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首页> 外文期刊>Journal of the American Pharmacists Association: JAPhA >Assessing risk for loss of rural pharmacy services in Minnesota.
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Assessing risk for loss of rural pharmacy services in Minnesota.

机译：评估明尼苏达州农村药房服务损失的风险。

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OBJECTIVE: To quantify rural communities' risks for losing access to local pharmacy services using a newly developed risk-assessment tool. DESIGN: Cross-sectional study. SETTING: Minnesota in June through August 2003. PARTICIPANTS: Pharmacy owners and managers in rural communities with populations less than 5,000 residents and only one community pharmacy. INTERVENTION: Self-administered questionnaire completed by study participants. MAIN OUTCOME MEASURES: Each answer was given a score based on the related factor's ability to affect risk of pharmacy closure. Scores were summed to give a comparative risk score with a positive score indicating higher risk; these scores could range from -13.5 to +30.75, depending on responses. RESULTS: From 126 communities outside of the Minneapolis-St. Paul metropolitan area with populations of fewer than 5,000 residents and only one community pharmacy, 81 (64.3%) usable responses were received. The calculated risk scores ranged from -7 to +12.3, with mean (+/- SD) scoresof 1.55 +/- 4.17. Factors that contributed most to rural pharmacies' risk index were dramatic decreases in community populations within 5 years, poor community support for the pharmacy, owner's intent to sell pharmacy within 2 years, less than dollar 750,000 in annual prescription revenue, perceived erosion of total market share of prescriptions, difficulties in recruiting full-time pharmacist-employees, lack of access to local primary care, and perceived likelihood that local primary care clinics would not be active in 5 years. Approximately 26% of pharmacy owners responding expressed interest in selling their pharmacy within 3 years, and 62% were interested in selling within 10 years. CONCLUSION: The tool developed for this study allows prospective assessment of risk, which can facilitate a greater awareness by local and regional officials and consumers of the possibility of loss of rural pharmacies, assist in targeting resources to areas most in need, and serve as a bridge to collaborative relationships aimed at ensuring local access to both pharmacy services and the knowledge of a pharmacist.
机译：目的：使用新开发的风险评估工具来量化农村社区失去获得当地药房服务机会的风险。设计：横断面研究。地点：明尼苏达州，从2003年6月至2003年8月。参与者：人口少于5,000人且只有一家社区药店的农村社区的药房所有者和管理人员。干预措施：由研究参与者自行填写的问卷。主要观察指标：根据相关因素影响药房关闭风险的能力，为每个答案评分。分数相加得出比较风险分数，阳性分数表示较高的风险;这些分数取决于响应，范围从-13.5到+30.75。结果：来自明尼阿波利斯街以外的126个社区。人口少于5,000的Paul大城市地区，并且只有一家社区药房，收到了81份（64.3％）可用答复。计算得出的风险评分范围为-7至+12.3，平均（+/- SD）评分为1.55 +/- 4.17。对农村药房风险指数影响最大的因素是5年内社区人口急剧减少，社区对药房的支持不佳，所有者在2年内出售药房的意愿，年度处方药收入不足750,000美元，感知到的总市场侵蚀处方药的比例，招募全职药剂师雇员的困难，无法获得当地初级保健的机会以及人们认为当地初级保健诊所将在5年内无法开业的可能性。大约有26％回答的药房所有者表示有兴趣在3年内出售他们的药房，而62％的药房所有者有兴趣在10年内出售。结论：为这项研究开发的工具可以对风险进行前瞻性评估，从而可以提高地方和地区官员以及消费者对农村药房流失的可能性的认识，有助于将资源用于最需要的地区，并可以作为风险评估工具。旨在确保本地获得药房服务和药剂师知识的合作关系的桥梁。

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