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首页> 外文期刊>Patient Preference and Adherence >Patient attitudes towards a new role for pharmacists: continued dispensing
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Patient attitudes towards a new role for pharmacists: continued dispensing

机译：病人对药剂师的新角色的态度：持续配药

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Background: In Australia, “continued dispensing” (CD) is a new model for supply of prescription medications. Under specific circumstances, community pharmacists are allowed to dispense a further one month supply of prescription only medications without a valid prescription. It allows continuation and treatment adherence when patients run out of statin and/or oral contraceptive (OC) medications, when it is not practical or they fail to plan accordingly to get a new prescription. Objective: The aim of this study was to explore patient attitudes towards a CD model, including any perceived concerns or associated risks with CD prior to its introduction.Methods: An Australia-wide computer-assisted telephone interview survey of statin and OC users aged 18 years or older was conducted in July 2013 prior to implementation of the CD model. A telephone number list was generated via a random number generation function based on a broad breakdown of the Australian population as outlined in the June 2013 Australian Bureau of Statistics data. The sample target for the survey was 300, consisting of 150 statin users and 150 OC users.Results: There were a total of 301 respondents, comprising 151 statin users and 150 OC users. Approximately 37% of all respondents had experienced running out of their medications in the past 12 months, of whom 35.4% had temporarily stopped treatment and 33.6% requested their medication from a pharmacist without a valid prescription. OC users were more likely to run out of their medications (P=0.021). The majority of respondents had a regular pharmacy (86%) and therefore would be eligible for CD in the future. The majority of those surveyed had no concerns about CD or perceived it as posing no risks. Concerns raised included consultation privacy and the pharmacist’s lack of access to their medical records.Conclusion: Australian users of statin and OC medications showed a high level of support for CD. Given that a significant proportion of patients temporarily stopped treatment when they ran out of medications and had no valid prescription, implementation of CD may alleviate the negative consequences of therapy interruption in statin and OC users in the short term. Longer-term solutions and opportunities to expand CD require further exploration.
机译：背景：在澳大利亚，“持续分配”（CD）是一种新的处方药供应模式。在特定情况下，允许社区药剂师在没有有效处方的情况下再分配一个月的仅处方药供应。当患者用完他汀类药物和/或口服避孕药（OC）时，或者不可行或无法计划新药时，它可以继续治疗。目的：本研究的目的是探讨患者对CD模型的态度，包括在引入CD之前的任何可察觉的问题或与CD相关的风险。方法：一项针对18岁的他汀类药物和OC使用者的澳大利亚范围内的计算机辅助电话访谈调查在实施CD模式之前，于2013年7月进行了10年或更长时间的测试。电话号码列表是根据2013年6月澳大利亚统计局数据概述的澳大利亚人口的广泛细分情况，通过随机数生成功能生成的。调查的样本目标是300名，包括150名他汀类药物使用者和150名OC用户。结果：共有301名受访者，包括151名他汀类药物使用者和150名OC用户。在过去的12个月中，约37％的受访者经历了用尽药物的情况，其中35.4％的人暂时停止了治疗，而33.6％的人在没有有效处方的情况下向药剂师索要了药物。 OC使用者更容易用完药物（P = 0.021）。大多数受访者拥有正规药房（86％），因此将来有资格获得CD。接受调查的大多数人都不担心CD，或认为CD没有风险。引起关注的问题包括咨询隐私和药剂师无法访问他们的病历。结论：澳大利亚他汀类和OC类药物的使用者对CD表示高度支持。鉴于相当多的患者在用完药物且没有有效处方时会暂时停止治疗，因此实施CD可以减轻短期内他汀类药物和OC使用者的治疗中断带来的负面影响。长期解决方案和扩展CD的机会需要进一步探索。

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