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意大利社区药剂师在免疫实践中发挥专业作用以应对疫苗犹豫的实施情况。

The Implementation of the Professional Role of the Community Pharmacist in the Immunization Practices in Italy to Counteract Vaccine Hesitancy.

作者信息

Ciliberti Rosagemma, Bragazzi Nicola Luigi, Bonsignore Alessandro

机构信息

Section of History of Medicine and Bioethics, Department of Health Sciences (DISSAL), University of Genoa, 16132 Genoa, Italy.

Postgraduate School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, 16132 Genoa, Italy.

出版信息

Pharmacy (Basel). 2020 Aug 25;8(3):155. doi: 10.3390/pharmacy8030155.

DOI:10.3390/pharmacy8030155
PMID:32854420
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7558843/
Abstract

In Italy, the National Vaccinal Prevention Plan has renewed the commitment of the Italian government to promote a culture of vaccination practices in the general population and especially among healthcare professionals, considering it as a strategic goal. The search for useful tools and techniques to promote a layered and widespread information network capable of restoring a climate of trust and confidence towards vaccination, leads us to reflect on the possibility, already adopted in numerous countries, of enlisting community pharmacies in immunization campaigns also in Italy, positively implementing the professional role of the community pharmacist in immunization. The pharmacist is often the first point of contact with both the patients and the public, both for the relationship of trust and confidence that binds him to the citizens, and for the ease of access in relation to the widespread distribution of community pharmacies in the territory, the availability of prolonged operating hours, the absence of need for appointments and positions near/outside of healthcare facilities. Currently, in Italy the role of the community pharmacist is limited to counseling and providing advice and information regarding the benefits and/or any risks of vaccination practices, but does not imply a direct engagement in immunization programs, rather a collaboration to avoid straining and overwhelming the vaccination centers. Some recent questionnaire-based studies have shown that Italian community pharmacists have attitudes that are favorable to vaccinations, even though their knowledge is rather limited. Together with expanding the engagement of community pharmacists in immunization programs, their educational gap should be addressed in order to significantly improve and enhance the protection of the public health.

摘要

在意大利,《国家疫苗预防计划》重申了意大利政府的承诺,即将促进全民尤其是医护人员的疫苗接种文化视为一项战略目标。寻找有用的工具和技术来促进一个分层且广泛的信息网络,以恢复对疫苗接种的信任和信心氛围,这促使我们思考在意大利也采用许多国家已经实施的做法,即让社区药房参与免疫接种活动,积极发挥社区药剂师在免疫接种中的专业作用。药剂师通常是与患者和公众的第一个接触点,这既是因为将他与公民联系在一起的信任关系,也是因为社区药房在当地广泛分布、营业时间长、无需预约以及位于医疗机构附近/外部等便利因素。目前,在意大利,社区药剂师的角色仅限于就疫苗接种的益处和/或任何风险提供咨询、建议和信息,但并不意味着直接参与免疫接种计划,而是进行协作以避免给疫苗接种中心造成压力和负担过重。最近一些基于问卷调查的研究表明,意大利社区药剂师对疫苗接种持支持态度,尽管他们的知识相当有限。在扩大社区药剂师参与免疫接种计划的同时,应解决他们的教育差距问题,以便显著改善和加强对公众健康的保护。

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The Role of Hospital and Community Pharmacists in the Management of COVID-19: Towards an Expanded Definition of the Roles, Responsibilities, and Duties of the Pharmacist.医院和社区药剂师在新冠疫情管理中的作用:迈向对药剂师角色、职责和义务的扩展定义
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BMC Public Health. 2019 Dec 18;19(1):1698. doi: 10.1186/s12889-019-8044-y.
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Words matter: Vaccine hesitancy, vaccine demand, vaccine confidence, herd immunity and mandatory vaccination.用词很重要:疫苗犹豫、疫苗需求、疫苗信心、群体免疫与强制接种疫苗。
Vaccine. 2020 Jan 22;38(4):709-711. doi: 10.1016/j.vaccine.2019.11.056. Epub 2019 Dec 11.
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Ann Ig. 2019 Jul-Aug;31(4):309-315. doi: 10.7416/ai.2019.2264.
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