Titre : | Community pharmacy services for drug misusers in Scotland: what difference does 5 years make? |
Titre traduit : | (Services rendus par les pharmacies aux usagers abusifs en Ecosse : quelles différences après 5 ans ?) |
Auteurs : | C. MATHESON ; C. M. BOND ; PITCAIRN J. |
Type de document : | Périodique |
Année de publication : | 2002 |
Format : | 1405-1411 / tabl. |
Note générale : |
Addiction, 2002, 97, (11), 1405-1411, tabl.
|
Langues: | Anglais |
Discipline : | PRE (Prévention - RdRD / Prevention - Harm reduction) |
Mots-clés : |
Thésaurus mots-clés PHARMACIE ; PHARMACIEN ; METHADONE ; ECHANGE DE SERINGUES ; MESUSAGE ; MEDICAMENTS ; PREVENTION DE PROXIMITE ; EVALUATIONThésaurus géographique ECOSSE |
Résumé : |
FRANÇAIS :
L'objectif de l'article est de vérifier le taux de participation des pharmacies à l'approvisionnement en seringues dans le cadre des programmes d'échange, à la dispensation de médicaments pour les personnes dépendantes, à la distribution de méthadone (quels sont les pratiques ?), etc. Il est aussi question d'évaluer le niveau de formation des pharmaciens par rapport à l'usage détourné des médicaments, et leurs capacité à jouer un rôle en éducation pour la santé dans ce domaine. Les données recueillies sont comparées à celles obtenues 5 ans plus tôt. ENGLISH: Aims: To assess current levels of participation of community pharmacists in needle exchange provision, assess participation in dispensing any drugs for drug misuse, explore methadone dispensing practice, assess involvement in health promotion for drug misusers, assess levels of training in drug misuse and compare all of the above with data from 5 years previously. Design: A cross-sectional postal questionnaire. Setting: All community pharmacies in Scotland (n=1162). Participants: A total of 969 pharmacists managing community pharmacies on a day-to-day basis (response rate 83.4%). Measurements: Descriptive data were collected on demography, drug misuse services provided and training. Data were combined with a dataset from an identical survey conducted 5 years previously for statistical comparison. Results: Levels of needle exchange provision has not changed significantly (9.7%, in 2000 compared to 8.6% in 1995). Of all respondents, 71.5%, now dispense drug for the management of drug misuse, 68.9%, dispense methadone and 56.7%) provide a supervised methadone consumption service. The number of methadone clients receiving methadone through pharmacies has increased from 3387 in 1995 to 8792 in 2000 and the mean number of clients dispensed methadone per pharmacy has increased from 7.3 in 1995 to 13.2 in 2000; 65.1% of all methadone clients now consume their methadone under pharmacist supervision. The proportion of pharmacists dispensing methadone who provide a supervised consumption service has increased significantly from 3 71% to 82.8%, Considerable changes in pharmacy practice arc evident with significant increases in the number of pharmacists who always lay down ground rules, ask for identification on first visits, make up prescriptions in advance and provide verbal advice and leaflets on the management of drug misuse. Training in drug misuse doubled from 31.8%, to 66.8%, Conclusions: Community pharmacy involvement with drug misusers has increased dramatically in the last 5 years. However, this increase is largely in methadone dispensing and supervision. Pharmacists appear to be more proactive in providing advice and information, perhaps as a result of greater training. (Author' s abstract) |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 16 |
Affiliation : |
Dprt of General Practice and Primary Care, Univ. of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen. Royaume-Uni. United Kingdom. |
Numéro Toxibase : | 206493 |
Centre Emetteur : | 02 Coordonnateur |
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