J Am Pharm Assoc (2003). 2020 Jul-Aug;60(4):e1-e6. doi: 10.1016/j.japh.2020.01.005. Epub 2020 Feb 14.
The primary objectives of this commentary are to (1) summarize the role of pharmacists as an advocate for the health care and appropriate use of medications of migrants in immigration detention centers and (2) describe methods to advocate for this vulnerable population.
There is a current humanitarian crisis occurring within the United States that violates the responsibilities and values held by members of the profession of pharmacy. Reports by reputable news organizations and members of U.S. Congress have shared that there have been inappropriate distribution and use of medications in migrant detention centers along the southern border. Specific instances have been described, including lack of access to vaccinations and vital medications to control chronic conditions and treat acute conditions. The role of the pharmacist is to ensure safe and effective use of medications. This role is not being fulfilled at migrant detention centers in the United States. By advocating to elected leaders, the Department of Homeland Security, and Customs Border and Protection for legislation that ensures the appropriate use and access of medications for migrants in immigration detention centers, pharmacists can push for the appropriate care for this vulnerable patient population.
The professional values of a pharmacist should not be hindered by a border or the citizenship of a patient. As is stated in the Oath of a Pharmacist, pharmacists must "consider the welfare of humanity and relief of suffering [their] primary concern." Through advocacy, pharmacists and student pharmacists can uphold their professional ethics and roles on the health care team by advocating for the care of a patient population that needs the profession's help.
本篇评论的主要目的是:(1) 总结药剂师作为移民拘留中心移民医疗保健和适当用药的倡导者的作用;(2) 描述为这一弱势群体辩护的方法。
美国目前正发生一场人道主义危机,违反了药学专业人员的责任和价值观。有声誉的新闻机构和美国国会议员的报告都指出,在南部边境的移民拘留中心存在不适当的药物分发和使用情况。具体情况包括无法获得疫苗和控制慢性病和治疗急性病的重要药物。药剂师的作用是确保药物的安全和有效使用。但这一作用在美国的移民拘留中心并未得到履行。药剂师可以通过向民选官员、国土安全部和国海关与边境保护局倡导立法,确保移民拘留中心的移民能够适当使用和获得药物,从而推动为这一弱势患者群体提供适当的护理。
药剂师的专业价值观不应受到国界或患者公民身份的阻碍。正如《药师誓言》所述,药师必须“将人类的福利和减轻痛苦作为首要关注”。通过倡导,药剂师和药学学生可以通过倡导为需要专业帮助的患者群体提供护理,来维护他们在医疗保健团队中的职业道德和角色。