Schjøtt Jan, Pomp Erik, Gedde-Dahl Ane
Regional Drug Information Centre (RELIS Vest), Haukeland University Hospital, Bergen, Norway.
Eur J Clin Pharmacol. 2002 Feb;57(12):897-902. doi: 10.1007/s00228-001-0386-5.
Problem-oriented drug information is characterised by health professionals actively seeking drug information through various sources. In this study our objective was to determine the quality and impact of problem-oriented drug information among physicians.
Evaluation forms accompanying 163 written answers to physicians from a drug information centre were used to examine the quality and impact of problem-oriented drug information during the period December 1996 to June 1998. Physicians were asked whether the preliminary telephone answer was useful and, furthermore, whether the written answer was fast enough, relevant, adequately comprehensive and had valuable references. Physicians were also asked whether the answer had caused any change in their clinical practice. If yes, they were then asked to describe the actual changes.
Of 163 evaluation forms, 117 (72%) were returned by physicians. Eighty-six physicians received a preliminary telephone answer and 83 (97%) stated that this was useful. Among the physicians, 92 (79%) found that the answer was fast enough, relevant, adequately comprehensive and with valuable references, while 19 (16%) found that the answer satisfied three of these four quality criteria. Seventy-one evaluation forms stated that the answer had caused a change in clinical practice. Sixty-eight (96%) of these contained a description of the change. Thirty-five evaluation forms that stated that the answers did not cause any change in clinical practice showed the same quality score as for the total group. Thus, 28 (80%) of these satisfied four and 5 (14%) satisfied three of the quality criteria. Improved routines for and control of ongoing pharmacotherapy was the most common change in clinical practice reported by physicians.
The results show that, in general, physicians found problem-oriented drug information to be of high quality, and that it had an impact on their clinical practice. Problem-oriented drug information could be a method to change clinical practice among physicians.
以问题为导向的药物信息的特点是卫生专业人员通过各种渠道积极寻求药物信息。在本研究中，我们的目的是确定以问题为导向的药物信息在医生中的质量和影响。
使用药物信息中心收到的163份医生书面回复所附带的评估表，来检查1996年12月至1998年6月期间以问题为导向的药物信息的质量和影响。询问医生初步的电话回复是否有用，此外，书面回复是否足够迅速、相关、全面且有有价值的参考文献。还询问医生该回复是否导致其临床实践发生任何变化。如果是，接着请他们描述实际的变化。
在163份评估表中，有117份（72%）被医生退回。86名医生收到了初步的电话回复，其中83名（97%）表示这很有用。在这些医生中，92名（79%）认为回复足够迅速、相关、全面且有有价值的参考文献，而19名（16%）认为回复满足这四项质量标准中的三项。71份评估表表明回复导致了临床实践的改变。其中68份（96%）包含了对变化的描述。35份表明回复未导致临床实践发生任何变化的评估表与整个组的质量得分相同。因此，其中28份（80%）满足四项质量标准，5份（14%）满足三项质量标准。医生报告的临床实践中最常见的变化是改进了正在进行的药物治疗的常规操作和控制。
结果表明，总体而言，医生认为以问题为导向的药物信息质量很高，并且对他们的临床实践有影响。以问题为导向的药物信息可能是改变医生临床实践的一种方法。
