Extemporaneous dispensing: opinions of Victorian community pharmacists

Arthur Pappas
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引用次数: 10

Abstract

Objectives: To determine estimates of the type and extent of extemporaneous dispensing undertaken by Victorian community pharmacists and to analyse their views on related issues. Study Procedure: After telephone contact, a survey was mailed to every third community pharmacy in Victoria (n=420). Results: Completed surveys were received from 296 premises (70.5%). 1. Sample: 71% male; 61% sole/partner proprietor; 35% PhC and 67% BPharm graduates. 2. Extent: 60% dispensed 1-5 extemporaneous prescriptions per week (excluding water reconstitutions); for 75% of the sample, extemporaneous prescriptions made up < 1% of total prescriptions. 3. Preparation: 63% rated the adequacy of the range of ingredients as high or very high, 52% and 10% stated that the prescriber was often or very often a dermatologist and general practitioner, respectively. 4. Demand for service: 72% felt that extemporaneous prescribing had decreased or greatly decreased in the past five years, and 74% felt it would decrease or greatly decrease in the future. 5. Pharmacist confidence and satisfaction: 68% had high or very high confidence in their extemporaneous dispensing ability and 60% had high or very high satisfaction. 6. Factors influencing attitudes: high or very high on the list were time constraints for 35%; lack of stability data for 20%; and unknown efficacy for 20%. 7. Proposals for future: 75% agreed or strongly agreed that extemporaneous dispensing should remain one of the tasks undertaken by all pharmacists, 3% agreed or strongly agreed to forgo for all, and 13% agreed or strongly agreed to specialisation. 8. Skill level (since registration): 45% felt it was at the same level. 9. Need for refresher course: 21% felt it would be useful or very useful for them. Conclusions: Even though extemporaneous dispensing forms a minor part of community pharmacy business, most pharmacists strongly believed that it should be retained by the profession generally. Main concerns revolved around time constraints for undertaking the task and lack of stability and efficacy information. Most pharmacists reported that their levels of skill and preparation were of a high order. However, there were some areas for improvement, particularly relating to raw materials handling and equipment maintenance. It is recommended that comprehensive self-audits and update courses are implemented for quality assurance of dispensed products. (author abstract)
临时调剂:维多利亚社区药剂师的意见
目的:确定维多利亚社区药剂师进行临时调剂的类型和程度,并分析他们对相关问题的看法。研究程序:电话联系后,向维多利亚州每三家社区药房邮寄一份调查问卷(n=420)。结果:共收到296间处所(70.5%)完成的调查。1. 样本:71%男性;61%为独资/合伙人;博士毕业生占35%,博士毕业生占67%。2. 范围:60%每周配发1-5个临时处方(不含水复配);在75%的样本中,临时处方占总处方的比例< 1%。3.制剂:63%的人认为成分范围的充分性高或非常高,52%和10%的人分别表示处方者经常或非常经常是皮肤科医生和全科医生。4. 服务需求:72%的人认为临时处方在过去五年中减少或大幅减少,74%的人认为未来会减少或大幅减少。5. 药师信心与满意度:68%的药师对自己的即席配药能力有较高或非常高的信心,60%的药师对即席配药能力有较高或非常高的满意度。6. 影响态度的因素:高或非常高的因素是时间限制,占35%;缺乏20%的稳定性数据;20%的功效未知。7. 对未来的建议:75%的人同意或强烈同意临时调剂仍应是所有药剂师承担的任务之一,3%的人同意或强烈同意放弃所有人,13%的人同意或强烈同意专业化。8. 技能水平(自注册以来):45%认为在同一水平。9. 需要进修课程:21%的人认为进修课程对他们有用或非常有用。结论:尽管临时调剂在社区药房业务中所占比例很小,但大多数药剂师强烈认为应普遍保留临时调剂。主要关注的是进行这项任务的时间限制以及缺乏稳定性和有效性信息。大多数药剂师报告说,他们的技术水平和准备是高秩序。但是,有一些领域需要改进,特别是在原料处理和设备维修方面。建议实施全面的自我审核和更新课程,以保证配药产品的质量。(作者抽象)
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