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印度尼西亚药品零售网点对新冠病毒病的应对情况:一项关于知识、态度和实践的横断面调查

The response to COVID-19 among drug retail outlets in Indonesia: A cross-sectional survey of knowledge, attitudes, and practices.

作者信息

Mashuri Yusuf Ari, Wulandari Luh Putu Lila, Khan Mishal, Ferdiana Astri, Probandari Ari, Wibawa Tri, Batura Neha, Liverani Marco, Day Richard, Jan Stephen, Schierhout Gill, Wahyono Djoko, Kaldor John, Guy Rebecca, Law Matthew, Yeung Shunmay, Wiseman Virginia

机构信息

Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.

Center for Tropical Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia.

出版信息

Lancet Reg Health West Pac. 2022 Mar 17;22:100420. doi: 10.1016/j.lanwpc.2022.100420. eCollection 2022 May.

DOI:10.1016/j.lanwpc.2022.100420
PMID:35308574
原文链接:
https://pmc.ncbi.nlm.nih.gov/articles/PMC8927934/
Abstract

BACKGROUND

Pharmacists have been at the frontline of the COVID-19 response in Indonesia, providing medicines, advice, and referral services often in areas with limited healthcare access. This study aimed to explore their knowledge, attitudes, and practices during the pandemic, so that we can be better prepared for future emergencies.

METHODS

A cross-sectional online survey of community pharmacists and pharmacy technicians in Indonesia was conducted between July and August 2020. The dataset was analysed descriptively, and logistic regression was used to explore willingness to participate in COVID-19 interventions.

FINDINGS

4716 respondents participated in the survey. Two-thirds (66·7%) reported knowing only "a little" about COVID-19 and around a quarter (26·6%) said they had not received any COVID-19 guidelines. Almost all were concerned about being infected (97·2%) and regularly took steps to protect themselves and their clients (87·2%). Stock-outs of Personal Protective Equipment (PPE) and other products (32·3%) was the main reason for not taking any precautions. Around a third (37·7%) mentioned having dispensed antibiotics to clients suspected of having COVID-19. To support COVID-19 response efforts, most respondents were willing to provide verbal advice to clients (97·8%), distribute leaflets to clients (97·7%), and participate in surveillance activities (88·8%). Older respondents, those identifying as male, and those working in smaller outlets were more willing to provide information leaflets. Those working in smaller outlets were also more willing to engage in outbreak surveillance.

INTERPRETATION

Drug retail outlets continue to operate at the frontline of disease outbreaks and pandemics around the world. These providers have an important role to play by helping to reduce the burden on facilities and providing advice and treatment. To fulfil this role, drug retail outlets require regular access to accurate guidelines and steady supplies of PPE. Calls for drug retail outlet staff to plat in response efforts including the provision of information to clients and surveillance could ease escalating pressures on the health system during future outbreaks.

FUNDING

This study was funded by a grant from the Department of Foreign Affairs and Trade, Australia, under the Stronger Health Systems for Health Security Scheme.

摘要

背景

药剂师一直处于印度尼西亚应对新冠疫情的前线,常在医疗服务可及性有限的地区提供药品、建议和转诊服务。本研究旨在探讨他们在疫情期间的知识、态度和实践,以便我们能更好地为未来的紧急情况做好准备。

方法

2020年7月至8月对印度尼西亚的社区药剂师和药房技术员进行了一项横断面在线调查。对数据集进行描述性分析,并使用逻辑回归来探讨参与新冠疫情干预措施的意愿。

结果

4716名受访者参与了调查。三分之二(66.7%)的人表示对新冠疫情仅了解“一点”,约四分之一(26.6%)的人表示未收到任何新冠疫情指南。几乎所有人都担心被感染(97.2%),并经常采取措施保护自己和客户(87.2%)。个人防护装备(PPE)和其他产品缺货(32.3%)是未采取任何预防措施的主要原因。约三分之一(37.7%)的人提到曾为疑似感染新冠的客户配药。为支持新冠疫情应对工作,大多数受访者愿意向客户提供口头建议(97.8%)、向客户分发传单(97.7%)以及参与监测活动(88.8%)。年龄较大的受访者、男性受访者以及在较小药店工作的受访者更愿意提供信息传单。在较小药店工作的受访者也更愿意参与疫情监测。

解读

世界各地的药品零售网点继续在疾病爆发和大流行的前线运营。这些提供者通过帮助减轻医疗机构的负担以及提供建议和治疗发挥着重要作用。为履行这一职责,药品零售网点需要定期获取准确的指南和稳定的个人防护装备供应。呼吁药品零售网点工作人员参与应对工作,包括向客户提供信息和进行监测,这有助于在未来疫情爆发期间缓解卫生系统不断升级的压力。

资金来源

本研究由澳大利亚外交与贸易部根据“加强卫生安全卫生系统计划”提供的赠款资助。

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