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优化医疗服务的药物警戒实践:印度国家疟疾控制项目中的知识与态度研究

Pharmacovigilance practices for better healthcare delivery: knowledge and attitude study in the national malaria control programme of India.

作者信息

Gupta Pooja, Anvikar Anupkumar R, Valecha Neena, Gupta Yogendra K

机构信息

Department of Pharmacology, All India Institute of Medical Sciences, New Delhi 110029, India.

National Institute of Malaria Research, Indian Council of Medical Research, New Delhi 110077, India.

出版信息

Malar Res Treat. 2014;2014:837427. doi: 10.1155/2014/837427. Epub 2014 Sep 15.

Abstract

Objective. With large scale rollout of artemisinin based therapy in the National Malaria Control Programme of India, a risk management plan is needed. This depends on adverse drug reaction (ADR) reporting by the healthcare professionals (HCPs). For the programme to be successful, an understanding of the mindset of HCPs is critical. Hence, the present study was designed to assess and compare the ADR reporting beliefs of HCPs involved in the National Malaria Control Programme of India. Methods. A cross-sectional survey was conducted amongst the HCPs who manage malaria up to the district level in India. A 5-point Likert scale-based questionnaire was developed as a study tool. Results. A total of 154 HCPs participated in the study (age: 42.4 ± 10.1 years with 33.8% being females). About 61% felt that only medically qualified HCPs are responsible for ADR reporting. Likeliness to report in future was mentioned by 45% HCPs. The knowledge score was relatively lower for life science graduates (P = 0.09). Knowledge correlated positively with attitude (r (2) = 0.114; P < 0.0001). Conclusion. Based on the caveats identified, a specific and targeted in-service education with hands-on training on ADR monitoring and reporting needs to be designed to boost real time pharmacovigilance in India.

摘要

目的。随着以青蒿素为基础的疗法在印度国家疟疾控制项目中的大规模推广,需要一个风险管理计划。这取决于医疗保健专业人员(HCPs)报告药品不良反应(ADR)。为使该项目取得成功,了解HCPs的思维模式至关重要。因此,本研究旨在评估和比较参与印度国家疟疾控制项目的HCPs对ADR报告的看法。方法。对印度负责疟疾防治工作直至区级的HCPs进行了一项横断面调查。开发了一份基于5点李克特量表的问卷作为研究工具。结果。共有154名HCPs参与了研究(年龄:42.4±10.1岁,女性占33.8%)。约61%的人认为只有具备医学资质的HCPs才负责ADR报告。45%的HCPs提到了未来报告的可能性。生命科学专业毕业生的知识得分相对较低(P = 0.09)。知识与态度呈正相关(r(2)=0.114;P < 0.0001)。结论。基于所发现的注意事项,需要设计一项针对ADR监测和报告的特定且有针对性的在职教育并进行实践培训,以加强印度的实时药物警戒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/108f/4181514/b4a652c3f974/MRT2014-837427.001.jpg

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