Kiel Simone, Hey Elisabeth, Haase Annekathrin, Chaudhuri Ariane, Chenot Jean-François
Abteilung Allgemeinmedizin, Institut für Community Medicine, Universitätsmedizin Greifswald.
Elisabeth Hey Fachärztin für Allgemeinmedizin.
Dtsch Med Wochenschr. 2018 Oct;143(21):e188-e196. doi: 10.1055/a-0666-5995. Epub 2018 Oct 18.
For the correct intake and safe handling of their own medication it is important that patients know about their own medication and can give certain information. This study examines what information patients can provide about their prescribed medication and which factors influence the ability to provide information.
A cross-sectional study was conducted. In 10 General Practice, 637 patients (participation rate 57 %) were asked about the name, dosage, frequency of intake and indication of their prescribed medication. The patient information were compared with the practice documentation.
Patient data on the number of medications were 54 % consistent with the practice documentation. There is a relevant discrepancy between the documented drug prescription and the information provided by patients. The patients were best able to provide information about the names (75 %) of their medications and worst about the indication (47 %). The ability to provide information decreased in patients with ≥ 5 medications. An association between higher education and correct information was found. 65 % of the participants had a medication plan and 19 % used the plan to answer the questions. The possession of a medication plan showed no effect. However the use of a medication plan had an effect, which was even stronger in patients with ≥ 5 medications.
Most patients did not use the medication plan, which is why the issue of a medication plan does not lead to better information. Technical solutions, such as centralized data storage, should be developed, which can guarantee the security of supply and drug therapy and the exchange between different physicians and institutions, regardless of an incomplete and often non-existent paper or electronic health card medication plan.
为了正确服用和安全处理自身药物，患者了解自己的药物并能提供某些信息非常重要。本研究调查了患者能够提供哪些关于其处方药的信息以及哪些因素会影响信息提供能力。
进行了一项横断面研究。在10家全科诊所，询问了637名患者（参与率57%）关于其处方药的名称、剂量、服用频率和适应证。将患者信息与诊所记录进行比较。
患者关于药物数量的数据与诊所记录的一致性为54%。记录的药物处方与患者提供的信息之间存在显著差异。患者最能提供关于药物名称（75%）的信息，而关于适应证的信息最差（47%）。服用≥5种药物的患者提供信息的能力下降。发现高等教育与正确信息之间存在关联。65%的参与者有用药计划，19%的人使用该计划回答问题。拥有用药计划没有显示出效果。然而，使用用药计划有效果，在服用≥5种药物的患者中效果更强。
大多数患者未使用用药计划，这就是为什么发放用药计划并不能带来更好的信息。应开发诸如集中数据存储等技术解决方案，其能够保证药物供应和药物治疗的安全性以及不同医生和机构之间的信息交换，而不依赖于不完整且往往不存在的纸质或电子健康卡用药计划。
