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社区药剂师在为有姑息治疗需求的澳大利亚老年人提供支持方面扮演着怎样的角色?

What Is the Community Pharmacists' Role in Supporting Older Australians with Palliative Care Needs?

作者信息

Tait Paul, Chakraborty Amal, Jones Kelly, Tieman Jennifer

机构信息

Southern Adelaide Palliative Services, Flinders Medical Centre, SA Health, Bedford Park, SA 5042, Australia.

Research Centre for Palliative Care, Death and Dying, College of Nursing and Health Sciences, Flinders University, Bedford Park, SA 5042, Australia.

出版信息

Healthcare (Basel). 2021 Apr 21;9(5):489. doi: 10.3390/healthcare9050489.

DOI:10.3390/healthcare9050489
PMID:33919247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8143164/
Abstract

As the population ages, the number of older populations globally requiring palliative care is rapidly growing, requiring services of multidisciplinary teams-including community pharmacists. The aim of this study is to describe the community pharmacists' perceived role in providing services to community dwelling older Australians receiving palliative care. Utilising an eight-domain End of Life Directions for Aged Care (ELDAC) care model, a national cross-sectional questionnaire was designed and undertaken online with Australian community pharmacists. Respondents were asked questions relating to socio-demographic characteristics, practice characteristics, and scope of services provided. Of the 62 pharmacists who responded to the questionnaire, 51 were included in the final data analysis and reporting. Pharmacists working in dispensing roles made up about half of the respondents, while the remainder worked in settings such as general practice, residential aged care, or providing medication review services. Pharmacists can identify patients with indicators of poor life expectancy and mostly work with older Australians daily. Dispensing and non-dispensing pharmacists offer a range of services that complement each other. Organisations caring for the aged should consider the role of the pharmacist, in caring for people with palliative care needs, along with their carers.

摘要

随着人口老龄化,全球需要姑息治疗的老年人口数量正在迅速增长,这需要多学科团队(包括社区药剂师)提供服务。本研究的目的是描述社区药剂师在为接受姑息治疗的澳大利亚居家老年人提供服务中所感知到的角色。利用一个八领域的老年护理临终指南(ELDAC)护理模型,设计了一份全国性横断面调查问卷,并在网上对澳大利亚社区药剂师进行了调查。向受访者询问了与社会人口特征、执业特征以及所提供服务范围相关的问题。在回复问卷的62名药剂师中,51名被纳入最终数据分析和报告。从事配药工作的药剂师约占受访者的一半,其余的则在诸如全科医疗、老年护理机构或提供药物审查服务等场所工作。药剂师能够识别预期寿命较短的患者,并且大多每天都与澳大利亚老年人打交道。配药和非配药药剂师提供一系列相互补充的服务。照顾老年人的机构应该考虑药剂师在照顾有姑息治疗需求的人群及其护理人员方面的作用。

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Variation in Provision of Collaborative Medication Reviews on Entry to Long-Term Care Facilities.长期护理机构入院时协作药物审查服务的提供情况存在差异。
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Pharmacy (Basel). 2020 Aug 12;8(3):143. doi: 10.3390/pharmacy8030143.
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Residential Aged Care Pharmacist: An Australian Pilot Trial Exploring the Impact on Quality Use of Medicines Indicators.老年护理药剂师:一项探索对合理用药指标影响的澳大利亚试点试验
Medicines (Basel). 2020 Apr 20;7(4):20. doi: 10.3390/medicines7040020.
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Polypharmacy among older Australians, 2006-2017: a population-based study.2006-2017 年澳大利亚老年人的多重用药情况:一项基于人群的研究。
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