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首页> 外文期刊>Integrated Pharmacy Research and Practice >Community pharmacy COPD services: what do researchers and policy makers need to know?
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Community pharmacy COPD services: what do researchers and policy makers need to know?

机译：社区药房COPD服务：研究人员和政策制定者需要了解什么？

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COPD is a leading cause of morbidity and mortality across the world and is responsible for a disproportionate use of health care resources. It is a progressive condition that is largely caused by smoking. Identification of early stage COPD provides an opportunity for interventions, such as smoking cessation, which prevent its progression. Once diagnosed, ongoing support services potentially provide an opportunity to assist the patient in managing their condition and working more closely with the rest of the primary care team. While there are a number of robust studies which have demonstrated the role which pharmacists could undertake to identify and prevent disease progression, adoption of such services is currently limited. As a service that would seem to be appropriate for adoption in all societies where smoking is prevalent, we have performed a review of reported approaches that have been used when setting up and evaluating such services, and therefore aim to inform researchers and policy makers in other countries on how best to proceed. Implementation science has been used to further contextualize the findings of the review in terms of components that are likely to enhance the likelihood of implementation. With reference to screening services, we have made clear recommendations as to the identification of patients, structure and smoking cessation elements of the program. Further work needs to be undertaken by policy makers to determine the approaches that can be used to motivate pharmacists to provide this service. In terms of ongoing support services, there is some evidence to suggest that these would be effective and cost-effective to the health service in which they are implemented. However, the capability, opportunity and motivation of pharmacists to provide these, more complex, services need to be the focus for researchers before implementation by policy makers.
机译：COPD是世界范围内发病率和死亡率的主要原因，并且是过度使用卫生保健资源的原因。这是一种渐进性疾病，主要是由吸烟引起的。早期COPD的鉴定为阻止其发展的干预措施提供了机会，例如戒烟。一旦被诊断，持续的支持服务可能会提供机会来帮助患者管理病情，并与其他初级保健团队更紧密地合作。尽管有许多可靠的研究表明药剂师可以承担识别和预防疾病进展的作用，但目前这种服务的使用受到限制。作为一项似乎适合在所有吸烟流行的社会中采用的服务，我们对设置和评估此类服务时所使用的报告方法进行了审查，因此旨在向其他研究人员和决策者提供信息。国家如何最好地进行。实施科学已被用于根据可能会增加实施可能性的组成部分，进一步将审查的结果与背景联系起来。关于筛查服务，我们就该计划的患者识别，结构和戒烟要素提出了明确的建议。政策制定者需要做进一步的工作，以确定可以用来激励药剂师提供这种服务的方法。在持续的支持服务方面，有证据表明，这些服务对于实施这些服务的卫生服务将是有效且具有成本效益的。但是，在决策者实施之前，药剂师提供这些更为复杂的服务的能力，机会和动力应成为研究人员的重点。

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