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首页> 外文期刊>The International journal of drug policy >First insights into community pharmacy based buprenorphine-naloxone dispensing in Finland
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First insights into community pharmacy based buprenorphine-naloxone dispensing in Finland

机译：芬兰基于社区药房的丁丙诺啡-纳洛酮分配的初步见解

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Background: Finnish community pharmacies have been permitted to dispense buprenorphine-naloxone since February 2008. This study explored the dispensing practices, service experiences, problems encountered and opportunities for future development. Methods: In August 2011, a questionnaire was mailed to all Finnish community pharmacies dispensing buprenorphine-naloxone ( n=. 69). Results: Sixty-four pharmacies responded (93%), of which 54 had dispensed buprenorphine-naloxone to 155 clients since 2008. Forty-eight pharmacies had 108 current clients (10% of all buprenorphine-naloxone clients in Finland). Overall satisfaction with buprenorphine-naloxone dispensing was high, with all respondents indicating dispensing had gone 'well' or 'very well'. Fourteen pharmacies (26%) had experienced one or more problems, predominately in relation timing or non-collection of doses. Problems were more common in pharmacies with more than one buprenorphine-naloxone client (odds ratio 1.39, 95% confidence interval 1.05-1.86). Most pharmacies ( n=. 43, 80%) identified opportunities for improvement, including the need for more education and financial remuneration. Forty-six pharmacies (85%) were willing to dispense buprenorphine-naloxone to more clients; however, 43 pharmacies (80%) perceived that supervision of buprenorphine-naloxone dosing is not a suitable task for pharmacists in Finland. Conclusion: Provision of buprenorphine-naloxone in Finnish community pharmacies has remained relatively small-scale. As experiences have been generally positive and problems rare, it may be possible to expand these services.
机译：背景：自2008年2月起，芬兰社区药房已获准分配丁丙诺啡-纳洛酮。该研究探讨了配药做法，服务经验，遇到的问题以及未来的发展机会。方法：2011年8月，向所有分配丁丙诺啡-纳洛酮的芬兰社区药店邮寄了问卷（n = 69）。结果：有64家药店做出了回应（93％），其中2008年以来有155家客户分配了丁丙诺啡-纳洛酮。有48家药店的现有客户为108家（占芬兰丁丙诺啡-纳洛酮的10％）。丁丙诺啡-纳洛酮分配的总体满意度很高，所有受访者均表示分配情况“良好”或“非常好”。十四家药店（26％）遇到了一个或多个问题，主要是在联系时间或未收集剂量方面。在拥有超过一个丁丙诺啡-纳洛酮客户的药房中，问题更为普遍（赔率1.39，95％置信区间1.05-1.86）。大多数药店（n = 43、80％）确定了改善的机会，包括需要更多的教育和经济报酬。 46家药店（85％）愿意向更多的客户分配丁丙诺啡-纳洛酮;但是，有43家药房（80％）认为，对丁丙诺啡-纳洛酮剂量的监管对芬兰的药剂师而言并不适合。结论：在芬兰社区药房中丁丙诺啡-纳洛酮的供应量仍然相对较小。由于经验通常是积极的，问题很少发生，因此有可能扩展这些服务。

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