Young Amber, Tordoff June, Leitch Sharon, Smith Alesha
University of Otago, Dunedin, New Zealand.
Int J Clin Pharm. 2018 Jun;40(3):676-685. doi: 10.1007/s11096-018-0635-7. Epub 2018 Apr 19.
Background Providing verbal medicines information to patients may be insufficient. Providing medicine information leaflets could support verbal information, however New Zealand health professionals' opinions or use of leaflets is unknown. Objective To examine self-reported provision and health professionals' views about medicine information leaflets and to determine their support for tailoring patient leaflets. Setting A cross sectional survey of general practitioners (GPs) and community pharmacists in New Zealand primary care. Method GPs and pharmacists completed validated questionnaires. Data was collected using SurveyMonkey® and where applicable, Chi squared analysis was carried out. Main outcome measures Frequency of leaflet provision, how leaflets are used in practice and why, likes and dislikes of available leaflets, and opinions on providing tailored information. Results 143 GPs and 126 pharmacists responded. For new medicines, significantly more pharmacists than GPs reported providing leaflets all or most of the time. For repeat medicines, leaflets were more likely to be given only on request. Leaflets were given to ensure patients are well-informed. Most GPs and pharmacists report discussing sections of leaflets with patients. The likes and dislikes of leaflets were mostly about design and content. Both professions support tailoring leaflets to meet individual's requirements. Conclusions Provision of medicines information needs to be re-evaluated. Relying on verbal communication is inadequate and leaflet provision appears to be suboptimal. Making leaflets more patient-centred and accessible could improve health professionals' perceptions and use of them. Automated creation and provision of tailored summary leaflets would be beneficial. Further advantage could be gained by digital patient access.
背景 向患者提供口头用药信息可能并不充分。提供用药信息手册可以辅助口头信息，然而新西兰医疗专业人员对于手册的看法及使用情况尚不清楚。目的 调查自我报告的用药信息手册提供情况以及医疗专业人员对其的看法，并确定他们对为患者量身定制手册的支持度。设置 对新西兰初级医疗中的全科医生（GP）和社区药剂师进行横断面调查。方法 GP和药剂师完成经过验证的问卷。使用SurveyMonkey®收集数据，并在适用情况下进行卡方分析。主要结局指标 手册提供频率、手册在实际中的使用方式及原因、对现有手册的喜爱与不满，以及对提供量身定制信息的看法。结果 143名GP和126名药剂师做出回应。对于新药，报告总是或大部分时间提供手册的药剂师显著多于GP。对于重复用药，手册更有可能仅在患者要求时提供。提供手册是为了确保患者充分了解情况。大多数GP和药剂师报告与患者讨论手册的章节。对手册的喜爱与不满大多涉及设计和内容。两个专业都支持为满足个人需求而量身定制手册。结论 用药信息的提供需要重新评估。仅依靠口头沟通是不够的，手册的提供似乎也未达到最佳状态。使手册更以患者为中心且易于获取可以改善医疗专业人员对其的认知和使用。自动创建和提供量身定制的摘要手册将是有益的。通过患者数字访问可获得更多优势。
