在中低收入国家推进阿片类药物管理:挑战与机遇。

IF 3.3 Q1 HEALTH POLICY & SERVICES
Journal of Pharmaceutical Policy and Practice Pub Date : 2024-06-05 eCollection Date: 2024-01-01 DOI:10.1080/20523211.2024.2345219
Rojita Jadhari, Nabin Pathak, Rajeev Shrestha, Sunil Shrestha, Bhuvan Kc, Siew Hua Gan, Vibhu Paudyal
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引用次数: 0

摘要

阿片类药物在低收入和中等收入国家(LMICs)的使用量不断增加,与阿片类药物有关的滥用、误用和转用威胁日益严重。药剂师作为医疗团队中不可或缺的成员,负责配发和监控阿片类药物的使用,在低收入和中等收入国家的阿片类药物管理中发挥着关键作用。这篇评论描述了药剂师在资源有限的环境下在阿片类药物管理中的潜在和多方面作用,并强调了促进负责任地使用阿片类药物的适当策略。阿片类药物监管涉及优先考虑循证处方、管理和疼痛管理实践。它包括的措施有:纳入处方药监测计划以开具适当的阿片类药物处方、通过药物回收计划实施安全处置、促进非阿片类药物疼痛管理、解决阿片类药物成瘾的耻辱化问题、减少阿片类药物剂量、教育患者和护理人员、建立药物信息中心、提供康复服务以及与社区和专家合作。在低收入和中等收入国家,获取医疗资源和服务的途径有限,再加上文化水平较低,这些综合困难加剧了阿片类药物滥用、误用和转移的可能性。要确保安全有效地使用阿片类药物,从而降低用药过量和成瘾的风险,就必须及早发现、评估和实施干预措施,以优化阿片类药物的使用。药剂师通过教育、监测、合作和政策宣传参与促进安全有效地使用阿片类药物,是弥合低收入国家阿片类药物管理方面现有差距的重要组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancing opioid stewardship in low-middle-income countries: challenges and opportunities.

The increased utilization of opioids in low- and middle-income countries (LMICs) presents a growing threat of opioid-related abuse, misuse and diversion. Pharmacists, as integral members of healthcare teams, are responsible for dispensing and monitoring opioid use and hold a pivotal role in opioid stewardship within LMICs. This commentary describes the potential and multifaceted roles of pharmacists in opioid stewardship in resource-constrained settings and highlights appropriate strategies for promoting responsible opioid utilization. Opioid stewardship involves prioritising evidence-based prescribing, management and practices for pain management. It includes measures such as incorporating prescription drug monitoring programmes for appropriate opioid prescription, implementing safe disposal through drug take-back programmes, promoting non-opioid pain management, addressing the opioid addiction stigma, tapering opioid dose, educating patients and caregivers, establishing drug information centers, providing rehabilitative services and integrating collaboration with communities and experts. The combined difficulties of restricted access to healthcare resources and services coupled with low levels of literacy worsen the susceptibility to opioid abuse, misuse, and diversion in LMICs. Early detection, assessment and implementation of interventions to optimise opioid use are imperative for ensuring safe and effective opioid utilization, thereby mitigating the risks of overdose and addiction. The involvement of pharmacists in promoting safe and effective opioid utilization through education, monitoring, collaboration, and policy advocacy serves as a critical component in bridging existing gaps in opioid stewardship within LMICs.

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来源期刊
Journal of Pharmaceutical Policy and Practice
Journal of Pharmaceutical Policy and Practice Health Professions-Pharmacy
CiteScore
4.70
自引率
9.50%
发文量
81
审稿时长
14 weeks
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