全科医生对出院用药的信息需求：内容、时机及药物治疗建议。
Informational needs of general practitioners regarding discharge medication: content, timing and pharmacotherapeutic advice.
作者信息
Karapinar Fatma, van den Bemt Patricia M L A, Zoer Jan, Nijpels Giel, Borgsteede Sander D
机构信息
Department of Hospital Pharmacy, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands.
出版信息
Pharm World Sci. 2010 Apr;32(2):172-8. doi: 10.1007/s11096-009-9363-3. Epub 2010 Jan 14.
OBJECTIVE
To investigate the needs of Dutch general practitioners on discharge medication, both regarding content, timing and the appreciation of pharmacotherapeutic advice from clinical pharmacists.
SETTING
A general teaching hospital in Amsterdam, The Netherlands.
METHOD
A prospective observational study was performed. A questionnaire with regard to the content, optimal timing (including way of information transfer) and appreciation of pharmacotherapeutic advice was posted to 464 general practitioners. One reminder was sent.
MAIN OUTCOME MEASURE
Description of the needs of general practitioners was assessed. For each question and categories of comments frequency tables were made. The Fisher-exact test was used to study associations between the answers to the questions.
RESULTS
In total, 149 general practitioners (32%) responded. Most general practitioners (75%) experienced a delay in receiving discharge medication information and preferred to receive this on the day of discharge. GPs wished to receive this information mainly through e-mail (44%). There was a significant correlation (P = 0.002) between general practitioners who wanted to know whether and why medication had been stopped (87%) and changed (88%) during hospital admission. The general practitioners (88%) appreciated pharmacotherapeutic advice from clinical pharmacists.
CONCLUSION
This study indicates how information transfer on discharge medication to GPs can be optimised in the Netherlands. The information arrives late and GPs want to be informed on the day of discharge mainly by e-mail. GPs wish to know why medication is changed or discontinued and appreciate pharmacotherapeutic advice from clinical pharmacists.
目的
调查荷兰全科医生对出院用药的需求，包括用药内容、时间安排以及对临床药师药物治疗建议的评价。
地点
荷兰阿姆斯特丹的一家综合教学医院。
方法
进行了一项前瞻性观察研究。向464名全科医生发放了一份关于用药内容、最佳时间安排（包括信息传递方式）以及对药物治疗建议评价的问卷。发送了一次提醒。
主要观察指标
评估全科医生的需求描述。针对每个问题和评论类别制作了频率表。采用Fisher精确检验研究问题答案之间的关联。
结果
共有149名全科医生（32%）回复。大多数全科医生（75%）表示在接收出院用药信息方面存在延迟，并且更倾向于在出院当天收到该信息。全科医生希望主要通过电子邮件（44%）接收此信息。在想知道住院期间用药是否以及为何停用（87%）和更改（88%）的全科医生之间存在显著相关性（P = 0.002）。全科医生（88%）对临床药师的药物治疗建议表示赞赏。
结论
本研究表明在荷兰如何优化向全科医生传递出院用药信息。信息到达较晚，全科医生希望在出院当天主要通过电子邮件获得通知。全科医生希望知道用药为何更改或停用，并赞赏临床药师的药物治疗建议。
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