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首页> 外文期刊>The International journal of pharmacy practice >South Australian rural community pharmacists and the provision of methadone, buprenorphine and injecting equipment
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South Australian rural community pharmacists and the provision of methadone, buprenorphine and injecting equipment

机译：南澳大利亚州农村社区药剂师和提供美沙酮，丁丙诺啡和注射设备

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Objective To explore how the provision of opioid substitution treatment (OST) services and/or sterile injecting equipment impacts on community pharmacists. This will assist in identifying strategies to improve the provision of maintenance pharmacotherapy treatment programmes in South Australia. Setting Rural South Australia.Method Analysis of data obtained from earlier focus-group interviews enabled compilation of key issues for the development of a semi-structured questionnaire. Fifty-one potential participants were contacted. Twenty-five rural South Australian community pharmacists were interviewed through a 15-20-min semi-structured telephone questionnaire. Interview responses were manually recorded. Thematic analysis of the transcribed data by one researcher enabled determination of key issues. Key findings Fifty-one potential pharmacies were contacted and 25 pharmacists were interviewed. All 25 pharmacists had experience in the provision of OST services, 22 sold sterile injecting equipment and 10 offered needle exchange. Exploration of service issues in the context of rural pharmacy practice found that the geographical closeness of a small community may improve rapport with local prescribers, as indicated by 15 of 25 pharmacists. Access to other allied health services was described by 13 of the 25 as difficult. Servicing OST clients can have a negative impact on pharmacy business, is not profitable for rural pharmacies and only seven of the 25 felt adequately remunerated for the provision of their services. Client debt was an identified issue and the practice of withholding doses because of lack of payment was supported by 10 participants and not supported by an equal number. Mentored practice was highlighted as a potential area for future training, as was managing clients' debts. In addition, pharmacy structural changes to provide a private dosing area would preserve confidentiality during supervised dosing.Conclusion Access to allied health services in regional areas could be better coordinated. Financial incentives for South Australian pharmacies, without increasing the cost of treatment for clients, requires further exploration.
机译：目的探讨提供阿片类药物替代治疗（OST）服务和/或无菌注射设备对社区药师的影响。这将有助于确定策略，以改善南澳大利亚州维持药物治疗方案的提供。设置南澳大利亚农村地区。方法是从早期的焦点小组访谈中获得的数据进行分析，从而能够编制出用于开发半结构化问卷的关键问题。联系了五十一个潜在的参与者。通过15到20分钟的半结构化电话问卷，采访了25位南澳大利亚农村乡村药剂师。采访记录是手动记录的。一位研究人员对转录数据进行了主题分析，从而确定了关键问题。主要发现联系了51家潜在药房，并采访了25位药剂师。所有25位药剂师都有提供OST服务的经验，22位出售了无菌注射设备，10位提供了针头更换服务。 25名药剂师中的15名指出，在农村药房实践中对服务问题的探索发现，一个小社区的地理上的亲密关系可以改善与当地开药者的关系。 25个国家中有13个国家认为获得其他专职医疗服务很困难。为OST客户提供服务可能会对药房业务产生负面影响，对农村药房而言是无利可图的，在25家药店中，只有7家因提供服务而获得了足够的报酬。客户债务是一个已确定的问题，由于缺乏付款而代扣代缴的做法得到10名参与者的支持，而没有同等数量的支持。与客户的债务管理一样，有指导的实践也被认为是未来培训的潜在领域。此外，改变药房结构以提供私人用药区域将在监督用药期间保持机密性。结论可以更好地协调在区域区域内获得联合医疗服务的途径。在不增加客户治疗费用的情况下，对南澳大利亚药房的经济激励措施需要进一步探索。

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