Community pharmacists have become increasingly exposed to opioid use disorders in recent decades. However, both pharmacist training and traditional practice environments have not been adequate to prepare the pharmacist for both the patient care needs and regulatory barriers of patients experiencing opioid use disorders (OUD). As a result, there is a need to increase pharmacists' awareness of both the overall patient experience as they navigate their OUD and the role of the community pharmacy as a touchpoint within that experience. To this end, a Community-Centered Patient Journey in Drug Addiction Treatment journey map was developed with expert insights, clinical experience, and in-depth interviews (conducted in spring of 2021) with 16 participants enrolled in licensed opioid treatment programs in Tennessee. Patients, policymakers, clinicians, and academic researchers were involved in the map development. Lived experiences of key informants were captured via in-depth interviews. A consensus decision-making approach was used throughout the patient journey map development process. The final patient journey map illustrates a non-linear pathway, describes the central role of the patient's community, and emphasizes three major "pain points" within the system (access, adherence, and affordability). Future research should investigate the impact of such a journey map on pharmacy personnel's knowledge, attitudes, and behaviors.
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http://dx.doi.org/10.3390/pharmacy11020052 | DOI Listing |
Rev Panam Salud Publica
December 2024
George Alleyne Chronic Disease Research Centre Caribbean Institute for Health Research University of the West Indies Bridgetown Barbados George Alleyne Chronic Disease Research Centre, Caribbean Institute for Health Research, University of the West Indies, Bridgetown, Barbados.
The Caribbean small island developing states have limited resources for comprehensive health care provision and are facing an increasing burden of noncommunicable diseases which is driven by an aging regional population. Artificial intelligence (AI) and other digital technologies offer promise for contributing to health care efficiencies, but themselves are dependent on the availability and accessibility of accurate health care data. A regional shortfall in data professionals continues to hamper legislative recognition and promotion of increased data production in Caribbean countries.
View Article and Find Full Text PDFPLoS One
December 2024
College of Tourism, Xinyang Normal University, Xinyang, Henan, China.
In the face of increasingly diverse demands from tourists, traditional methods for scenic route planning often struggle to meet these varied needs. To address this challenge and enhance the overall service quality of tourist destinations, as well as to better understand individualized preferences of visitors, this study proposes a novel approach to scenic route planning and itinerary customization based on multi-layered mixed hypernetwork optimization. Firstly, an adaptive multi-route feature extraction method is introduced to capture personalized demands of tourists.
View Article and Find Full Text PDFJ Adv Nurs
December 2024
Department of Internal Medicine, Section of Geriatric Medicine, University of Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.
Aim: To explore frail older people's perceptions of factors contributing to a health crisis, describe similarities and depict these in a chronological, aggregated patient journey map.
Design: An exploratory-descriptive qualitative study.
Methods: Frail older patients visiting the emergency department of a metropolitan academic hospital in the Netherlands during the first 6 months of 2021 were recruited by purposive sampling.
Musculoskeletal Care
December 2024
Schroeder Arthritis Institute, University Health Network, University of Toronto, Toronto, Canada.
Objective: To evaluate the sociodemographic characteristics and disease-related factors associated with diagnostic delay in Canadian patients with axial spondyloarthritis (axSpA).
Methods: Data from 542 Canadian patients who participated in the International Map of Axial Spondyloarthritis online survey were analysed. Diagnostic delay was calculated as the difference between age at diagnosis and age at onset of the first symptoms reported by participants.
J Med Internet Res
December 2024
University of Exeter Medical School, Exeter, United Kingdom.
Background: Within the dermatological community, topical steroid withdrawal syndrome (TSWS) is a medically contested condition with a limited research base. Published studies on TSWS indicate that it is a distinct adverse effect of prolonged use of topical corticosteroids, but there is a paucity of high-quality research evidence. Among the "patient community," awareness has been increasing, with rapid growth in social media posts on TSWS and the introduction of online communities such as the International Topical Steroid Awareness Network.
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