黎巴嫩社区药房遵守良好药房规范和提高质量的机会:是采取行动的时候了。

IF 2.1 Q3 PHARMACOLOGY & PHARMACY
Alein Bou-Saba, Kassem M Kassak, Pascale Salameh
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引用次数: 0

摘要

目的:良好药学规范是体现社区药房服务质量的重要标准。2018年,黎巴嫩药剂师协会(OPL)发布了他们自己的良好药房规范(GPP)指南。有必要进行调查研究,以评估GPP的实施状况和现场工作人员对这些标准的专业行为。方法:数据收集于2020年2月至8月进行,采用问卷调查,涵盖:社会人口变量;指标A(社区药师态度);指标B(服务和设施);指标C(配药);D指示灯(存储)。数据分析采用SPSS 25,采用t检验和方差分析。结果的显著p值:共有211名来自药店的工作人员参加了研究,每个人代表一个社区药房。黎巴嫩南部社区药房遵守GPP标准的平均百分比低于75%的推荐阈值。仅有65.09%的提供者遵守所有检测指标(指标A为27%,指标B为56.91%,指标C为68.61%,指标D为66.31%)。了解OPL标准(OR= 4.021)、女性(OR= 2.011)和执业药师(OR=3.506)的提供者指标较高。总分的Cronbach alpha为0.615。结论:应采取进一步措施提高对GPP标准的符合性。步骤应包括,核心标准的识别,如配药,提供足够的信息,监测储存条件,并确保有执业药师在场。强烈建议OPL和公共卫生部开发一个“自我评估工具”和一个有效的培训方案,以提高社区药剂师的认识状况。定期进行考核,监控加班进度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Adherence to Good Pharmacy Practices by Community Pharmacies in Lebanon and Opportunities for Quality Improvement: It is Time to Act.

Adherence to Good Pharmacy Practices by Community Pharmacies in Lebanon and Opportunities for Quality Improvement: It is Time to Act.

Adherence to Good Pharmacy Practices by Community Pharmacies in Lebanon and Opportunities for Quality Improvement: It is Time to Act.

Adherence to Good Pharmacy Practices by Community Pharmacies in Lebanon and Opportunities for Quality Improvement: It is Time to Act.

Purpose: Good pharmacy practice is an important standard that highlight the quality of services in community pharmacies. In 2018, The Order of Pharmacists in Lebanon (OPL) published their own good pharmacy practices (GPP) guidelines. The need exists for investigational studies to assess GPP implementation status and the professional conduct of on-site staff towards these standards.

Methods: Data collection was carried out between February and August 2020 using a questionnaire covering: Socio-demographic variables; Indicator A (Attitude of the Community Pharmacists); Indicator B (Services and Facilities); Indicator C (Dispensing); Indicator D (Storage). Data analysis were performed on SPSS version 25, T-Test and ANOVA were used. A significant p value of <0.001, 95% confidence interval and variables with missing data counting less than 10% were considered.

Results: A total of 211 staffers from pharmacies were enrolled in the study, each representing one community pharmacy. The mean percent of adherence to GPP standards by community pharmacies in the South of Lebanon was below the recommended threshold of 75%. Only 65.09% adhered to all tested indicators (27% to Indicator A, 56.91% to Indicator B, 68.61% to Indicator C, 66.31% to Indicator D). Higher indicators were seen among providers who were aware of OPL standards (OR = 4.021), female (OR= 2.011) and being a licensed pharmacist (OR=3.506). Cronbach alpha of the overall score was 0.615.

Conclusion: Further steps shall be taken to improve the compliance to GPP standards. Steps shall include, identification of the core standards, such as dispensing, provision of adequate information, monitoring of storage conditions, and ensuring the presence of a licensed pharmacist. It is highly recommended that the OPL and the Ministry of Public Health develop a "Self-assessment tool" and an efficient training program to increase community Pharmacists' awareness status. Regular assessment shall be carried to monitor the progress overtime.

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