Svarstad Bonnie L, Mount Jeanine K, Tabak Ellen R
School of Pharmacy, University of Wisconsin-Madison, 777 Highland Ave., Madison, WI 53705, USA.
J Am Pharm Assoc (2003). 2005 Jul-Aug;45(4):443-51. doi: 10.1331/1544345054475586.
Evaluate the distribution and quality of patient medication leaflets provided in U.S. pharmacies.
Observational.
United States.
384 randomly selected community pharmacies in 44 states.
Professional shoppers (acting as patients) presented four new prescriptions to study pharmacies.
Medication leaflets obtained by shoppers were evaluated by expert and consumer raters using criteria specified in federal law mandating distribution of useful written information to 95% of individuals receiving new prescriptions by 2006.
Leaflets were provided by pharmacies with 89% of 1,536 prescriptions presented by professional shoppers posing as patients. Leaflet quality varied: 95% of leaflets received high ratings on accuracy, but only 19% received high ratings on the specificity of directions. Fewer than 10% of all leaflets met quality criteria regarding contraindications, precautions, and how to avoid harm. One fourth of all leaflets had poor print size, according to the shoppers.
Additional efforts are needed to meet federally mandated information distribution and quality goals by 2006.
评估美国药店提供的患者用药说明书的分布情况和质量。
观察性研究。
美国。
44个州随机选取的384家社区药店。
专业购物者（扮演患者）向研究药店出示四张新处方。
购物者获得的用药说明书由专家和消费者评估者根据联邦法律规定的标准进行评估，该法律要求到2006年向95%接受新处方的个人提供有用的书面信息。
在专业购物者作为患者出示的1536张处方中，89%的处方药店提供了用药说明书。说明书质量参差不齐：95%的说明书在准确性方面获得高分，但只有19%在用药说明的具体性方面获得高分。所有说明书中，符合关于禁忌症、注意事项以及如何避免伤害的质量标准的不到10%。据购物者反映，四分之一的说明书字体过小。
需要做出更多努力，以在2006年前实现联邦规定的信息分发和质量目标。
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