Basaran Nesrin Filiz, Akici Ahmet
Kartal Training and Research Hospital, Istanbul, Turkey.
Patient Prefer Adherence. 2012;6:719-24. doi: 10.2147/PPA.S34922. Epub 2012 Oct 9.
Physicians' inappropriate prescribing habits affect patients' lives both medically and financially. To avoid these unwanted situations, the World Health Organization defined the rational use of drugs (RUD) in 1985. This study aimed to investigate whether patients were as informed about their diagnosis and medication as anticipated and their knowledge about the RUD in general.
A questionnaire was given to 260 patients being treated at the Kartal Training and Research Hospital between February and March 2012.
Most of the patients declared that they were not informed enough about their diagnosis and not all of the physicians evaluated their therapies. These undesirable conditions were due to high daily examined patient numbers. A total of 68.6% of patients stated that time allotted per patient was 0-10 minutes, 33.1% found the information given sufficient, and 11.3% were told to repeat back narratives about their treatments. Instructions and warnings given by physicians about prescribed drugs did not fully meet the RUD criteria. The majority of referred patients were willing to be educated about the subject.
These results showed that heavy patient load seriously affects the RUD process. Improvement of the current health system should be given serious consideration. After sufficient arrangements have been made in this field, patients will be able to be informed properly about medicines prescribed by their physicians. Also, public education programs will be helpful to raise awareness of the subject on a larger scale.
医生不恰当的开药习惯在医学和经济方面都会影响患者的生活。为避免这些不良情况，世界卫生组织于1985年定义了合理用药（RUD）。本研究旨在调查患者对自身诊断和用药的了解程度是否如预期那样，以及他们对合理用药的总体认识。
2012年2月至3月期间，对在卡尔塔尔培训与研究医院接受治疗的260名患者进行了问卷调查。
大多数患者表示他们对自己的诊断了解不足，而且并非所有医生都对他们的治疗进行了评估。这些不良情况是由于每日检查的患者数量众多所致。共有68.6%的患者表示每位患者的就诊时间为0至10分钟，33.1%的患者认为所提供的信息足够，11.3%的患者被要求复述他们的治疗情况。医生给予的关于处方药的说明和警告并未完全符合合理用药标准。大多数转诊患者愿意接受关于该主题的教育。
这些结果表明，繁重的患者负担严重影响了合理用药过程。应认真考虑改善当前的卫生系统。在该领域做出充分安排后，患者将能够正确了解医生所开药物的相关信息。此外，公众教育项目将有助于在更大范围内提高对该主题的认识。
