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发展中国家通过社区药店提供自我药疗药品的信息收集过程综述。

A review of the information-gathering process for the provision of medicines for self-medication via community pharmacies in developing countries.

机构信息

Pharmacy, School of Medicine and Pharmacology, The University of Western Australia, Perth, Western Australia, Australia.

出版信息

Res Social Adm Pharm. 2013 Jul-Aug;9(4):370-83. doi: 10.1016/j.sapharm.2012.08.001. Epub 2012 Oct 23.

Abstract

BACKGROUND

Currently, no review has been completed regarding the information-gathering process for the provision of medicines for self-medication in community pharmacies in developing countries.

OBJECTIVE

To review the rate of information gathering and the types of information gathered when patients present for self-medication requests.

METHODS

Six databases were searched for studies that described the rate of information gathering and/or the types of information gathered in the provision of medicines for self-medication in community pharmacies in developing countries. The types of information reported were classified as: signs and symptoms, patient identity, action taken, medications, medical history, and others.

RESULTS

Twenty-two studies met the inclusion criteria. Variations in the study populations, types of scenarios, research methods, and data reporting were observed. The reported rate of information gathering varied from 18% to 97%, depending on the research methods used. Information on signs and symptoms and patient identity was more frequently reported to be gathered compared with information on action taken, medications, and medical history.

CONCLUSION

Evidence showed that the information-gathering process for the provision of medicines for self-medication via community pharmacies in developing countries is inconsistent. There is a need to determine the barriers to appropriate information-gathering practice as well as to develop strategies to implement effective information-gathering processes. It is also recommended that international and national pharmacy organizations, including pharmacy academics and pharmacy researchers, develop a consensus on the types of information that should be reported in the original studies. This will facilitate comparison across studies so that areas that need improvement can be identified.

摘要

背景

目前,尚无关于发展中国家社区药店凭处方售药过程中信息收集的综述。

目的

综述患者凭自我药疗需求就诊时信息收集的比例和收集的信息类型。

方法

检索了 6 个数据库中描述发展中国家社区药店凭自我药疗需求售药时信息收集比例和/或信息类型的研究。报告的信息类型被分为:症状和体征、患者身份、采取的行动、药物、既往病史和其他。

结果

22 项研究符合纳入标准。研究人群、场景类型、研究方法和数据报告存在差异。所报道的信息收集比例差异很大,范围为 18%至 97%,这取决于所使用的研究方法。与采取的行动、药物和既往病史相比,症状和体征以及患者身份方面的信息更常被报告为收集信息。

结论

证据表明,发展中国家社区药店凭处方售药的信息收集过程不一致。需要确定适当信息收集实践的障碍,并制定实施有效信息收集流程的策略。还建议包括药房学术和药房研究人员在内的国际和国家药房组织就原始研究中应报告的信息类型达成共识。这将有助于对研究结果进行比较,从而确定需要改进的领域。

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