Department of Obstetrics and Gynecology, Florida Hospital Graduate Medical Education, Florida Hospital Orlando, FL, USA.
Am J Obstet Gynecol. 2010 Mar;202(3):236.e1-5. doi: 10.1016/j.ajog.2009.10.886. Epub 2009 Dec 30.
The purpose of this study was to determine whether an electronic prescription for over-the-counter calcium supplements increases compliance.
Two hundred forty-five patients from 19-50 years of age who underwent annual gynecologic examinations were assigned randomly to either verbal counseling about the use of a calcium carbonate with vitamin D supplement (n = 122) or verbal counseling and an electronic prescription (n = 123). Telephone interviews at 3 and 6 months determined compliance.
Women who received the electronic prescription were significantly more likely to use calcium supplementation than control subjects at both 3 and 6 months. At 3 months, 66.0% of women who received an electronic prescription reported compliance (P = .001). At 6 months, 57.0% of the participants were compliant (P = .001). At 6 months, women who were given the electronic prescription were 2.2 times more likely to report having taken the calcium than were control subjects (95% confidence interval, 1.5-3.1).
An electronic prescription for over-the-counter calcium supplements is associated with a significant increase in compliance, compared with verbal counseling alone.
本研究旨在确定电子处方开非处方药(OTC)钙补充剂是否能提高依从性。
19-50 岁间的 245 名接受年度妇科检查的患者被随机分配至口头咨询碳酸钙加维生素 D 补充剂(n=122)或口头咨询和电子处方(n=123)。3 个月和 6 个月的电话访谈确定了依从性。
与对照组相比,接受电子处方的女性在 3 个月和 6 个月时更有可能使用钙补充剂。在 3 个月时,66.0%接受电子处方的女性报告依从(P=0.001)。6 个月时,57.0%的参与者依从(P=0.001)。6 个月时,接受电子处方的女性报告服用钙的可能性是对照组的 2.2 倍(95%置信区间,1.5-3.1)。
与单独口头咨询相比,电子处方开出 OTC 钙补充剂与依从性的显著提高相关。