Suppr超能文献

患者想了解关于其药物的哪些信息。患者与临床医生观点的焦点小组研究。

What patients want to know about their medications. Focus group study of patient and clinician perspectives.

作者信息

Nair Kalpana, Dolovich Lisa, Cassels Alan, McCormack James, Levine Mitch, Gray Jean, Mann Karen, Burns Sheri

机构信息

Centre for Evaluation of Medicines, St Joseph's Healthcare, Hamilton, Ont.

出版信息

Can Fam Physician. 2002 Jan;48:104-10.

Abstract

OBJECTIVE

To describe what patients want to know about their medications and how they currently access information. To describe how physicians and pharmacists respond to patients' information needs. To use patients', physicians', and pharmacists' feedback to develop evidence-based treatment information sheets.

DESIGN

Qualitative study using focus groups and a grounded-theory approach.

SETTING

Three regions of Canada (British Columbia, Nova Scotia, and Ontario).

PARTICIPANTS

Eighty-eight patients, 27 physicians, and 35 pharmacists each took part in one of 19 focus groups.

METHOD

Purposeful and convenience sampling was used. A trained facilitator used a semistructured interview guide to conduct the focus groups. Analysis was completed by at least two research-team members.

MAIN FINDINGS

Patients wanted both general and specific information when considering medication treatments. They wanted basic information about the medical condition being treated and specific information about side effects, duration of treatment, and range of available treatment options. Physicians and pharmacists questioned the amount of side-effect and safety information patients wanted and thought that too much information might deter patients from taking their medications. Patients, physicians, and pharmacists supported the use of evidence-based treatment information sheets.

CONCLUSION

Patients and clinicians each appear to have a different understanding of what and how much information patients should receive about medications. Feedback from patients can be used to develop patient-oriented treatment information.

摘要

目的

描述患者想要了解关于其药物的哪些信息以及他们当前获取信息的方式。描述医生和药剂师如何回应患者的信息需求。利用患者、医生和药剂师的反馈来制定基于证据的治疗信息表。

设计

采用焦点小组和扎根理论方法的定性研究。

地点

加拿大的三个地区(不列颠哥伦比亚省、新斯科舍省和安大略省)。

参与者

88名患者、27名医生和35名药剂师分别参加了19个焦点小组中的一个。

方法

采用立意抽样和便利抽样。一名经过培训的主持人使用半结构化访谈指南主持焦点小组。分析由至少两名研究团队成员完成。

主要发现

患者在考虑药物治疗时既想要一般信息也想要具体信息。他们想要关于所治疗疾病的基本信息以及关于副作用、治疗持续时间和可用治疗选择范围的具体信息。医生和药剂师对患者想要的副作用和安全信息的数量提出质疑,并认为过多信息可能会使患者不愿服药。患者、医生和药剂师支持使用基于证据的治疗信息表。

结论

患者和临床医生似乎对患者应该获得哪些药物信息以及多少信息有着不同的理解。患者的反馈可用于制定以患者为导向的治疗信息。

相似文献

2
Task analysis of patients' medication-taking practice and the role of making sense: a grounded theory study.
Res Social Adm Pharm. 2006 Mar;2(1):59-82. doi: 10.1016/j.sapharm.2005.12.005.
3
Are physicians ready for patients with Internet-based health information?
J Med Internet Res. 2006 Sep 29;8(3):e22. doi: 10.2196/jmir.8.3.e22.
4
Depressed patients' preferences for education about medications by pharmacists in Kuwait.
Patient Educ Couns. 2008 Jul;72(1):94-101. doi: 10.1016/j.pec.2008.01.027. Epub 2008 Mar 11.
5
The medication experience: preliminary evidence of its value for patient education and counseling on chronic medications.
Patient Educ Couns. 2011 Jun;83(3):443-50. doi: 10.1016/j.pec.2011.02.007. Epub 2011 Mar 23.
6
Initial evaluation of a computer-based medication management tool in a geriatric clinic.
Am J Geriatr Pharmacother. 2006 Mar;4(1):62-9. doi: 10.1016/j.amjopharm.2006.03.006.
9
Assessing the role of evidence in patients' evaluation of complementary therapies: a quality study.
Integr Cancer Ther. 2007 Dec;6(4):345-53. doi: 10.1177/1534735407309482.
10
Nature and frequency of exchanges on medications during primary care encounters.
Patient Educ Couns. 2006 Dec;64(1-3):207-16. doi: 10.1016/j.pec.2006.02.003. Epub 2006 Jun 15.

引用本文的文献

5
Incorporation of Shared Decision-Making in International Cardiovascular Guidelines, 2012-2022.
JAMA Netw Open. 2023 Sep 5;6(9):e2332793. doi: 10.1001/jamanetworkopen.2023.32793.
7
Internet Use for Obtaining Medicine Information: Cross-sectional Survey.
JMIR Form Res. 2023 Feb 2;7:e40466. doi: 10.2196/40466.
8
Patient medication counselling in community pharmacy: evaluation of the quality and content.
J Pharm Policy Pract. 2022 Dec 16;15(1):103. doi: 10.1186/s40545-022-00502-3.
9
Therapeutic concordance improves blood pressure control in patients with resistant hypertension.
Pharmacol Res. 2023 Jan;187:106557. doi: 10.1016/j.phrs.2022.106557. Epub 2022 Nov 17.
10
Raising patient and carer awareness of the risks of postoperative opioids.
Br J Pain. 2022 Jun;16(3):260-262. doi: 10.1177/20494637221103169. Epub 2022 May 15.

本文引用的文献

1
How much information about adverse effects of medication do patients want from physicians?
Arch Intern Med. 2001 Mar 12;161(5):706-13. doi: 10.1001/archinte.161.5.706.
2
Direct-to-consumer prescription drug advertising: trends, impact, and implications.
Health Aff (Millwood). 2000 Mar-Apr;19(2):110-28. doi: 10.1377/hlthaff.19.2.110.
3
Patient-identified needs for hormone replacement therapy counseling: a qualitative study.
Ann Intern Med. 1999 Aug 17;131(4):265-8. doi: 10.7326/0003-4819-131-4-199908170-00005.
4
The readability of printed education materials regarding hormone replacement therapy.
J Am Acad Nurse Pract. 1998 Oct;10(10):447-52. doi: 10.1111/j.1745-7599.1998.tb00469.x.
5
Practical assessment of adult literacy in health care.
Health Educ Behav. 1998 Oct;25(5):613-24. doi: 10.1177/109019819802500508.
6
Providing patients with written medication information.
Ann Pharmacother. 1998 Sep;32(9):962-9. doi: 10.1345/aph.17455.
7
Are we telling patients enough? A pilot study to assess patient information needs in a gastroenterology outpatient department.
Eur J Gastroenterol Hepatol. 1998 Jan;10(1):63-7. doi: 10.1097/00042737-199801000-00012.
8
A qualitative study of medication-taking behaviour in primary care.
Fam Pract. 1997 Oct;14(5):369-75. doi: 10.1093/fampra/14.5.369.
9
Counseling patients about prescribed medication: 12-year trends.
Med Care. 1997 Oct;35(10):996-1007. doi: 10.1097/00005650-199710000-00002.
10
Can physicians warn patients of potential side effects without fear of causing those side effects?
Arch Intern Med. 1994;154(23):2753-6. doi: 10.1001/archinte.1994.00420230150018.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验