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首页> 外文期刊>Drug and alcohol review >Buprenorphine supply by community pharmacists in Victoria, Australia: perceptions, experiences and key issues identified.
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Buprenorphine supply by community pharmacists in Victoria, Australia: perceptions, experiences and key issues identified.

机译：澳大利亚维多利亚州社区药师的丁丙诺啡供应：认识，经验和关键问题。

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摘要

Buprenorphine is dispensed primarily in community pharmacies in Victoria, with buprenorphine prescribing expanding nationally. The aim of this paper was to examine issues that affect the delivery of buprenorphine in the community setting. A cross-sectional survey was conducted of 282 pharmacies participating in the methadone and buprenorphine programme across Victoria. Dispensing pharmacists completed the survey, designed to canvass issues around buprenorphine diversion and other issues related to the programme. Themes from the results indicated that there was concern from the majority of pharmacies with the issue of the supervision of buprenorphine and diversion of dispensed doses. The rate of suspected diversion was 1.5 times per 100 doses per month or 33 times per 100 clients per month. Seventy-four per cent of pharmacists indicated that this was a negative aspect of buprenorphine treatment. Frequency of suspected and confirmed diversion was associated with the number of pharmacy clients. Pharmacists' perceptions of issues related to buprenorphine appeared to affect opinions of buprenorphine clients and the buprenorphine programme more generally. Pharmacists believe that a significant level of diversion is occurring. This finding warrants serious attention, particularly in light of the increasing use of buprenorphine nationally and internationally.
机译：丁丙诺啡主要在维多利亚州的社区药房配药，丁丙诺啡的处方范围遍及全国。本文的目的是研究在社区环境中影响丁丙诺啡递送的问题。对参与维多利亚州美沙酮和丁丙诺啡方案的282家药房进行了横断面调查。配药师完成了调查，旨在调查有关丁丙诺啡转移的问题以及与该计划有关的其他问题。结果的主题表明，大多数药房都对丁丙诺啡的监督和分配剂量的转移感到担忧。怀疑的转移率是每月每100剂1.5次或每月每100名患者33次。 74％的药剂师表示这是丁丙诺啡治疗的不利方面。怀疑和确认转移的频率与药房客户的数量有关。药剂师对与丁丙诺啡有关的问题的看法似乎会影响丁丙诺啡客户和丁丙诺啡方案的意见。药剂师认为发生了很大程度的转移。这一发现值得引起高度重视，特别是考虑到国内和国际上丁丙诺啡的使用越来越多。

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