沙特阿拉伯为老年人提供药物治疗管理（MTM）服务的医疗服务提供者的知识、态度和认知
Knowledge, Attitude, and Perception of Health Care Providers Providing Medication Therapy Management (MTM) Services to Older Adults in Saudi Arabia.
作者信息
Alotaibi Fawaz M, Bukhamsin Zainab M, Alsharafaa Alanoud Nasser, Asiri Ibrahim M, Kurdi Sawsan M, Alshayban Dhafer M, Alsultan Mohammed M, Almalki Bassem A, Alzlaiq Wafa Ali, Alotaibi Mansour M
机构信息
Pharmacy Practice Department, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam 34221, Saudi Arabia.
Pharmacy Practice Department, College of Clinical Pharmacy, King Faisal University, Al-Ahsa 31982, Saudi Arabia.
出版信息
Healthcare (Basel). 2023 Nov 10;11(22):2936. doi: 10.3390/healthcare11222936.
INTRODUCTION
Medication Therapy Management (MTM) is identified as a group of services provided to the patient in order to optimize the medication use in order to mitigate adverse drug reactions (ADRs), drug-drug interaction (DDI), and polypharmacy. Elderly populations above 60 years old are at high risk for Medication-related Problems (MRPs) due to several factors. Therefore, MTM programs showed good contributions globally regarding enhancing medication use in the elderly population. Thus, evident information regarding its implementation in Saudi Arabia is lacking in the literature.
OBJECTIVE
Our objective is to assess community pharmacists' knowledge, attitude, and barriers to providing MTM services to the older adult population in Saudi Arabia.
METHODOLOGY
A cross-sectional study has been conducted among community pharmacists across the Kingdom. It was survey-based research that was designed and conducted through (QuestionPro). The survey was distributed for the community pharmacists from Feb-May 2023 via (QuestionPro). Descriptive analysis was performed using SAS OnDemand to analyze the categorical variables and test it with the outcome of interest.
RESULTS
Out of the 528 participants who have viewed our questionnaire, 319 participants have completed the survey in 5 min average time. Most of our participants were male, holding a bachelor's degree, and had an average working load of more than 40 h a week, respectively (84.95%, 92.48%, and 76.18%). In addition, the participants were from different regions of the Kingdom, which enhanced the generalizability of our findings. Moreover, 65.52% have reported a higher level of knowledge, while 34.48% have reported a moderate to low level of knowledge regarding MTM service. Most of those with a higher level of knowledge maintain a positive attitude regarding MTM service, its implementation, and dealing with older adult patients in the community pharmacy. In addition, lacking the time, training, and presence of a private consultation room were the top barriers to provide MTM services in the community pharmacy in Saudi Arabia.
CONCLUSION
Educational sessions regarding MTM services among the older adult population are highly recommended for community pharmacists before its implementation.
引言
药物治疗管理（MTM）被视为为患者提供的一组服务，旨在优化药物使用，以减轻药物不良反应（ADR）、药物相互作用（DDI）和多重用药问题。由于多种因素，60岁以上的老年人群面临与药物相关问题（MRP）的高风险。因此，MTM项目在全球范围内对改善老年人群的药物使用显示出良好的作用。然而，沙特阿拉伯关于MTM项目实施的明确信息在文献中却很缺乏。
目的
我们的目的是评估沙特阿拉伯社区药剂师在为老年人群提供MTM服务方面的知识、态度和障碍。
方法
在沙特阿拉伯全国的社区药剂师中开展了一项横断面研究。这是一项基于调查的研究，通过（问卷星）设计并实施。该调查于2023年2月至5月通过（问卷星）分发给社区药剂师。使用SAS OnDemand进行描述性分析，以分析分类变量并将其与感兴趣的结果进行检验。
结果
在查看我们问卷的528名参与者中，有319名参与者平均用时5分钟完成了调查。我们的大多数参与者分别为男性、拥有学士学位且每周平均工作时长超过40小时（分别为84.95%、92.48%和76.18%）。此外，参与者来自沙特阿拉伯的不同地区，这增强了我们研究结果的普遍性。此外，65.52%的人报告对MTM服务有较高的知识水平，而34.48%的人报告对MTM服务的知识水平为中等至较低。大多数知识水平较高的人对MTM服务、其实施以及在社区药房中与老年患者打交道持积极态度。此外，缺乏时间、培训以及没有私人咨询室是沙特阿拉伯社区药房提供MTM服务的主要障碍。
结论
强烈建议在实施MTM服务之前，为社区药剂师开展针对老年人群的MTM服务教育课程。
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