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波多黎各自然灾害后患者用药需求描述及社区药剂师的作用

Description of Patients Medications Needs and the Community Pharmacist's Role in Puerto Rico Following a Natural Disaster.

作者信息

Jiménez-Mangual Beatriz C, Cuevas-Acevedo Darilys M, Quiles-Alves Nicole, Rodríguez-Nazario Ileana, Melin Kyle R

机构信息

1 University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.

2 Farmacias Caridad, San Juan, Puerto Rico.

出版信息

J Prim Care Community Health. 2019 Jan-Dec;10:2150132719842701. doi: 10.1177/2150132719842701.

DOI:10.1177/2150132719842701
PMID:31064262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6506927/
Abstract

BACKGROUND

In September 2017, Puerto Rico was hit by Hurricane Maria, a natural disaster that caused devastation. Initial reports of disruption to the health care system were later followed by increases in the death toll in Puerto Rico.

OBJECTIVE

This project assessed patient medications needs, level of satisfaction with community pharmacy services, and perceptions about the role of the pharmacist during the emergency following Hurricane Maria in Puerto Rico.

METHODOLOGY

The investigation utilized a descriptive, cross-sectional design. Data were collected at 3 community pharmacies located in San Juan, Puerto Rico: Walgreens (Specialty Pharmacy and Store 891) and Farmacia Caridad #9. Patients receiving care at these locations were invited to complete a 10-item questionnaire. These were provided with an information sheet describing details of the study prior to participation.

RESULTS

Sixty-five patients participated in the study, with an average age of 59 years. The majority (77%) of the respondents reported problems related to their medications and nearly half (47.7%) reported having trouble either contacting or getting to their pharmacy following the hurricane. Regarding the role of pharmacists following a natural disaster, 94% of respondents reported the pharmacist was available to help them and 95% reported the information provided by the pharmacist was "trustworthy/very trustworthy."

CONCLUSION

Although the challenges reported in Puerto Rico with regard to medications following Hurricane Maria were significant, patients reported a high level of confidence in the ability of community pharmacists to help them.

摘要

背景

2017年9月,波多黎各遭受飓风“玛丽亚”袭击,这场自然灾害造成了巨大破坏。最初有关医疗保健系统中断的报道之后,波多黎各的死亡人数有所增加。

目的

本项目评估了波多黎各在飓风“玛丽亚”过后的紧急情况下患者的用药需求、对社区药房服务的满意度以及对药剂师作用的看法。

方法

该调查采用描述性横断面设计。在波多黎各圣胡安的3家社区药房收集数据:沃尔格林(专科药房和891号门店)和卡里达药房9号店。邀请在这些地点接受治疗的患者填写一份10项问卷。在参与之前,向他们提供了一份描述研究细节的信息表。

结果

65名患者参与了该研究,平均年龄为59岁。大多数(77%)受访者报告了与用药相关的问题,近一半(47.7%)报告在飓风过后联系药房或前往药房时遇到困难。关于自然灾害后药剂师的作用,94%的受访者报告药剂师能够帮助他们,95%的受访者报告药剂师提供的信息“值得信赖/非常值得信赖”。

结论

尽管波多黎各在飓风“玛丽亚”过后报告的用药方面的挑战很大,但患者对社区药剂师帮助他们的能力表示高度信任。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/6506927/a88d46f77292/10.1177_2150132719842701-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/6506927/a88d46f77292/10.1177_2150132719842701-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8db/6506927/a88d46f77292/10.1177_2150132719842701-fig1.jpg

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本文引用的文献

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Mortality in Puerto Rico after Hurricane Maria.玛丽亚飓风过后波多黎各的死亡率。
N Engl J Med. 2018 Oct 25;379(17):e30. doi: 10.1056/NEJMc1810872.
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Use of Death Counts From Vital Statistics to Calculate Excess Deaths in Puerto Rico Following Hurricane Maria.
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Health Aff Sch. 2024 Mar 16;2(4):qxae035. doi: 10.1093/haschl/qxae035. eCollection 2024 Apr.
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Examining Global Crises: Extracting Insights From the COVID-19 Pandemic and Natural Disasters to Develop a Robust Emergency Diabetic Retinopathy Strategy for Puerto Rico.审视全球危机:从新冠疫情和自然灾害中汲取见解,为波多黎各制定强有力的糖尿病视网膜病变应急策略。
Cureus. 2023 Oct 15;15(10):e47070. doi: 10.7759/cureus.47070. eCollection 2023 Oct.
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