Health Literacy and Learning Program, Division of General Internal Medicine, Northwestern University, Feinberg School of Medicine, Chicago, USA; Northwestern University Transplant Outcomes Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Northwestern University Feinberg School of Medicine, Chicago, USA.
Patient Educ Couns. 2013 Nov;93(2):306-11. doi: 10.1016/j.pec.2013.06.030. Epub 2013 Jul 26.
We examined patient beliefs about provider awareness of medication use, patient-reported prevalence and nature of provider counseling about medications, and the impact of health literacy on these outcomes.
Structured interviews were conducted at academic general internal medicine clinics and federally qualified health centers with 500 adult patients. Interviewer-administered surveys assessed patients' beliefs, self-reported prevalence and nature of provider counseling for new prescriptions, and medication review.
Most patients believed their physician was aware of all their prescription and over the counter medications, and all medications prescribed by other doctors; while a minority reported disclosing over the counter and supplement use. Among those receiving new prescriptions (n=190): 51.3% reported physician medication review, 77.4% reported receiving instructions on use from physicians and 43.3% from pharmacists. Side effects were discussed 42.9% of the time by physicians and 25.8% by pharmacists. Significant differences in outcomes were observed by health literacy, age, and clinic type.
There is a sizable gap between what patients believe physicians know about their medication regimen and what they report to the physician.
Discordance between patient beliefs and physician knowledge of medication regimens could negatively impact patient safety and healthcare quality.
我们调查了患者对医生了解用药情况的看法、患者报告的医生对药物咨询的普遍性和性质，以及健康素养对这些结果的影响。
在学术性普通内科诊所和联邦合格的健康中心，对 500 名成年患者进行了结构式访谈。访谈员管理的问卷调查评估了患者对新处方和药物审查的信念、自我报告的医生咨询的普遍性和性质。
大多数患者认为他们的医生了解他们所有的处方和非处方药物，以及其他医生开的所有药物；而少数人报告透露了非处方和补充剂的使用情况。在接受新处方的患者中（n=190）：51.3%报告医生进行了药物审查，77.4%报告从医生那里获得了使用说明，43.3%从药剂师那里获得了使用说明。医生讨论药物副作用的时间为 42.9%，药剂师讨论药物副作用的时间为 25.8%。健康素养、年龄和诊所类型对结果存在显著差异。
患者对医生了解其用药情况的看法与他们向医生报告的情况之间存在相当大的差距。
患者对药物治疗方案的信念与医生对药物治疗方案的了解之间的差异可能会对患者安全和医疗质量产生负面影响。
