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在药物使用评估中讨论酒精:社区药房环境下患者的经历

Discussing alcohol in medicines use reviews: experiences of patients in a community pharmacy context.

作者信息

Jamie Kimberly, Oliver Emily J, Paterson Alistair, Whittlesea Cate

机构信息

Department of Sociology, Durham University, Durham, UK.

Department of Sport and Exercise Sciences, Durham University, Durham, UK.

出版信息

Int J Pharm Pract. 2019 Jun;27(3):318-321. doi: 10.1111/ijpp.12492. Epub 2018 Nov 15.

Abstract

OBJECTIVES

Although pharmacist-led medicines use reviews (MURs) are effective for medicines management, little is understood about patients' experiences of alcohol-related advice delivered therein. Sampling a population at high risk for misuse (within an area of socio-economic deprivation), we explored patient experiences of alcohol-related MURs.

METHODS

Two focus groups were conducted with patients who had discussed alcohol in an MUR in the preceding 3 months (n = 9). Data were analysed thematically.

KEY FINDINGS AND CONCLUSION

Patients were open to discussing alcohol in the MUR context. The absence of practitioner-patient power asymmetry and pharmacists' sensitivity to cultural contexts were critical to patient engagement.

摘要

目的

尽管由药剂师主导的用药评估(MURs)对药物管理有效,但对于其中提供的与酒精相关建议,患者的体验却鲜为人知。我们在一个社会经济贫困地区对药物滥用高风险人群进行抽样,探讨了患者对与酒精相关的用药评估的体验。

方法

对在过去3个月内于用药评估中讨论过酒精问题的患者进行了两个焦点小组访谈(n = 9)。对数据进行了主题分析。

主要发现与结论

患者愿意在用药评估的背景下讨论酒精问题。医患之间不存在权力不对称以及药剂师对文化背景的敏感性对于患者参与至关重要。

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