药剂师和全科医生对向患者提供书面药物信息的矛盾态度——一项定性研究。

Pharmacist and general practitioner ambivalence about providing written medicine information to patients-a qualitative study.

机构信息

Faculty of Pharmacy, The University of Sydney, Pharmacy and Bank Building A15, NSW 2006, Australia.

出版信息

Res Social Adm Pharm. 2013 Sep-Oct;9(5):517-30. doi: 10.1016/j.sapharm.2013.02.006. Epub 2013 Apr 6.

Abstract

BACKGROUND

Written medicine information is an important aspect of patient education, increasing patient knowledge and satisfaction. It can play an important role in promoting education, communication, and improving health literacy. In Australia, standardized, comprehensive written medicine information is available for all medicines. Patients' want such written information, however they report it is generally not supplied or there is limited interaction between healthcare professionals and patients when provided.

OBJECTIVE

A qualitative study was conducted to explore the opinions and attitudes of healthcare professionals toward the use of written medicine information in practice.

METHOD

The study involved focus groups with 32 general practitioners (4 groups), 29 community pharmacists (4 groups) and 7 hospital pharmacists (1 group) in Sydney and rural New South Wales. All discussions were transcribed verbatim and analyzed using thematic content analysis.

FINDINGS

Across the groups, professionals were aware of patients' needs for medicine information, but provision to patients in practice appeared the exception rather than the rule. Common reasons for non-provision were lack of time, possible creation of patient anxiety, low literacy, and perceived length and complexity of the information. Many desired more balanced information for patients on both benefits and risks. Most felt current materials were not useful information-sharing tools; some perceived that it undermined their relationship with patients. Improvement strategies proposed included increased consultation times and improved quality of the information.

CONCLUSION

Participants were ambivalent about supplying written medicine information to their patients and concerned about its impact on the patient-provider relationship. This contributed to limited provision, despite the information being available for all medicines. A tailored approach to meet individual patient information preferences, together with efforts to support professionals as facilitators of information may increase written medicine information utilization as an information-sharing tool to improve health literacy and patient engagement.

摘要

背景

书面医学信息是患者教育的一个重要方面,可以增加患者的知识和满意度。它在促进教育、沟通和提高健康素养方面可以发挥重要作用。在澳大利亚,所有药物都有标准化、全面的书面药物信息。然而,患者希望获得这样的书面信息,但他们报告说,这种信息通常没有提供,或者在提供时医疗保健专业人员与患者之间的互动有限。

目的

本研究采用定性研究方法,探讨了医疗保健专业人员在实践中使用书面药物信息的意见和态度。

方法

该研究在悉尼和新南威尔士州农村地区进行了 32 名全科医生(4 组)、29 名社区药剂师(4 组)和 7 名医院药剂师(1 组)的焦点小组。所有讨论均逐字记录,并使用主题内容分析进行分析。

结果

在所有小组中,专业人员都意识到患者对药物信息的需求,但在实践中向患者提供信息似乎是例外而不是常规。不提供信息的常见原因包括缺乏时间、可能引起患者焦虑、文化程度低以及认为信息过长和复杂。许多人希望为患者提供更平衡的信息,包括药物的益处和风险。大多数人认为当前的材料不是有用的信息共享工具;有些人认为这破坏了他们与患者的关系。提出的改进策略包括增加咨询时间和提高信息质量。

结论

参与者对向患者提供书面药物信息持矛盾态度,并担心这会影响医患关系。尽管所有药物都有可用的信息,但这导致提供信息的情况有限。采取个性化的方法满足患者的个人信息偏好,并努力支持专业人员作为信息的促进者,可能会增加书面药物信息作为信息共享工具的利用,以提高健康素养和患者参与度。

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