在全科医疗和药房向患者提供循证信息：其可接受性、有用性及对药物使用的影响如何？

Providing evidence-based information to patients in general practice and pharmacies: what is the acceptability, usefulness and impact on drug use?

作者信息

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

机构信息

Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.

出版信息

Health Expect. 2003 Dec;6(4):281-9. doi: 10.1046/j.1369-7625.2003.00226.x.

DOI:10.1046/j.1369-7625.2003.00226.x

PMID:15040790

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5060203/

Abstract

BACKGROUND

A common and often integral method of delivering patient information is the use of patient guides. However, the acceptability, utility and impact of evidence-based therapeutic guides on physicians, pharmacists and patients have not been well evaluated.

METHODS

This study was a prospective evaluation of 53 general practitioners' offices and 30 community pharmacies from three locations in Canada. Evidence-based guides were provided to 1176 patients who presented to either a general practitioner or a community pharmacist and were interested in receiving information about sore throat, heartburn, or osteoporosis (http://www.ti.ubc.ca/canadadrugguide). The acceptability, utility and impact of the guides were assessed via structured patient telephone interviews, structured health professional interviews, and patient chart audits.

RESULTS

Eighty to 90% of patients reported that the guides were 'very easy' to understand. Fifty six per cent/47%/38% (sore throat/heartburn/osteoporosis) of patients rated the guides as 'very' or 'extremely' useful. Seventy-two per cent/67%/58% of respondents reported that the information helped them make decisions about their treatment. Ninety eight per cent of physicians and 92% of pharmacists reported that the guides helped their patients understand the issues involved in their treatment. None of the analyses showed any significant differences in prescribing of medications between the intervention and control groups.

INTERPRETATIONS

Patients found these evidence-based guides to be useful, easy to understand, and that they helped them in their understanding of treatment options and the decision-making process. Physicians and pharmacists reported that the guides helped their patients understand the issues involved in their treatment. Further research is required to determine the degree to which providing evidence-based guides to patients can impact on prescribing and patient outcomes.

摘要

背景

提供患者信息的一种常见且通常不可或缺的方法是使用患者指南。然而，基于证据的治疗指南对医生、药剂师和患者的可接受性、实用性及影响尚未得到充分评估。

方法

本研究对加拿大三个地点的53家全科医生诊所和30家社区药房进行了前瞻性评估。向1176名前往全科医生或社区药剂师处就诊且有兴趣获取有关喉咙痛、胃灼热或骨质疏松症信息的患者提供了基于证据的指南（http://www.ti.ubc.ca/canadadrugguide）。通过结构化的患者电话访谈、结构化的卫生专业人员访谈以及患者病历审核来评估指南的可接受性、实用性及影响。

结果

80%至90%的患者表示指南“非常容易”理解。56%/47%/38%（喉咙痛/胃灼热/骨质疏松症）的患者将指南评为“非常”或“极其”有用。72%/67%/58%的受访者表示这些信息帮助他们做出治疗决策。98%的医生和92%的药剂师表示指南帮助他们的患者理解了治疗中涉及的问题。所有分析均未显示干预组和对照组在药物处方方面存在任何显著差异。