Amador-Fernandez Noelia, Desselle Shane, García-Cárdenas Victoria, Dineen-Griffin Sarah, Benrimoj Shalom I
Graduate School of Health, University of Technology Sydney, New South Wales, Australia.
Pharmaceutical Care Research Group, Faculty of Pharmacy, University of Granada, Spain.
Explor Res Clin Soc Pharm. 2024 Jun 12;16:100466. doi: 10.1016/j.rcsop.2024.100466. eCollection 2024 Dec.
A themed series of papers titled "Selfcare for Health System Sustainability: An International Series on the Role of Community Pharmacy" were published in the Exploratory Research in Clinical and Social Pharmacy journal between 2022 and 2024. The themed series covered 13 countries and had three objectives: Objective 1 to describe selfcare policies, strategies and developments in countries and the key changes envisaged to ensure a more effective use of non-prescription products and ensure patient safety regarding drug, non-drug products and practices; Objective 2 to provide country-based selfcare activities and services with examples of programs; and Objective 3 to discuss the challenges and opportunities community pharmacy/pharmacists face in relation to the provision of selfcare services. Most countries stated that there was little or no government policy recognition of selfcare and when they do exist, pharmacists' roles are rarely mentioned. Some countries stated that there was "no meaningful translation of the term selfcare" and on many occasions, different terminology such as "health promotion", "prevention" or "disease prevention" were used. Minor ailment services and counselling on self-medication were the only two services listed by all authors related to selfcare. Although some services may include selfcare elements, most services identified include selfcare as a side component. One could question whether the term "selfcare" is understood in its broad definition by the pharmacy profession. Some of the challenges identified by authors were lack of service remuneration, lack of standardization of services, lack of selfcare training for pharmacists or lack of integration of pharmacies within the healthcare system. Pharmacies are reportedly already providing many services related to selfcare; however, it might be beneficial if the concept of selfcare was better defined, used more inclusively, more formally codified in regulatory policy to facilitate improvements and recognition of the roles of pharmacists and other health care providers.
2022年至2024年期间，《临床与社会药学探索性研究》杂志发表了一系列主题为“促进卫生系统可持续性的自我保健：关于社区药房作用的国际系列”的论文。该主题系列涵盖了13个国家，有三个目标：目标1是描述各国的自我保健政策、战略和发展情况，以及为确保更有效地使用非处方药并确保药物、非药物产品及做法方面的患者安全而设想的关键变革；目标2是提供基于国家的自我保健活动和服务，并列举项目实例；目标3是讨论社区药房/药剂师在提供自我保健服务方面面临的挑战和机遇。大多数国家表示，政府对自我保健几乎没有政策认可，即便有政策，也很少提及药剂师的作用。一些国家表示“自我保健这个术语没有得到有意义的阐释”，而且在很多情况下，使用了诸如“健康促进”“预防”或“疾病预防”等不同术语。所有作者列出的与自我保健相关的仅有的两项服务是小病服务和自我药疗咨询。尽管有些服务可能包含自我保健要素，但确定的大多数服务将自我保健列为次要组成部分。人们可能会质疑药剂师行业是否从广义上理解“自我保健”这个术语。作者们确定的一些挑战包括缺乏服务报酬、服务缺乏标准化、药剂师缺乏自我保健培训或药房在医疗保健系统中缺乏整合。据报道，药房已经在提供许多与自我保健相关的服务；然而，如果能更好地界定自我保健概念，更广泛地使用，在监管政策中更正式地编纂，以促进改进并认可药剂师和其他医疗保健提供者的作用，可能会有益处。
