Zimmermann Agnieszka, Gaworska-Krzeminska Aleksandra, Flis Agata
Acta Pol Pharm. 2016 Sep;73(5):1389-1396.
The changing role of the modern pharmacies involves reporting adverse drug reactions (ADR's). The aim of the study is to investigate the knowledge of community pharmacy professional staff (PS) about the new pharmacovigilance (PG) legislation and to analyze patients' attitudes towards the community pharmacy role in PG across north central region in Poland. Research material was collected in a group of pharmacy PS and patients from January 2014 to August 2014 in the Pomeranian District. A cross-sectional study was conducted. The research project consisted of three single anonymous surveys. Main outcome measure was knowledge of PS towards ADRs reporting, attitudes of patients towards ADRs in relation to PS in a community pharmacy. Over half of surveyed pharmacists (54.7%) and only 13% of pharmaceutical technicians know the correct and current definition of ADR. PS do not know what kind of ADRs should be reported - only 41% of pharmacists and 12.1% of technicians presented adequate knowledge. As far as the knowledge of where to notify is concerned - it was present in 60.7% of pharmacists and only 11.2% of pharmaceutical technicians. In most cases pharmacists (72%) know that patients can make their own notifications, technicians showed such knowledge only in 37.4% of cases. Patients who detect an ADR occurrence often do not transmit the information (19% of respondents). However, if they decide to report, they mostly talk to physicians (76.6%), and, less frequently (14.6%), to pharmacy PS. In the opinion of patients, however, the pharmacy PS (20.3%) are identified as sub- jects involved in reporting ADRs and those who can transmit information on the ADRs. The results suggest that pharmacists' knowledge of the rules of reporting ADRs is superior to that of pharmaceutical technicians. In fact, PS are not sufficiently prepared for reporting ADRs. Patients, in turn, do not have adequate awareness of reporting the observed ADRs. They, however, associate the community pharmacy with PG system, although the extent is unsatisfactory. In this regard, a more effective training of PS would be recommended along with tailored social campaigns to inform about the PG system in Poland.
现代药房角色的转变涉及报告药品不良反应（ADR）。本研究的目的是调查社区药房专业人员（PS）对新的药物警戒（PG）法规的了解情况，并分析波兰中北部地区患者对社区药房在药物警戒中作用的态度。研究材料于2014年1月至2014年8月在波美拉尼亚地区的一组药房专业人员和患者中收集。进行了一项横断面研究。该研究项目包括三项单独的匿名调查。主要观察指标是专业人员对ADR报告的了解情况、患者对社区药房专业人员在ADR方面的态度。超过一半的受访药剂师（54.7%）和仅13%的药剂技术员知道ADR的正确和当前定义。专业人员不知道应报告何种ADR——只有41%的药剂师和12.1%的技术员具备足够的知识。就知晓报告地点而言——60.7%的药剂师知晓，而药剂技术员中只有11.2%知晓。在大多数情况下，药剂师（72%）知道患者可以自行报告，而技术员在37.4%的情况下才有此认识。检测到ADR发生的患者往往不传递信息（19%的受访者）。然而，如果他们决定报告，大多会与医生交谈（76.6%），而与药房专业人员交谈的频率较低（14.6%）。然而，在患者看来，药房专业人员（20.3%）被视为参与ADR报告的人员以及能够传递ADR信息的人员。结果表明，药剂师对ADR报告规则的了解优于药剂技术员。实际上，专业人员对报告ADR的准备并不充分。患者则对报告观察到的ADR缺乏足够的认识。不过，他们将社区药房与药物警戒系统联系起来，尽管程度并不理想。在这方面，建议对专业人员进行更有效的培训，并开展有针对性的社会宣传活动，以宣传波兰的药物警戒系统。
