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药剂师针对轻症疾病的处方服务发展:安大略省的经验

Pharmacist Prescribing for Minor Ailments Service Development: The Experience in Ontario.

作者信息

Nakhla Nardine, Shiamptanis Anastasia

机构信息

School of Pharmacy, University of Waterloo, 10A Victoria St. S., Kitchener, ON N2G 1C5, Canada.

Ontario College of Pharmacists, 483 Huron St., Toronto, ON M5R 2R4, Canada.

出版信息

Pharmacy (Basel). 2021 Apr 27;9(2):96. doi: 10.3390/pharmacy9020096.

DOI:10.3390/pharmacy9020096
PMID:33925675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8167622/
Abstract

To date, eight of ten Canadian provinces have authorized pharmacists to prescribe for minor ailments. Prompted by a request by the Ontario Minister of Health, draft regulations were submitted to enable this pharmacy service in Ontario. Differences exist in how jurisdictions have approached development and delivery of these programs. This paper will summarize key differences and similarities among existing programs while highlighting the multi-pronged approach utilized by Ontario. Such an approach involved broad stakeholder engagement, implementation science, and an evaluations framework to guide an assessment of the impact of this new service. These insights can be leveraged by other jurisdictions planning to initiate or evolve their minor ailment prescribing services.

摘要

迄今为止,加拿大十个省份中有八个已授权药剂师为轻症疾病开处方。应安大略省卫生部长的要求,提交了法规草案,以便在安大略省开展这项药房服务。各司法管辖区在这些项目的开发和提供方式上存在差异。本文将总结现有项目之间的主要差异和相似之处,同时突出安大略省采用的多管齐下的方法。这种方法涉及广泛的利益相关者参与、实施科学以及一个评估框架,以指导对这项新服务影响的评估。其他计划启动或改进其轻症疾病开处方服务的司法管辖区可以借鉴这些见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c2/8167622/27360d81d8b9/pharmacy-09-00096-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c2/8167622/4f23bb8d570b/pharmacy-09-00096-g0A1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c2/8167622/27360d81d8b9/pharmacy-09-00096-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c2/8167622/4f23bb8d570b/pharmacy-09-00096-g0A1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c2/8167622/27360d81d8b9/pharmacy-09-00096-g001.jpg

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Cost utility of a pharmacist-led minor ailment service compared with usual pharmacist care.与普通药剂师护理相比,药剂师主导的小病服务的成本效益。
Cost Eff Resour Alloc. 2020 Jul 28;18:24. doi: 10.1186/s12962-020-00220-0. eCollection 2020.
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Educational needs of community pharmacy staff in minor ailment service delivery: A systematic scoping review.
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Examining equity in a void of evidence - Pharmacist minor ailments services and the role of systematic reviews.在缺乏证据的情况下审视公平性——药剂师小病服务与系统评价的作用。
Explor Res Clin Soc Pharm. 2022 Aug 23;7:100174. doi: 10.1016/j.rcsop.2022.100174. eCollection 2022 Sep.
社区药剂师在小病服务提供方面的教育需求:系统范围界定综述。
Curr Pharm Teach Learn. 2020 Oct;12(10):1269-1287. doi: 10.1016/j.cptl.2020.05.013. Epub 2020 Jun 23.
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Evaluation of a Collaborative Protocolized Approach by Community Pharmacists and General Medical Practitioners for an Australian Minor Ailments Scheme: Protocol for a Cluster Randomized Controlled Trial.社区药剂师与普通医生针对澳大利亚小病诊疗计划采用协作式标准化方法的评估:一项整群随机对照试验方案
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