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Qualitative assessment of patients’ perspectives and needs from community pharmacists in substance use disorder management

机译:对患者的定性评估和来自物质药剂师在物质使用障碍管理中的观点和需求

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Non-medical use of psychoactive substances is a common harmful behavior that leads to the development of Substance Use Disorders (SUDs). SUD is a significant health concern that causes adverse health consequences and elevates the economic burden on the health care system. SUD treatment plans that utilize a patient-centered approach have demonstrated improved treatment outcomes. It is essential for health care providers, including community pharmacists, to understand patients’ needs and prioritize them. Therefore, this study was conducted to explore the perspective of patients living with SUDs or who used substances non-medically regarding community pharmacist services and the delivery of services in a community pharmacy setting. The study took place in Saskatoon, a small urban center of Saskatchewan, Canada. Qualitative methodology was used for this research inquiry. Four focus groups were conducted, with a total of 20 individuals who had experienced substance use and accessed community pharmacy services. The discussion of the four focus groups was transcribed verbatim and analyzed independently by two researchers. Agreement on the emergent themes was reached through discussion between the two researchers. Data analysis resulted in four themes that described participants’ perspectives about community pharmacists. The four emergent themes are: 1) conflicted experiences with community pharmacists, 2) lack of knowledge concerning community pharmacists’ extended services, 3) negative experiences in Opioid Agonist Therapy (OAT) program, and 4) needs from community pharmacists. There is significant potential for the patient-pharmacist relationship to address the varying needs of patients who use substances and improve their overall health care experience. Patients who use substances are receptive to pharmacists’ services beyond dispensary; however, respectful communication, provision of drug-related information, and counseling are among the primary demands. Future research should focus on studying the impact of meeting the needs of patients on their treatment outcomes.
机译:非医疗使用精神活性物质是一种常见的有害行为,导致物质使用障碍(SUD)的发展。苏苏斯是一个重大的健康问题,导致健康后果不利,提升了医疗保健系统的经济负担。利用患者中心方法的泡沫处理计划表明了改善的治疗结果。对于包括社区药剂师在内的医疗保健提供者至关重要,以了解患者的需求并优先考虑它们。因此,该研究进行了探讨苏打或者在社区药剂师服务中非医学中使用物质的患者的患者的视角,并在社区药房环境中提供服务。该研究在加拿大萨斯喀彻温省的一个小城市中心萨斯卡通举行。定性方法用于本研究查询。进行了四个焦点小组,共有20个患有物质使用和访问社区药房服务的人。对四个焦点小组的讨论被逐字转录并由两名研究人员独立分析。通过两位研究人员之间的讨论达成了关于紧急主题的协议。数据分析导致四个主题描述了与社区药剂师的参与者的观点。四个紧急主题是:1)与社区药剂师的冲突经验,2)缺乏关于社区药剂师的延长服务的知识,3)阿片类药剂治疗(OAT)计划的负面经验,4)来自社区药剂师的需求。患者药剂师的关系具有重要潜力,以解决使用物质的患者的不同需求,提高整体医疗保健经验。使用物质的患者是接受药剂师的服务超越药房;但是,尊重沟通,提供毒品相关信息和咨询是主要需求之一。未来的研究应该侧重于研究满足患者需求对治疗结果的影响。

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