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Artikel ; Online: Multidisciplinary tuberculosis care: leveraging the role of hospital pharmacists.

Iskandar, Deni / Pradipta, Ivan S / Anggriani, Ani / Postma, Maarten J / van Boven, Job F M

BMJ open respiratory research

2023  Band 10, Heft 1

Abstract: Introduction: Optimal pharmacological treatment of tuberculosis (TB) requires a multidisciplinary team, yet the hospital pharmacist's role is unclear. We aimed to analyse hospital pharmacist-provided clinical pharmacy services (CPS) implementation in TB ...

Abstract Introduction: Optimal pharmacological treatment of tuberculosis (TB) requires a multidisciplinary team, yet the hospital pharmacist's role is unclear. We aimed to analyse hospital pharmacist-provided clinical pharmacy services (CPS) implementation in TB care.
Method: A nationwide survey-based online cross-sectional study was conducted on hospital pharmacists in Indonesia from 1 November 2022 to 22 November 2022. Outcomes were the extent of pharmacists' involvement in multidisciplinary TB care, TB-related CPS provided and views on TB-related CPS. The probability of pharmacists' involvement in multidisciplinary TB teams was assessed using logistic regression.
Results: In total, 439 pharmacists (mean age 31.2±6.22 years, 78% female) completed the survey. Thirty-six per cent were part of multidisciplinary TB care, and 23% had TB-related tasks. Adherence monitoring (90%) and drug use evaluation (86%) were the most conducted TB-related CPS. Pharmacists' views on TB-related CPS implementation were generally positive, except for financial incentives. Work experience (OR 1.99, 95% CI 1.09 to 3.61), ever received TB-related training (OR 3.51, 95% CI 2.03 to 6.14) and specific assignments to provide TB-related CPS (OR 8.42, 95% CI 4.99 to 14.59) significantly increased pharmacist involvement in multidisciplinary TB care.
Conclusion: Around one-third of hospital pharmacists are part of multidisciplinary TB care, with medication adherence and drug use monitoring as primary tasks. Pharmacists' experience, training, assignment to provide TB-related CPS and financial incentives are key elements for further implementation in multidisciplinary TB care. Pharmacists should proactively support current TB care and conduct operational research, sharing data with healthcare peers and fostering a collaborative multidisciplinary TB care team.
Mesh-Begriff(e) Humans ; Female ; Young Adult ; Adult ; Male ; Pharmacists ; Cross-Sectional Studies ; Hospitals ; Medication Adherence ; Tuberculosis/drug therapy
Sprache Englisch
Erscheinungsdatum 2023-06-10
Erscheinungsland England
Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID 2736454-9
ISSN 2052-4439 ; 2052-4439
ISSN (online) 2052-4439
ISSN 2052-4439
DOI 10.1136/bmjresp-2023-001887
Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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