Murry Logan T, Flood Michelle, Holton Alice, Kenny Rose Anne, Moriarty Frank
School of Pharmacy and Biomolecular Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
The Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin., Ireland.
Explor Res Clin Soc Pharm. 2023 Apr 13;10:100265. doi: 10.1016/j.rcsop.2023.100265. eCollection 2023 Jun.
The role of community pharmacists has evolved in recent years with expansion in pharmacy services offered. The extent to which patients utilise such services in community pharmacies in Ireland is unclear.
To assess pharmacy services use among adults aged ≥56 years in Ireland, and determine the demographic and clinical factors associated with pharmacy services use.
This cross-sectional study included community-dwelling participants in wave 4 of The Irish Longitudinal Study on Ageing (TILDA), aged ≥56 years who were self-respondents. TILDA is a nationally representative cohort study, with wave 4 data collected during 2016. TILDA collects participant demographics and health data, in addition to information on the use of several services when visiting the pharmacy in the last 12 months. Characteristics and pharmacy services use were summarised. Multivariate logistic regression was used to examine the association of demographic and health factors with reporting (i) any pharmacy service use and (ii) requesting medicines advice.
Among 5782 participants (55.5% female, mean age 68 years), 96.6% (5587) reported visiting a pharmacy in the previous 12 months, and almost one fifth of these (1094) utilised at least one non-dispensing pharmacy service. The most common non-dispensing services reported were requesting advice about medications (786, 13.6%), blood pressure monitoring (184, 3.2%), and vaccination (166, 2.9%). Controlling for other factors, female sex (odds ratio (OR) 1.32, 95% CI 1.14-1.52), third-level education (OR 1.85, 95% CI 1.51-2.27), higher rates of GP visits, private health insurance (OR 1.29, 95% CI 1.07-1.56), higher number of medications, loneliness, and respiratory condition diagnosis (OR 1.42, 95% CI 1.14-1.74) were associated with higher likelihood of utilising pharmacy services. The relationship between these factors and requesting medicines advice was similar.
A high proportion of middle-aged and older adults visit community pharmacy and a fifth utilise specified pharmacy services. Despite advances in the services offered in pharmacies, medicines advice remains at the core of pharmacists' practice.
近年来，随着所提供药房服务的扩展，社区药剂师的角色也在不断演变。目前尚不清楚爱尔兰患者在社区药房使用此类服务的程度。
评估爱尔兰56岁及以上成年人对药房服务的使用情况，并确定与药房服务使用相关的人口统计学和临床因素。
这项横断面研究纳入了爱尔兰老龄化纵向研究（TILDA）第4波中的社区居住参与者，年龄在56岁及以上且为自填问卷者。TILDA是一项具有全国代表性的队列研究，第4波数据于2016年收集。TILDA除了收集参与者的人口统计学和健康数据外，还收集了过去12个月内访视药房时使用多种服务的信息。对特征和药房服务使用情况进行了总结。采用多因素逻辑回归分析来研究人口统计学和健康因素与报告（i）任何药房服务使用情况和（ii）寻求用药建议之间的关联。
在5782名参与者中（女性占55.5%，平均年龄68岁），96.6%（5587人）报告在过去12个月内去过药房，其中近五分之一（1094人）使用了至少一项非配药药房服务。报告的最常见非配药服务是寻求用药建议（786人，13.6%）、血压监测（184人，3.2%）和疫苗接种（166人，2.9%）。在控制其他因素后，女性（优势比（OR）1.32，95%置信区间1.14 - 1.52）、接受高等教育（OR 1.85，95%置信区间1.51 - 2.27）、看全科医生的频率较高、拥有私人医疗保险（OR 1.29，95%置信区间1.07 - 1.56）、用药数量较多、感到孤独以及被诊断患有呼吸系统疾病（OR 1.42，95%置信区间1.14 - 1.74）与使用药房服务的可能性较高相关。这些因素与寻求用药建议之间的关系相似。
很大比例的中老年人会去社区药房，五分之一的人会使用特定的药房服务。尽管药房提供的服务有所进步，但用药建议仍然是药剂师工作的核心。
