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社区药学实践与 COVID-19 大流行相关:障碍与促进因素。

Community pharmacy practice related to the COVID-19 pandemic: barriers and facilitators.

机构信息

Specialty of Pharmaceutical Management and Economics, Department of Pharmacy Practice and Clinical Pharmacy, Faculty of Pharmacy, Egyptian Russian University, Cairo, Egypt.

Department of Clinical Pharmacy, Faculty of Pharmacy, Jazan University, Jazan City, Saudi Arabia.

出版信息

Int J Pharm Pract. 2022 Jun 25;30(3):226-234. doi: 10.1093/ijpp/riac002.

DOI:10.1093/ijpp/riac002
PMID:35358312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8992317/
Abstract

BACKGROUND

Community pharmacies provide an important healthcare service. Their significant value has been further highlighted during the COVID-19 pandemic crisis.

OBJECTIVES

To identify and categorize potential barriers and facilitators to the role of community pharmacists during the pandemic and their association with demographic factors.

METHODS

A cross-sectional survey of community pharmacists was conducted using a self-administered questionnaire during April 2020 across all regions of Egypt.

KEY FINDINGS

Respondents (n = 1018; 98.4% response rate) revealed practical and psychological barriers, including inadequate levels of pandemic preparedness (mean 61.43%; ±SD 0.47), inadequate working environments (mean 56.23%; ±SD 0.49) and uncooperative behaviour from stakeholders (mean 65.3%; ±SD 0.47).The majority of respondents emphasized the universal, region-independent necessity for facilitators, including the availability of timely (94.9%) guidance (97.4%) published by the Egyptian healthcare authority (94.6%), in electronic format (82.1%), through smartphone application (80.0%) and the provision of a dedicated telephone hotline (89.5%). Furthermore, authorities must use the media to manage public perceptions (97.2%) and increase public trust (94.8%) towards the pharmacist.

CONCLUSIONS

The barriers and facilitators identified herein could improve service provision in an integrated manner by overcoming the reported inadequate level of preparedness (barrier) through the provision of electronic guidance (facilitator), and the use of the media in managing public perceptions and trust (facilitators) to reduce the panic that negatively affects the working environment (barrier) for pharmacy staff. The varied level of healthcare authority cooperation reported in many regions requires further investigation.

摘要

背景

社区药房提供了一项重要的医疗保健服务。在 COVID-19 大流行危机期间,它们的重要价值进一步凸显。

目的

确定并分类社区药剂师在大流行期间的角色的潜在障碍和促进因素,并将其与人口统计学因素联系起来。

方法

在 2020 年 4 月,通过在埃及各地进行的一项横断面调查,使用自我管理问卷对社区药剂师进行调查。

主要发现

(n = 1018;响应率 98.4%)的受访者揭示了实际和心理障碍,包括大流行准备不足(平均 61.43%;±SD 0.47)、工作环境不足(平均 56.23%;±SD 0.49)以及利益相关者的不合作行为(平均 65.3%;±SD 0.47)。大多数受访者强调了促进因素的普遍、与地区无关的必要性,包括及时提供(94.9%)由埃及医疗保健当局发布的指南(97.4%),以电子格式(82.1%),通过智能手机应用程序(80.0%)和提供专用电话热线(89.5%)。此外,当局必须利用媒体来管理公众认知(97.2%)并提高公众对药剂师的信任(94.8%)。

结论

通过提供电子指南(促进因素)来克服报告的准备不足(障碍)水平,并利用媒体管理公众认知和信任(促进因素)来减少对药剂师工作环境(障碍)产生负面影响的恐慌,从而以综合方式改善服务提供。在许多地区报告的医疗保健当局合作程度的差异需要进一步调查。

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