University of Strathclyde, Glasgow, United Kingdom.
J Palliat Med. 2012 Mar;15(3):317-21. doi: 10.1089/jpm.2011.0262. Epub 2012 Feb 17.
Medication, particularly analgesia, is an important component of palliative care. However, timely access to medication, particularly opioids, can become problematic for patients receiving palliative care in the community setting. In Scotland in 2009, NHS Greater Glasgow & Clyde Health Board (NHS GG&C), in partnership with Macmillan Cancer Support, established a programme to improve the local provision of pharmaceutical palliative care services with the appointment of Macmillan Pharmacist Facilitators. Researchers at the University of Strathclyde were commissioned to support the development and evaluation of this new service. We report the findings of this initial investigation into the provision of current palliative care services and outline an evidence-based action plan to support service improvement.
Qualitative data were gathered using focus group interviews. Three key themes were identified: medication supply, communication, and education and training.
The study findings have been used to develop an evidence-based action plan for the Macmillan Pharmacist Facilitators. This program of work is due for completion by December 2012.
药物治疗，尤其是止痛剂，是姑息治疗的一个重要组成部分。然而，对于在社区环境中接受姑息治疗的患者来说，及时获得药物治疗，特别是阿片类药物，可能会成为一个问题。2009 年，苏格兰的 NHS 格拉斯哥和克莱德卫生委员会（NHS GG&C）与 Macmillan 癌症支持组织合作，成立了一个项目，通过任命 Macmillan 药剂师促进者来改善当地的药物姑息治疗服务。斯特拉斯克莱德大学的研究人员受委托支持这项新服务的开发和评估。我们报告了对当前姑息治疗服务提供情况的初步调查结果，并概述了一个基于证据的行动计划，以支持服务改进。
使用焦点小组访谈收集定性数据。确定了三个关键主题：药物供应、沟通和教育及培训。
研究结果已用于为 Macmillan 药剂师促进者制定基于证据的行动计划。这项工作计划将于 2012 年 12 月完成。
