Laboratory for Medical Research and Consumers Involvement, Department of Public Health, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Department of Public Health, Food and Health Competence Center, Altroconsumo, Milan, Italy.
Eur J Public Health. 2019 Jun 1;29(3):396-401. doi: 10.1093/eurpub/cky236.
In the framework of 'Doing more does not mean doing better - Choosing Wisely Italy' health professionals, general population and healthcare advocacy associations are widely involved. PartecipaSalute-Mario Negri IRCCS and Altronconsumo organized a survey in order to assess the opinions and behaviors of people toward unnecessary tests and drugs.
An online survey was distributed by Altroconsumo to a voluntary panel of 6304 Italian citizens covering the whole of the country and by PartecipaSalute-Mario Negri IRCCS through the PartecipaSalute website, e-mail lists, website articles, lay journals and Facebook.
In all 1006 people reached by Altroconsumo, and 355 volunteers of healthcare advocacy associations reached by PartecipaSalute responded. Respondents usually decides on their treatment together with the physician, respectively 50% for general population and 64% for volunteers of healthcare advocacy associations. The respondents are aware of the question of over-use of drugs and tests (80%), more often among the volunteers of healthcare advocacy associations (86%). Over-use is considered a problem mostly for economic reasons among the general population, while in the advocacy associations the risks for patients' health is considered more important.
These findings suggest that patients do not always ask for more, especially if they receive an answer to their questions and clarifications about unnecessary treatments. There is a need for further understanding of the factors influencing decision-making aimed at achieving good care. Engaging the public and patients at all levels of healthcare is essential for a valuable use of health resources.
在“多做并不意味着做得更好——明智选择意大利”项目中，医疗专业人员、普通民众和医疗保健倡导协会广泛参与其中。PartecipaSalute-Mario Negri IRCCS 和 Altronconsumo 组织了一项调查，以评估人们对不必要的检查和药物的看法和行为。
Altronconsumo 通过其在线调查向覆盖全国的 6304 名意大利公民自愿小组分发问卷，PartecipaSalute-Mario Negri IRCCS 通过 PartecipaSalute 网站、电子邮件列表、网站文章、通俗期刊和 Facebook 向医疗保健倡导协会的 355 名志愿者分发问卷。
共有 1006 名 Altronconsumo 的受访者和 355 名 PartecipaSalute 医疗保健倡导协会的志愿者做出了回应。受访者通常与医生一起决定他们的治疗方案，分别有 50%的普通民众和 64%的医疗保健倡导协会志愿者这样做。受访者意识到药物和检查过度使用的问题（80%），其中倡导协会的志愿者对此的认知度更高（86%）。过度使用被认为是一个主要的经济问题，普通民众更多地考虑到这一点，而在倡导协会中，患者的健康风险更为重要。
这些发现表明，患者并不总是要求更多，尤其是当他们得到问题的答案和对不必要治疗的澄清时。需要进一步了解影响决策的因素，以实现良好的医疗保健。在各级医疗保健中吸引公众和患者参与是有效利用卫生资源的关键。
