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灾难健康管理:药剂师适合加入团队吗?

Disaster Health Management: Do Pharmacists Fit in the Team?

作者信息

Watson Kaitlyn E, Tippett Vivienne, Singleton Judith A, Nissen Lisa M

机构信息

Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.

School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia.

出版信息

Prehosp Disaster Med. 2019 Feb;34(1):30-37. doi: 10.1017/S1049023X18001152. Epub 2019 Jan 3.

Abstract

BACKGROUND

In addition to the traditional logistics role, pharmacists are undertaking important new roles in disasters. Despite this, little is known about the level of acceptance of these activities by other providers.

PROBLEM

The aim of this study was to determine the international opinion of disaster and health professionals regarding the emerging roles of pharmacists in disasters.

METHODS

Delegates at the World Association for Disaster and Emergency Medicine's (WADEM; Madison, Wisconsin USA) 20th Congress in Toronto, Canada (April 2017) were invited to complete an anonymous survey posing eight questions regarding attitudes towards pharmacists' roles in disasters. Quantitative data were analyzed using IBM (IBM Corp.; Armonk, New York USA) SPSS statistical software version 23, and qualitative data were manually coded.

RESULTS

Of the 222 surveys handed out, 126 surveys were completed yielding a 56.8% response rate. Of the respondents, 96.8% (122/126) believed pharmacists had a role in disasters additional to logistics. Out of 11 potential roles pharmacists could perform in a disaster, provided on a 5-point Likert scale, eight roles were given a rating of "Agree" or "Strongly Agree" by 72.4% or more of the participants. Lack of understanding of a pharmacist's roles and capabilities was the highest described barrier to pharmacists' roles in disaster management.

CONCLUSIONS

This multi-disciplinary disaster health "community" agreed pharmacists have roles in disasters in addition to the established role in supply chain logistics. Participants accepted that pharmacists could possibly undertake numerous clinical roles in a disaster. Several barriers were identified that may be preventing pharmacists from being further included in disaster health management planning and response.WatsonKE, TippettV, SingletonJA, NissenLM. Disaster health management: do pharmacists fit in the team?Prehosp Disaster Med. 2019;34(1):30-37.

摘要

背景

除了传统的物流角色外,药剂师在灾害中还承担着重要的新角色。尽管如此,对于其他医疗服务提供者对这些活动的接受程度却知之甚少。

问题

本研究的目的是确定灾害和卫生专业人员对药剂师在灾害中新兴角色的国际看法。

方法

邀请参加2017年4月在加拿大多伦多举行的世界灾害与急诊医学协会(WADEM;美国威斯康星州麦迪逊)第20届大会的代表完成一项匿名调查,该调查提出了八个关于对药剂师在灾害中角色态度的问题。使用IBM(IBM公司;美国纽约州阿蒙克)SPSS统计软件版本23对定量数据进行分析,定性数据进行人工编码。

结果

在发放的222份调查问卷中,126份问卷完成,回复率为56.8%。在受访者中,96.8%(122/126)认为药剂师在灾害中除了物流角色外还有其他作用。在药剂师在灾害中可以执行的11个潜在角色中,采用5点李克特量表进行评估,72.4%或更多的参与者对其中8个角色给予了“同意”或“强烈同意”的评价。对药剂师角色和能力缺乏了解是描述最多的药剂师参与灾害管理的障碍。

结论

这个多学科的灾害卫生“群体”一致认为,药剂师在灾害中除了在供应链物流中的既定角色外还有其他作用。参与者认可药剂师在灾害中可能承担众多临床角色。确定了几个可能阻碍药剂师进一步参与灾害卫生管理规划和应对的障碍。沃森KE、蒂皮特V、辛格尔顿JA、尼森LM。灾害卫生管理:药剂师适合加入团队吗?院前灾难医学。2019;34(1):30-37。

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