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首页> 外文期刊>Journal of the American Pharmaceutical Association: APhA >Importation of Prescription Medications: Experiences, Opinions, and Intended Behaviors of U.S. Community Pharmacists
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Importation of Prescription Medications: Experiences, Opinions, and Intended Behaviors of U.S. Community Pharmacists

机译：处方药的输入：美国社区药剂师的经验，观点和预期行为

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Objective: To describe community pharmacists' experiences with consumer demand for imported Pharmaceuticals and their opinions about economic, policy, and patient care issues surrounding importation of medications and their willingness to procure these products from international sources, if legally permitted. Design: Cross-sectional study. Setting: Four states in the United States (Michigan, Minnesota, Illinois, and Florida). Participants: Community/outpatient pharmacists. Interventions: Telephone-based survey conducted in March 2004. Main Outcome Measures: Self-reported opinions of pharmacists on importation of prescription drugs. Results: Of 401 respondents, approximately 90% agreed that the Medicare prescription drug benefit would not diminish consumer interest in importation of medications, and a similar proportion agreed that interest was not limited to the elderly. A majority of pharmacists (69%) agreed that their primary concern about importation was the quality (i.e., purity) of the drugs. However, 57% of pharmacists agreed that drags purchased through Canada would not pose a greater risk of medication-related problems if U.S. pharmacists oversaw the process and were available to provide patient monitoring and education. Pharmacists strongly favored regulatory actions that might decrease counterfeiting. Nearly one third (32%) of pharmacists believed that consumers should be allowed to purchase medications from Canada legally, while 44% of pharmacists believed that pharmacies should be able to procure prescription drugs from Canada legally. Almost 70% of pharmacists said that they would consider ordering medications from Canada, if legally permitted. Approximately one half of the pharmacists surveyed were concerned about job security as a result of the trend toward importation. This concern was significantly higher among pharmacy owners (chi-square [df = 1] = 9.82; P < .01). Conclusion: Pharmacists expressed concern about safety, liability, and the economic ramifications of prescription drug importation. More favorable opinions were expressed for situations in which imported drugs would be channeled through U.S. pharmacies.
机译：目的：描述社区药剂师在消费者对进口药品的需求方面的经验，以及他们对有关药品进口的经济，政策和患者护理问题的看法，以及他们在法律允许的情况下从国际来源采购这些产品的意愿。设计：横断面研究。地点：美国的四个州（密歇根州，明尼苏达州，伊利诺伊州和佛罗里达州）。参加者：社区/门诊药剂师。干预措施：2004年3月进行了电话调查。主要观察指标：药剂师就处方药进口发表的自我意见。结果：在401位受访者中，大约90％的人同意Medicare处方药的好处不会减少消费者对进口药物的兴趣，并且有类似比例的人同意这种兴趣不仅限于老年人。大多数药剂师（69％）同意，他们对进口商品的主要关注是药品的质量（即纯度）。但是，有57％的药剂师同意，如果美国药剂师监督该过程并且可以提供病人监护和教育，则通过加拿大购买的药物不会带来更大的药物相关问题风险。药剂师强烈赞成可能减少假冒行为的监管措施。将近三分之一（32％）的药剂师认为应该允许消费者合法地从加拿大购买药品，而44％的药剂师认为药房应该能够从加拿大合法地购买处方药。几乎70％的药剂师表示，如果法律允许，他们将考虑从加拿大订购药物。受调查的药剂师中约有一半担心由于进口趋势而导致的工作安全。药房业主对此的担忧明显更高（卡方[df = 1] = 9.82; P <.01）。结论：药剂师对处方药进口的安全性，责任性和经济影响表示关注。对于将进口药物通过美国药房进行销售的情况，表达了更有利的意见。

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