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基于药房的即时检验:“医疗护理标准”方法如何促进可持续性。

Pharmacy-Based Point-of-Care Testing: How a "Standard of Care" Approach Can Facilitate Sustainability.

作者信息

Adams Alex J, Klepser Donald G, Klepser Michael E, Adams Jennifer L

机构信息

Idaho Division of Financial Management.

University of Nebraska Medical Center, College of Pharmacy.

出版信息

Innov Pharm. 2021 Sep 22;12(4). doi: 10.24926/iip.v12i4.4290. eCollection 2021.

DOI:10.24926/iip.v12i4.4290
PMID:36033116
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9401373/
Abstract

COVID-19 spurred rapid expansion of pharmacy-based point-of-care testing (POCT). This growth was aided, in part, by federal guidance that removed state-level regulatory uncertainty surrounding the ability of pharmacists to administer, interpret, and act on the results of tests. Surveys suggest there is considerable confusion about the legality of these services by state regulators. To ensure the sustainability of POCT services over time, states should consider adopting a standard of care approach to regulation, allowing a flexible framework for practice innovation and expansion over time.

摘要

新冠疫情促使基于药房的即时检验(POCT)迅速扩张。这一增长部分得益于联邦指导意见,该意见消除了各州层面围绕药剂师进行检测、解读检测结果并据此采取行动的能力的监管不确定性。调查显示,州监管机构对这些服务的合法性存在相当大的困惑。为确保即时检验服务长期可持续,各州应考虑采用护理标准监管方法,允许随着时间推移形成一个灵活的实践创新与扩张框架。

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本文引用的文献

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Does Increased State Pharmacy Regulatory Burden Lead to Better Public Safety Outcomes?州药房监管负担的增加会带来更好的公共安全结果吗?
Innov Pharm. 2021 Mar 2;12(1). doi: 10.24926/iip.v12i1.3598. eCollection 2021.
2
Pharmacists' Patient Care Process: A State "Scope of Practice" Perspective.药剂师的患者护理流程:从州“执业范围”角度看
Innov Pharm. 2019 Aug 31;10(2). doi: 10.24926/iip.v10i2.1389. eCollection 2019.
3
Impact of COVID-19 on prevalence of community pharmacies as CLIA-Waived facilities.2019年冠状病毒病对作为临床实验室改进修正案豁免设施的社区药房流行率的影响。
Res Social Adm Pharm. 2021 Sep;17(9):1574-1578. doi: 10.1016/j.sapharm.2020.12.003. Epub 2020 Dec 15.
4
Pharmacists' Patient Care Process: State "Scope of Practice" Priorities for Action.药剂师的患者护理流程:确定“执业范围”的优先行动事项。
Ann Pharmacother. 2021 Apr;55(4):549-555. doi: 10.1177/1060028020950193. Epub 2020 Aug 13.
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Pharmacist Prescriptive Authority: Lessons from Idaho.药剂师处方权:来自爱达荷州的经验教训。
Pharmacy (Basel). 2020 Jul 8;8(3):112. doi: 10.3390/pharmacy8030112.
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Moving the Needle: A 50-State and District of Columbia Landscape Review of Laws Regarding Pharmacy Technician Vaccine Administration.推动变革:对美国50个州及哥伦比亚特区有关药剂师技术员疫苗接种管理法律的全景审视
Pharmacy (Basel). 2019 Dec 10;7(4):168. doi: 10.3390/pharmacy7040168.
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Transitioning pharmacy to "standard of care" regulation: Analyzing how pharmacy regulates relative to medicine and nursing.将药学过渡到“标准护理”监管:分析药学相对于医学和护理的监管方式。
Res Social Adm Pharm. 2019 Oct;15(10):1230-1235. doi: 10.1016/j.sapharm.2018.10.008. Epub 2018 Oct 16.
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The Roles of Pharmacy Schools in Bridging the Gap Between Law and Practice.药学专业在弥合法学与实践之间差距中的作用。
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