a Clinical Pharmacy Specialist - Pain and Academic Detailing John D. Dingell VA Medical Center 4646 John R St. Detroit , 48201-1932 United States.
b Clinical Pharmacy Specialist - Mental Health Aleda E. Lutz Veterans Affairs Medical Center , Pharmacy, 1500 Weiss St. , Saginaw , 48602 United States.
Subst Abus. 2018;39(2):145-151. doi: 10.1080/08897077.2018.1475317.
To implement a telephone-based pharmacy driven clinic and increase access to opioid overdose education and naloxone distribution (OEND) in an effort to reduce opioid mortality across the catchment area of one Department of Veterans Affairs (VA) Medical Center. The project intended to assess the feasibility of telephone-based OEND, which has not been reported in the literature.
The VA is America's largest integrated healthcare system. The Aleda E. Lutz VA Medical Center located in Saginaw, Michigan (Saginaw VAMC) serves veterans throughout Northern Michigan. Pharmacist at the VA serve veterans' healthcare needs in a variety of roles, from traditional medication dispensing to functioning as prescribers of evidence-based medicine. The VA is among the first large health systems to adopt and implement OEND.
Public health organizations recommend increasing access to naloxone as a key strategy to address the opioid overdose epidemic. Providing lay-persons with naloxone kits is a new concept for patients with long-term opioid therapy. There are no practice models published regarding pharmacy driven telephone-based OEND programs in any setting. A telephone-based OEND consult clinic was created to improve OEND access.
The success of the Clinic was measured by the number of Clinic consults, and a comparison of local naloxone distribution numbers pre- and post-implementation.
The Clinic received 326 consults and 232 were completed January through March of 2017. In calendar-year 2016, 14 naloxone kits were distributed each month on average, whereas 77 naloxone kits on average were released in the first three months of 2017.
Using a combination of printed material and telephone discussion with a pharmacist, the Clinic greatly increased naloxone access in the catchment area. No statistical tests or analysis were performed, however, the clinic dramatically increased the raw number of patients with access to OEND.
实施基于电话的药房驱动诊所，增加阿片类药物过量教育和纳洛酮分发（OEND）的机会，以努力降低一个退伍军人事务部（VA）医疗中心的整个服务区的阿片类药物死亡率。该项目旨在评估电话式 OEND 的可行性，这在文献中尚未报道过。
VA 是美国最大的综合性医疗保健系统。位于密歇根州萨吉诺的 Aleta E. Lutz VA 医疗中心（萨吉诺 VAMC）为北密歇根的退伍军人提供服务。VA 的药剂师以各种角色满足退伍军人的医疗保健需求，从传统的药物配给到作为循证医学的处方医生。VA 是最早采用和实施 OEND 的大型医疗系统之一。
公共卫生组织建议增加纳洛酮的获取，作为解决阿片类药物过量流行的关键策略。为长期接受阿片类药物治疗的患者提供纳洛酮套件是一个新概念。在任何环境中，都没有关于基于电话的药房驱动 OEND 计划的实践模型。创建了一个基于电话的 OEND 咨询诊所，以改善 OEND 的获取途径。
通过诊所咨询的数量以及实施前后当地纳洛酮分布数量的比较来衡量诊所的成功。
该诊所共接待了 326 次咨询，2017 年 1 月至 3 月完成了 232 次咨询。在 2016 年日历年，每月平均分发 14 个纳洛酮套件，而 2017 年的前三个月，平均每月分发 77 个纳洛酮套件。
通过使用印刷材料和与药剂师的电话讨论相结合，该诊所大大增加了服务区内纳洛酮的获取途径。但是，没有进行统计检验或分析，但是，该诊所大大增加了获得 OEND 的患者数量。
