Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Asheville, NC, USA.
School of Pharmacy, University College London, London, United Kingdom.
Res Social Adm Pharm. 2019 Dec;15(12):1415-1418. doi: 10.1016/j.sapharm.2018.07.008. Epub 2018 Jul 10.
A recent Surgeon General's report encourages people to ask pharmacists about naloxone, but whether pharmacists are well-prepared to respond to these requests is unclear.
Determine factors that are associated with how often pharmacists offer and dispense naloxone.
A convenience sample of 457 community pharmacists in North Carolina completed a 5-min online survey. Linear regressions were conducted to identify factors that are associated with how often pharmacists offer and dispense naloxone. Pharmacists' self-reported barriers to teaching naloxone administration were identified.
Most pharmacists (81.2%) worked in pharmacies that stocked naloxone, but many never offered (36.6%) or dispensed (19.4%) naloxone. Pharmacists offered (β = 0.15, p < 0.01) and dispensed (β = 0.15, p < 0.01) naloxone more often when their pharmacy stocked more naloxone formulations. Pharmacists who were more comfortable discussing naloxone offered it more often (β = 0.26, p = 0.001). Pharmacists who worked in regional/local/grocery chain pharmacies dispensed and offered naloxone less often than other pharmacy types. Barriers to teaching naloxone administration included: time constraints, inadequate training, and perceived lack of patient comprehension.
Many community pharmacists do not offer or dispense naloxone. Pharmacists who are uncomfortable discussing naloxone or work at smaller chain pharmacies may benefit from targeted naloxone training.
最近的一份外科医生报告鼓励人们向药剂师询问纳洛酮，但药剂师是否做好了充分准备来应对这些需求尚不清楚。
确定与药剂师提供和分发纳洛酮的频率相关的因素。
北卡罗来纳州的 457 名社区药剂师参加了一项便利的在线调查。进行线性回归以确定与药剂师提供和分发纳洛酮的频率相关的因素。确定了药剂师在教授纳洛酮管理方面的自我报告障碍。
大多数药剂师（81.2%）在储备纳洛酮的药店工作，但许多药剂师从未提供（36.6%）或分发（19.4%）纳洛酮。药剂师提供（β=0.15，p<0.01）和分发（β=0.15，p<0.01）纳洛酮的频率与其药店储备的纳洛酮制剂数量有关。当他们的药店储备了更多的纳洛酮制剂时，药剂师更愿意讨论纳洛酮。更愿意讨论纳洛酮的药剂师更愿意提供纳洛酮（β=0.26，p=0.001）。在区域/本地/连锁药店工作的药剂师比其他类型的药店更不愿意分发和提供纳洛酮。教授纳洛酮管理的障碍包括：时间限制、培训不足和感知缺乏患者理解。
许多社区药剂师不提供或分发纳洛酮。那些不善于讨论纳洛酮或在较小连锁药店工作的药剂师可能会从有针对性的纳洛酮培训中受益。
