Ford Heath, Dallas Cham E, Harris Curt
South College School of Pharmacy, Knoxville, Tennessee.
Institute for Disaster Management, College of Public Health, University of Georgia, Athens, Georgia.
Disaster Med Public Health Prep. 2013 Dec;7(6):563-72. doi: 10.1017/dmp.2013.99. Epub 2013 Oct 11.
Numerous practice reports recommend roles pharmacists may adopt during disasters. This study examines the peer-reviewed literature for factors that explain the roles pharmacists assume in disasters and the differences in roles and disasters when stratified by time.
Quantitative content analysis was used to gather data consisting of words and phrases from peer-reviewed pharmacy literature regarding pharmacists' roles in disasters. Negative binomial regression and Kruskal-Wallis nonparametric models were applied to the data.
Pharmacists' roles in disasters have not changed significantly since the 1960s. Pharmaceutical supply remains their preferred role, while patient management and response integration roles decrease in context of common, geographically widespread disasters. Policy coordination roles, however, significantly increase in nuclear terrorism planning.
Pharmacists' adoption of nonpharmaceutical supply roles may represent a problem of accepting a paradigm shift in nontraditional roles. Possible shortages of personnel in future disasters may change the pharmacists' approach to disaster management.
众多实践报告推荐了药剂师在灾难期间可承担的角色。本研究查阅了同行评审文献，以探究解释药剂师在灾难中所承担角色的因素，以及按时间分层时角色与灾难的差异。
采用定量内容分析法收集数据，这些数据由同行评审的药学文献中关于药剂师在灾难中角色的单词和短语组成。对数据应用负二项回归和Kruskal-Wallis非参数模型。
自20世纪60年代以来，药剂师在灾难中的角色没有显著变化。药品供应仍然是他们首选的角色，而在常见的、地理分布广泛的灾难背景下，患者管理和应对整合角色有所减少。然而，在核恐怖主义规划中，政策协调角色显著增加。
药剂师承担非药品供应角色可能代表着接受非传统角色范式转变的问题。未来灾难中可能出现的人员短缺可能会改变药剂师的灾难管理方式。
