Raban Magdalena Z, Tariq Amina, Richardson Lauren, Byrne Mary, Robinson Maureen, Li Ling, Westbrook Johanna I, Baysari Melissa T
Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Interact J Med Res. 2016 Jul 21;5(3):e21. doi: 10.2196/ijmr.5651.
Medication is the most common intervention in health care, and written medication information can affect consumers' medication-related behavior. Research has shown that a large proportion of Australians search for medication information on the Internet.
To evaluate the medication information content, based on consumer medication information needs, and usability of 4 Australian health websites: Better Health Channel, myDr, healthdirect, and NPS MedicineWise .
To assess website content, the most common consumer medication information needs were identified using (1) medication queries to the healthdirect helpline (a telephone helpline available across most of Australia) and (2) the most frequently used medications in Australia. The most frequently used medications were extracted from Australian government statistics on use of subsidized medicines in the community and the National Census of Medicines Use. Each website was assessed to determine whether it covered or partially covered information and advice about these medications. To assess website usability, 16 consumers participated in user testing wherein they were required to locate 2 pieces of medication information on each website. Brief semistructured interviews were also conducted with participants to gauge their opinions of the websites.
Information on prescription medication was more comprehensively covered on all websites (3 of 4 websites covered 100% of information) than nonprescription medication (websites covered 0%-67% of information). Most websites relied on consumer medicines information leaflets to convey prescription medication information to consumers. Information about prescription medication classes was less comprehensive, with no website providing all information examined about antibiotics and antidepressants. Participants (n=16) were able to locate medication information on websites in most cases (accuracy ranged from 84% to 91%). However, a number of usability issues relating to website navigation and information display were identified. For example, websites not allowing combinations of search terms to be entered in search boxes and continuous blocks of text without subheadings.
Of the 4 Australian health information websites tested, none provided consumers with comprehensive medication information on both prescription and nonprescription medications in a user-friendly way. Using data on consumer information needs and user testing to guide medication information content and website design is a useful approach to inform consumer website development.
药物治疗是医疗保健中最常见的干预措施，书面药物信息会影响消费者与药物相关的行为。研究表明，很大一部分澳大利亚人在互联网上搜索药物信息。
根据消费者的药物信息需求，评估4个澳大利亚健康网站（“健康频道”、“我的医生”、“健康直通车”和“澳大利亚药品与保健品管理局明智用药”）的药物信息内容及可用性。
为评估网站内容，利用以下两种方式确定最常见的消费者药物信息需求：（1）向“健康直通车”热线（澳大利亚大部分地区都可拨打的电话热线）咨询药物问题；（2）澳大利亚最常用的药物。最常用的药物是从澳大利亚政府关于社区补贴药物使用情况的统计数据以及全国药物使用普查中提取的。对每个网站进行评估，以确定其是否涵盖或部分涵盖了有关这些药物的信息和建议。为评估网站的可用性，16名消费者参与了用户测试，他们被要求在每个网站上查找两条药物信息。还与参与者进行了简短的半结构化访谈，以了解他们对这些网站的看法。
与非处方药相比，所有网站上关于处方药的信息覆盖得更全面（4个网站中有3个网站涵盖了100%的信息），而非处方药的信息覆盖范围为0%-67%。大多数网站依靠消费者药品信息传单向消费者传达处方药信息。关于处方药类别的信息不够全面，没有一个网站提供了所考察的关于抗生素和抗抑郁药的所有信息。在大多数情况下，16名参与者能够在网站上找到药物信息（准确率在84%至91%之间）。然而，发现了一些与网站导航和信息显示有关的可用性问题。例如，网站不允许在搜索框中输入搜索词组合，且文本连续成块，没有副标题。
在测试的4个澳大利亚健康信息网站中，没有一个以用户友好的方式为消费者提供关于处方药和非处方药的全面药物信息。利用消费者信息需求数据和用户测试来指导药物信息内容和网站设计，是为消费者网站开发提供信息的一种有用方法。
