Gil Alvarez J, Ponce Ortega A, Herreros Herranz I, Sanz de la Fuente T, Bártulos A, Morales Rodríguez P
Centro de Salud La Victoria, Valladolid.
Aten Primaria. 1999 Oct 15;24(6):332-6.
To determine the quality of drugs use by patients when these were not prescribed by physicians.
Cross-sectional survey, observational.
La Victoria Health Centre in the urban area of Valladolid.
A survey was made of all patients who consulted their family practitioner about an acute respiratory infection during a three month period. The patients were classified according to the seriousness of their diagnosis, the time elapsed before consulting the doctor, the kind of medication and the source of it was evaluated and also the quality of the prescription with relation to the source.
508 patients were studied, 61.4% women and 38.6% men, 57.9% of the total sample were on self-medication before they went to their physician (53.6% of men and 60.6% of women). The most common source of self-medication was "self-pharmacy" in the case of 59.9% and the kind of medication most commonly taken was the antipyretic-analgesic group (in 42.9% cases). The quality evaluation of self-medication was considered correct in 63% of self-medicated patients, no significant difference was found between the quality of self-medication and the source of it.
The high prevalence of self-medication in the general population, with the high rates of accurate use and the small percentages of adverse drug reactions, would lead us to think about of promoting self-medication and including it in specific educational health programs.
确定患者自行用药（即非医生处方用药）时的用药质量。
横断面观察性调查。
巴利亚多利德市区的拉维多利亚健康中心。
对在三个月期间因急性呼吸道感染向家庭医生咨询的所有患者进行了调查。根据诊断的严重程度、就诊前的时间、所用药物种类及其来源对患者进行分类，并评估与来源相关的处方质量。
共研究了508名患者，其中女性占61.4%，男性占38.6%。在整个样本中，57.9%的患者在去看医生之前自行用药（男性为53.6%，女性为60.6%）。自行用药最常见的来源是“自行购药”，占59.9%，最常服用的药物种类是解热镇痛药（占42.9%的病例）。63%的自行用药患者的自行用药质量评估被认为是正确的，自行用药质量与其来源之间未发现显著差异。
普通人群中自行用药的高流行率、较高的正确使用率以及较低的药物不良反应百分比，会让我们考虑推广自行用药并将其纳入特定的健康教育项目。
