Petty Duncan R, Knapp Peter, Raynor D K, House Allan O
Pharmacy Practice and Medicines Management Group, School of Healthcare Studies, Baines Wing, University of Leeds, PO Box 214, Leeds LS2 9UT.
Br J Gen Pract. 2003 Aug;53(493):607-13.
Reviewing elderly patients' medication is a requirement of the National Service Framework for Older People. Many general practitioners have insufficient time to review patients' medications in a consultation. Pharmacist review has been offered as an alternative and this will be a new experience for many patients.
To ascertain patients' views of a pharmacist-conducted medication review clinic, run in their general practice surgery.
Qualitative study using focus group interviews.
General practices in Leeds Health Authority area.
Patients aged 65 years and over, who had attended a medicine review clinic, took part in focus groups that were recorded and transcribed. Units of information representing an idea were identified and similar ideas were grouped together as themes.
Patients had a number of prior beliefs about the clinic. Most patients knew that the clinic's purpose was to review repeat medication, to find out more about their medicines, and to ask questions about efficacy and side effects. Some patients were suspicious about the purpose of the clinic but others welcomed the opportunity to have an in-depth review and an explanation of their condition and its treatment; some patients did not accept advice or were disappointed that their expectations were not fulfilled. Most patients were happy to attend a yearly review but some expressed guilt about attending the surgery too frequently.
Patients who attended the medication review clinics expressed a range of views about the service. Further research into patients' and carers' opinions about medicine review is needed to inform the development of these services.
审查老年患者的用药情况是《老年人国家服务框架》的一项要求。许多全科医生在诊疗过程中没有足够时间审查患者的用药情况。已提议由药剂师进行审查，而这对许多患者来说将是一种全新体验。
确定患者对在其全科诊所开展的由药剂师主导的用药审查诊所的看法。
采用焦点小组访谈的定性研究。
利兹卫生局辖区内的全科诊所。
65岁及以上且参加过用药审查诊所的患者参与焦点小组，讨论内容进行录音和转录。确定代表某个观点的信息单元，并将相似观点归为主题。
患者对诊所有一些先入为主的看法。大多数患者知道诊所的目的是审查重复用药情况、了解更多关于其药物的信息以及询问疗效和副作用相关问题。一些患者对诊所的目的持怀疑态度，但另一些患者欢迎有机会进行深入审查并对其病情及治疗情况得到解释；一些患者不接受建议，或者因期望未达成而感到失望。大多数患者乐于参加年度审查，但一些患者对过于频繁前往诊所就诊表示愧疚。
参加用药审查诊所的患者对该项服务表达了一系列看法。需要进一步研究患者及护理人员对用药审查的意见，以为这些服务的发展提供参考。
