Chiu Sheng-Ting, Aspden Trudi, Scahill Shane
School of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
J Prim Health Care. 2024 Dec;16(4):398-406. doi: 10.1071/HC24089.
Introduction The provision of palliative care is central to primary health care delivery. In this setting, community pharmacies often act in a medication supply role, yet their broader involvement in supporting people in the last year of life is less well understood. Aim This study aimed to review the literature on community pharmacies supporting adults with palliative care needs in their last year of life, emphasising challenges to optimising their role and improving equity and service accessibility. Methods A five-stage scoping review using a comprehensive literature search was conducted using MEDLINE, EMBASE, CINAHL, Web of Science, Scopus, and grey literature up to 30 April 2024. Eligible articles were charted, descriptively analysed, and mapped to a bicultural and holistic health care model, Te Whare Tapa Whā Older Person's Palliative Care model. Results Twenty-five studies from seven countries were reviewed, revealing that community pharmacies provide a range of services to support people with palliative care needs. The main role of community pharmacies resides in Tinana, the physical health domain of Te Whare Tapa Whā Older Person's Palliative Care model. Challenges experienced by pharmacy staff include communication with palliative care service providers and users, integrating their role into palliative care provision, addressing their educational needs, and managing palliative medication stock. Discussion The role of community pharmacy in providing palliative care is not widely understood. If the challenges identified in these studies can be addressed, there is potential for community pharmacies to offer a more proactive palliative care approach to their communities.
引言 姑息治疗是初级卫生保健服务的核心内容。在这种情况下，社区药房通常承担着药品供应的角色，然而其在支持临终患者方面的更广泛参与却鲜为人知。目的 本研究旨在回顾关于社区药房在临终阶段为有姑息治疗需求的成年人提供支持的文献，重点关注优化其作用以及提高公平性和服务可及性所面临的挑战。方法 采用五阶段范围综述法，通过全面的文献检索，利用MEDLINE、EMBASE、CINAHL、Web of Science、Scopus以及截至2024年4月30日的灰色文献进行研究。对符合条件的文章进行图表绘制、描述性分析，并映射到双文化和整体医疗保健模式——《Te Whare Tapa Whā老年人姑息治疗模式》。结果 对来自七个国家的25项研究进行了综述，结果表明社区药房提供一系列服务以支持有姑息治疗需求的人群。社区药房的主要作用体现在《Te Whare Tapa Whā老年人姑息治疗模式》的身体健康领域“Tinana”。药房工作人员面临的挑战包括与姑息治疗服务提供者和使用者的沟通、将自身角色融入姑息治疗服务、满足他们的教育需求以及管理姑息治疗药物库存。讨论 社区药房在提供姑息治疗方面的作用尚未得到广泛理解。如果能够解决这些研究中确定的挑战，社区药房有可能为其社区提供更积极主动的姑息治疗方法。
