School of Pharmacy, The University of Queensland, Woolloongabba, QLD, Australia; Mater Pharmacy Services, Mater Health Services, South Brisbane, QLD, Australia; Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia.
School of Pharmacy, The University of Queensland, Woolloongabba, QLD, Australia.
Res Social Adm Pharm. 2019 Apr;15(4):440-447. doi: 10.1016/j.sapharm.2018.06.012. Epub 2018 Jun 18.
Consumers have questions about their medication but the nature of these concerns and how they reflect medication use is unknown.
To determine the characteristics and medicines interests of callers to an Australian medicines call center and whether the medicines interest of callers corresponds with medicines utilization.
Data from consumers who contacted a national medicines call center between September 2002 and June 2010 were analyzed. Patterns of consumer medicines interest were described. Medicines were class-matched by Anatomical Therapeutic Classification, and compared with dispensed use (January 2006-June 2010).
In total 125,951 calls were received between 2002 and 2010. Callers were mainly female (76.8%), median age 48 years, calling for themselves (71.7%). Motivation to call related to safety (34.7%), efficacy (24.1%) and interactions (14.9%). For the comparison with medicines utilization, 85,416 calls with 124,177 individual medicine counts were analyzed (2006 and 2010). There were 976 unique 'medicines of interest'. Half (49.4%) of these questions involved just fifty unique medicines. Nervous system medicines (antiepileptics, psycholeptics, analgesics) and antibacterials consistently ranked highest for interest compared with use. Conversely, agents acting on the renin-angiotensin system, statins and drugs for acid related disorders ranked low for interest despite widespread use.
Consumer questions about medicines correlate poorly with overall medicines utilization. To promote quality health outcomes, clinicians should target their education to the relatively small number of medicines of real concern to patients.
消费者对他们的药物有疑问，但这些问题的性质以及它们如何反映药物的使用情况尚不清楚。
确定澳大利亚药品咨询中心来电者的特征和药品关注点，以及来电者的药品关注点是否与药品使用情况相对应。
对 2002 年 9 月至 2010 年 6 月期间联系国家药品咨询中心的消费者数据进行分析。描述消费者药品兴趣的模式。根据解剖治疗学分类法对药品进行分类匹配，并与（2006 年 1 月至 2010 年 6 月）的配药使用情况进行比较。
在 2002 年至 2010 年间共收到 125951 个电话。来电者主要为女性（76.8%），中位年龄为 48 岁，为自己打电话（71.7%）。打电话的动机与安全性（34.7%）、疗效（24.1%）和相互作用（14.9%）有关。为了与药物使用进行比较，对 2006 年和 2010 年的 85416 个电话和 124177 个个体药物计数进行了分析。共有 976 个独特的“药品关注点”。其中一半（49.4%）的问题仅涉及五十种独特的药物。与使用情况相比，神经系统药物（抗癫痫药、精神安定药、镇痛药）和抗菌药一直是最受关注的药物。相反，尽管广泛使用，但作用于肾素-血管紧张素系统、他汀类药物和酸相关疾病药物的药物的关注度较低。
消费者对药物的问题与整体药物使用情况相关性较差。为了促进高质量的健康结果，临床医生应该将他们的教育重点放在患者真正关注的相对较少的药物上。
