Bzowyckyj Andrew S, Begert John E
School of Pharmacy, Pacific University Oregon, Hillsboro, OR.
Diabetes Spectr. 2020 Feb;33(1):31-37. doi: 10.2337/ds19-0019.
Factors contributing to therapeutic inertia related to patients' medication experiences include concerns about side effects and out-of-pocket costs, stigmatization for having diabetes, confusion about frequent changes in evidence-based guidelines, low health literacy, and social determinants of health. A variety of solutions to this multifactorial problem may be necessary, including integrating pharmacists into interprofessional care teams, using medication refill synchronization programs, maximizing time with patients to discuss fears and concerns, being cognizant of language used to discuss diabetes-related topics, and avoiding stigmatizing patients. Managing diabetes successfully is a team effort, and the full commitment of all team members (including patients) is required to achieve desired outcomes through an individualized approach.
与患者用药经历相关的治疗惰性因素包括对副作用和自付费用的担忧、患糖尿病带来的污名化、对循证指南频繁变化的困惑、健康素养低以及健康的社会决定因素。可能需要针对这个多因素问题采取多种解决方案,包括将药剂师纳入跨专业护理团队、使用药物续方同步计划、最大限度地利用与患者交流的时间来讨论恐惧和担忧、注意讨论糖尿病相关话题时使用的语言以及避免污名化患者。成功管理糖尿病需要团队协作,所有团队成员(包括患者)都需要全力投入,通过个性化方法实现预期结果。