导致药剂师的专业地位得到提高。

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