Nair Kalpana, Dolovich Lisa, Cassels Alan, McCormack James, Levine Mitch, Gray Jean, Mann Karen, Burns Sheri
Centre for Evaluation of Medicines, St Joseph's Healthcare, Hamilton, Ont.
Can Fam Physician. 2002 Jan;48:104-10.
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.
Qualitative study using focus groups and a grounded-theory approach.
Three regions of Canada (British Columbia, Nova Scotia, and Ontario).
Eighty-eight patients, 27 physicians, and 35 pharmacists each took part in one of 19 focus groups.
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.
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.
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.
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。
采用焦点小组和扎根理论方法的定性研究。
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)。
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。
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。
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。
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。