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背景:越南胡志明市。目的:描述药剂师对向国家结核病控制规划(NTP)转诊可疑结核病人的态度,并且评价一种新型转诊系统的可行性。方法:1)对150家私人药房进行问卷调查;2)对16名药剂师进行定性调查;3)对新转诊单的使用进行21个月的监测。结果:72％的药剂师认为本简化转诊单便于使用。药剂师提出了多种与将可疑结核病人转诊到NTP有关的风险;病人可能流向另一家药房(61％的应答者);如果顾客未患结核病他们就会对药剂师提出批评(42％):由于顾客未去NTP就诊因此延误治疗(41％)。58名(39％)合格药剂师至少转诊过一个病人。至少转诊了373例可疑病人,149例接受了检查,10例患结核病。结论:让药剂师转诊可疑结核病人是可行的。由于对病例发现有重要影响,因此认识到药剂师所担心的问题,并且努力改变病人乖供方两方面对药剂师作用的期望非常重要。
Background: Ho Chi Minh City, Vietnam. Purpose: To describe the attitude of pharmacists to referrals to suspected TB patients to the National Tuberculosis Control Program (NTP) and to evaluate the feasibility of a new referral system. Methods: 1) Conducting a questionnaire survey on 150 private pharmacies; 2) conducting a qualitative survey of 16 pharmacists; and 3) monitoring the use of new referral orders for 21 months. RESULTS: Seventy-two percent of pharmacists thought the simplified referral sheet was easy to use. Pharmacists have put forward a number of risks associated with referring suspected TB patients to NTP; patients may flow to another pharmacy (61% of respondents); they will criticize pharmacists if they do not have TB (42%) Delayed treatment (41%) as customers did not go to NTP for treatment. 58 (39%) qualified pharmacists referred at least one patient. At least 373 suspicious patients were referred, 149 were examined, and 10 were tuberculosis. Conclusion: It is feasible for pharmacists to refer suspicious TB patients. Because of the significant impact on case finding, it is important to recognize the concerns of pharmacists and to work hard to change the expectations of pharmacists on both sides.