تله‌فارماسی در ایران از منظر اخلاق در داروسازی‌: امکان سنجی‌، فرصت‌ها و چالش‌ها

نوع مقاله : پژوهشی (Original Research)

نویسندگان

1 دکترا حرفه ای، داروسازی، گروه داروسازی بالینی، دانشکده داروسازی دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران،

2 دکترا، حقوق عمومی، دانشکده داروسازی دانشگاه علوم پزشکی تهران، تهران، ایران،

3 گروه داروسازی بالینی، دانشکده داروسازی دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

زمینه و هدف‌: تله‌فارماسی به معنای به کار گیری فناوری ارتباطات جهت ارائه خدمات دارویی به بیماران است‌، که با اهداف متفاوت و در شرایط مختلف مانند شرایط اپیدمی‌، بیماران ناتوان و یا کسانی که دسترسی به خدمات دارویی ندارند‌، مورد استفاده قرار بگیرد‌. این سرویس در زمان همه گیری بیماری کرونا ویروس 2019‌، اهمیت ویژه‌ای یافته است‌. با توجه به اثرات مثبت این تکنولوژی در کنترل اپیدمی‌ها‌، ضروریست مزایا و معایب و پیامدهای مطلوب یا نامطلوب حاصل از اجرای آن در سیستم سلامت کشور مورد بحث و بررسی قرار گیرد‌.
روش بررسی‌: جستجو در پایگاه‌های داده Pubmed‌، Scopus‌، Cochrane و SID با کلید واژه‌های مناسب انجام گرفت‌، از 346 مقاله پیدا شده‌، مقالات تکراری‌، خارج و 225 مطالعه باقی‌ماندند‌، بعد از مطالعه متن کامل مقالات و حذف مقالات غیر مرتبط‌، 65 مقاله شرایط ورود به مطالعه را داشتند‌.
یافته‌ها‌: نتایج بدست آمده نشان می‌دهند‌، تله‌فارماسی تعاملات بین رشته‌ای‌، میزان رضایت شغلی داروسازان و مستندسازی را افزایش می‌دهد‌. صرفه جویی در وقت و هزینه‌، کاهش وقوع خطاهای دارویی‌، عوارض دارویی‌، بهبود ارتباط بین بیمار‌، داروساز و کاهش مرگ و میر متعاقب مصرف دارو از اثرات مثبت تله فارماسی گزارش شده‌اند‌. صرف هزینه‌های بالا جهت تأمین زیرساخت و تجهیزات‌، اختصاص زمان و هزینه برای آموزش پرسنل و مصرف‌کنندگان‌، نیاز به تدوین و بازبینی سیاست‌های جاری و احتمال بروز اختلال در روند دارودرمانی فعلی از جمله اثرات منفی آن است که لزوم بررسی و به کارگیری راه حل‌های مناسب را ایجاب می‌کند‌.
نتیجه گیری‌: تله‌فارماسی می‌تواند پیامدهای مطلوبی برای نظام سلامت‌، پرسنل کادر درمان‌، و مصرف‌کنندگان دارو به همراه داشته باشد‌، همچنین ایمنی دسترسی به دارو را افزایش خواهد داد‌. در کل نیاز به انجام مطالعات گسترده‌تری که ابعاد مختلف و پیامدهای گوناگون تله‌فارماسی را مورد بحث‌، آزمون و بررسی قرار دهند احساس می‌شود‌.

کلیدواژه‌ها


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