Clinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland.
Assessment of Pharmacotherapies, Finnish Medicines Agency FIMEA, Kuopio, Finland.
BMJ Open. 2019 Jun 14;9(6):e026377. doi: 10.1136/bmjopen-2018-026377.
The aim of this study was to examine long-term trends in the receipt of medicines information (MI) among adult medicine users from 1999 to 2014.
Repeated cross-sectional postal survey from the years 1999, 2002, 2005 and 2008-2014.
Each study year, a new nationally representative sample of 5000 Finns aged 15-64 years was drawn from the Population Register Centre of Finland.
The range of annual respondents varied from 2545 to 3371 and response rates from 53% to 67%. Of the total responses (n=29 465), 64% were from medicine users (n=18 862, ranging by year from 58% to 68%).
Receipt of information on medicines in use within 12 months prior to the survey from a given list of consumer MI sources available in Finland.
Physicians, community pharmacists and package leaflets were the most common MI sources throughout the study period. Receipt of MI increased most from the Internet (from 1% in 1999 to 16% in 2014), while decreased most from physicians (62% to 47%) and package leaflets (44% to 34%), and remained stable from community pharmacists (46% to 45%) and nurses (14% to 14%). In 1999, of the medicine users 4% did not report receipt of MI from any of the sources listed in the survey, while this proportion had remarkably increased to 28% in 2014.
Healthcare professionals and package leaflets had still a dominating importance in 2014 despite the growing number of MI sources over time, but still a minority of adult medicine users reported receiving MI via the Internet in 2014. Worrying is that the proportion of adult medicine users who did not receive MI from any of the sources became seven fold during the study period.
本研究旨在考察 1999 年至 2014 年期间成年用药者获取药品信息（MI）的长期趋势。
1999 年、2002 年、2005 年和 2008-2014 年重复的横断面邮政调查。
芬兰人口登记中心每年为这项研究从芬兰抽取一个新的具有全国代表性的 5000 名 15-64 岁的芬兰人样本。
每年的应答者范围为 2545 至 3371 人，应答率为 53%至 67%。在总共的 29465 份回复中（n=29465），64%的人是用药者（n=18862 人，每年比例在 58%至 68%之间）。
在调查前 12 个月内，从芬兰提供的一系列消费者 MI 来源中获取关于正在使用的药品的信息。
在整个研究期间，医生、社区药剂师和药品说明书是最常见的 MI 来源。从互联网获取 MI 的比例增加最多（从 1999 年的 1%增加到 2014 年的 16%），而从医生（从 62%降至 47%）和药品说明书（从 44%降至 34%）获取 MI 的比例则下降最多，而从社区药剂师（从 46%降至 45%）和护士（从 14%降至 14%）获取 MI 的比例则保持稳定。1999 年，4%的用药者报告没有从调查中列出的任何来源获得 MI，而到 2014 年，这一比例显著增加到 28%。
尽管随着时间的推移，MI 来源的数量不断增加，但医疗保健专业人员和药品说明书在 2014 年仍然具有重要意义，但仍有少数成年用药者报告通过互联网获取 MI。令人担忧的是，在研究期间，没有从任何来源获得 MI 的成年用药者比例增加了七倍。
