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评估社区药店良好药学实践的指标:一项横断面研究。

Assessing the Indicators of Good Pharmacy Practice in Community Pharmacies: A Cross-Sectional Study.

机构信息

Madan Bhandari Academy of Health Sciences, Hetauda, Nepal.

出版信息

Inquiry. 2024 Jan-Dec;61:469580241273254. doi: 10.1177/00469580241273254.

Abstract

To evaluate the extent to which pharmacies in Hetauda Sub-metropolitan City, Nepal adhere to the recommended practices outlined in the good pharmacy practice guidelines formulated by International Pharmaceutical Federation and draft developed by Nepal Pharmacy Council. Good Pharmacy Practice evaluates the safety, effectiveness, availability, and accessibility of medicines, ensuring their correct usage which is essential component of community pharmacies. Data was collected by visiting community pharmacies throughout Hetauda sub-metropolitan city. The questionnaire includes 38 questions under 9 sections: premises, personnel, quality policy, services, documentation, procurement, storage, prescription handling, and dispensing. Frequencies and percentages were used to represent all categorical variables, while mean ± standard deviation (SD) was used to represent continuous variables. To determine relationships between categorical data, the Pearson Chi-square test (χ²) was utilized with a significance level set at  < .05. Using SPSS Version 23, the quantitative data were analyzed. The findings indicated an overall compliance rate of 56.21% with the GPP indicators. The lowest adherence was observed in relation to the quality policy (11.02%), whereas the highest was obtained on the procurement process (86.6%). With regard to the qualifications of the pharmacy in charge, only 16.3% of the pharmacies had a pharmacist holding a bachelor's degree, while 32.6% employed an assistant pharmacist with a diploma degree. A significant association was found between the qualification of pharmacy in charge with availability of computer ( = .010), safe and effective procurement ( = .036), keeping narcotics drugs in lock and key system ( = .002) and maintaining records of narcotics ( = .020). Our findings reveal that community pharmacists in Hetauda Sub-metropolitan city, Nepal do not meet the standards set by International Pharmaceutical Federation and the Good Pharmacy Practice guidelines formulated by the Nepal Pharmacy Council.

摘要

为了评估尼泊尔赫托达次都市区的药店在多大程度上遵守了国际制药联合会制定的良好药房规范准则和尼泊尔药房理事会制定的草案中概述的建议做法。良好药房规范评估了药品的安全性、有效性、可用性和可及性,确保了其正确使用,这是社区药房的重要组成部分。数据是通过访问赫托达次都市区的社区药店收集的。该问卷包括 9 个部分的 38 个问题:场所、人员、质量政策、服务、文件、采购、储存、处方处理和配药。频率和百分比用于表示所有分类变量,而平均值±标准差(SD)用于表示连续变量。为了确定分类数据之间的关系,使用了 Pearson 卡方检验(χ²),显著性水平设为  < .05。使用 SPSS 版本 23 对定量数据进行了分析。结果表明,GPP 指标的总体合规率为 56.21%。质量政策方面的合规性最低(11.02%),而采购过程方面的合规性最高(86.6%)。关于药店负责人的资格,只有 16.3%的药店有持有学士学位的药剂师,而 32.6%的药店雇用持有药剂师文凭的助理药剂师。药店负责人的资格与计算机的可用性( = .010)、安全有效的采购( = .036)、将麻醉药品放在上锁的系统中( = .002)和保存麻醉药品记录( = .020)之间存在显著关联。我们的研究结果表明,尼泊尔赫托达次都市区的社区药剂师不符合国际制药联合会制定的标准以及尼泊尔药房理事会制定的良好药房规范准则。

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