Eichenberg Christiane, Auersperg Felicitas, Rusch Bernd Detlev, Brähler Elmar
Department Psychologie, Sigmund Freud PrivatUniversität, Wien, Österreich.
Marktforschung, Wort & Bild Verlag Konradshöhe GmbH & Co. KG, Baierbrunn.
Psychother Psychosom Med Psychol. 2015 Aug;65(8):304-10. doi: 10.1055/s-0035-1545311. Epub 2015 Apr 28.
Self-medication, meaning the autonomous treatment of self diagnosed diseases with non-prescription drugs, has become an increasingly relevant topic - not the least because since 2004 most non-prescription drugs were no longer refunded by statutory health insurance, due to the GKV-Modernisierungsgesetz. In light of the above, the central questions that motivate this paper are the following: - Where does the german population obtain information about non-prescription drugs? - Which health impairments are treated with non-prescription drugs before seeing a doctor and for what reasons? - Which habits, experiences and estimates concerning self-medication are shared?
To answer these questions the GfK market research institution in Nürnberg conducted a survey treating different topics from 7(th) to 21(st) December 2012. The sample selected by the quota method is considered to be representative for the population of men and women aged 14 and above in Germany and is based on a total of 1 976 personal interviews.
94.9% of those questioned did treat at least one of the 25 symptoms included in the survey with non-prescription medicine before potentially seeing a doctor. The most common place to obtain information about OTC products is pharmacies. The symptoms most commonly treated by oneself are cold symptoms and headaches. The evidence from this study suggests a variety of factors explaining this behavior. Most of the respondents do not want to see a doctor over minor issues, i. e., think their health problems are not severe enough require consulting a doctor. Furthermore long waiting times and limited opening hours are mentioned. The majority of the respondents had good experiences with self-medication. However, some of the participants keep their OTC use from their treating physicians.
In conclusion, it becomes evident that both opportunities and risks come with self-medication. Strategies to capitalize those opportunities and mitigate these risks are presented, with the trusted relationship between physician and patient playing critical role.
自我药疗是指使用非处方药自主治疗自我诊断的疾病,这已成为一个日益重要的话题——尤其是自2004年以来,由于《法定医疗保险现代化法案》,大多数非处方药不再由法定医疗保险报销。鉴于上述情况,促使本文探讨的核心问题如下:——德国民众从何处获取有关非处方药的信息?——在看医生之前,使用非处方药治疗了哪些健康问题,原因是什么?——关于自我药疗,人们有哪些共同的习惯、经历和看法?
为回答这些问题,纽伦堡的GfK市场研究机构于2012年12月7日至21日进行了一项涉及不同主题的调查。通过配额法选取的样本被认为能够代表德国14岁及以上的男性和女性人口,该样本基于总共1976次个人访谈。
94.9%的受访者在可能看医生之前,至少使用非处方药治疗了调查中包含的25种症状中的一种。获取非处方药产品信息最常见的地方是药店。最常自我治疗的症状是感冒症状和头痛。这项研究的证据表明了多种解释这种行为的因素。大多数受访者不想因小问题去看医生,即认为他们的健康问题不够严重,无需咨询医生。此外,还提到了等待时间长和营业时间有限的问题。大多数受访者自我药疗的体验良好。然而,一些参与者对其治疗医生隐瞒了非处方药的使用情况。
总之,显然自我药疗既有机遇也有风险。本文提出了利用这些机遇和降低这些风险的策略,其中医患之间的信任关系起着关键作用。