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A review of the medication pathway in rural Queensland, Australia

机译：澳大利亚昆士兰州农村的用药途径综述

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Objectives: It is well established that rural areas have compromised access to health services, including medication services. This paper reviews the practice developments for rural health professionals in relation to medication processes, with a focus on regulatory provisions in Queensland, Australia, and a view to identifying opportunities for enhanced pharmacy involvement. Methods: Literature referring to 'medication/medicine', 'rural/remote', 'Australia' and 'pharmacy/pharmacist/pharmaceutical' was identified via EBSCOhost, Ovid, Informit, Pubmed, Embase and The Cochrane Library. Australian Government reports and conference proceedings were sourced from relevant websites. Legislative and policy documents reviewed include drugs and poisons legislation, the National Medicines Policy and the Australian Pharmaceutical Advisory Council guidelines. Key findings: The following developments enhance access to medication services in rural Queensland: (1) endorsement of various non-medical prescribers, (2) authorisation of registered nurses, midwives, paramedics and Indigenous health workers to supply medications in sites without pharmacists, (3) skill-mixing of nursing staff in rural areas to ease medication administration tasks, (4) establishment of pharmacist-mediated medication review services, (5) electronic transfer of medical orders or prescriptions and (6) enhanced transfer of medication information between metropolitan and rural, and public and private facilities. Conclusions: This review identified a divide between medication access and medication management services. Initiatives aiming to improve supply of (access to) medications focus on scopes of practice and endorsements for non-pharmacist rural healthcare providers. Medication management remains the domain of pharmacists, and is less well addressed by current initiatives. Pharmacists' involvement in rural communities could be enhanced through tele-pharmacy, outreach support and sessional support. IJPP
机译：目标：众所周知，农村地区已经无法获得包括药物服务在内的医疗服务。本文回顾了农村卫生专业人员在药物治疗过程中的实践发展，重点是澳大利亚昆士兰州的法规规定，以期查明增加药物参与的机会。方法：通过EBSCOhost，Ovid，Informit，Pubmed，Embase和The Cochrane Library鉴定涉及“药物/药物”，“农村/远程”，“澳大利亚”和“药房/药剂师/药品”的文献。澳大利亚政府的报告和会议记录均来自相关网站。审查的立法和政策文件包括毒品和毒药立法，《国家药品政策》和《澳大利亚药品咨询委员会指南》。主要发现：以下事态发展增加了昆士兰农村地区获得药物服务的机会：（1）认可各种非医学处方者;（2）授权注册护士，助产士，护理人员和土著保健工作者在没有药剂师的场所提供药物，（ 3）农村地区护理人员的技能混合，以减轻药物管理任务的负担;（4）建立由药剂师介导的药物审查服务;（5）电子传送医疗订单或处方;（6）加强大城市之间药物信息的传递以及农村，公共和私人设施。结论：该评价确定了药物获取和药物管理服务之间的鸿沟。旨在改善药品供应（获取）的举措集中在针对非药剂师的农村医疗保健提供者的执业范围和认可。药物管理仍然是药剂师的工作领域，目前的措施还没有很好地解决这一问题。可以通过远程药房，外展支持和会期支持来增加药剂师对农村社区的参与。联合会

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