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我如何保护自己的安全?患者对在处方和药品标签上包含用药原因信息的看法:一项定性主题分析。

How do I keep myself safe? Patient perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis.

作者信息

Whaley Colin, Bancsi Ashley, Ho Joanne Man-Wai, Burns Catherine M, Grindrod Kelly

机构信息

School of Pharmacy, University of Waterloo, 200 University Ave West, Waterloo, ON N2L 3G1 Canada.

Division of Geriatric Medicine, Department of Medicine, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4K1 Canada.

出版信息

J Pharm Policy Pract. 2020 Oct 7;13:63. doi: 10.1186/s40545-020-00268-6. eCollection 2020.

Abstract

BACKGROUND

Medications are crucial for maintaining patient wellness and improving health in modern medicine, but their use comes with risks. Helping patients to understand why they are taking medications is important for patient-centered care and facilitates patient adherence to prescribed medications. One strategy involves enhancing communication between patients, physicians, and pharmacists through the sharing of reason for use (RFU) information or the indication for medications.

METHODS

Semi-structured interviews were conducted with 20 patients in Ontario, Canada, to gain perspectives on how patients currently store their medication information and benefits and disadvantages of adding RFU to prescriptions and medication labels. An interview guide was used by the two interviewers, and the interviews were recorded, transcribed, and thematically coded.

RESULTS

The analysis yielded three main themes: patient decision making with RFU, RFU in modern, patient-centered care, and logistical aspects of communicating RFU. The patients that were interviewed expressed the value of having RFU when deciding if a medication was effective or to stop taking the medication. Patients felt comfortable with RFU being added to prescriptions and acknowledged the value in adding RFU to medication labels, helping patients and others identify and distinguish medications. Patients generally expressed interest in having RFU written in lay language and identified strengths and weaknesses of having access to RFU via a website or app.

CONCLUSIONS

Patients rated the importance of knowing RFU very highly, identified the value in sharing RFU with pharmacists on prescriptions, and in having RFU on medication labels. These results can be used to inform policy on the addition of RFU on prescriptions and medication labels and support improved communication between patients, pharmacists, and physicians about RFU.

摘要

背景

在现代医学中,药物对于维持患者健康和改善健康状况至关重要,但药物的使用也存在风险。帮助患者理解为何服用药物对于以患者为中心的护理很重要,并有助于患者坚持服用处方药。一种策略是通过分享用药理由(RFU)信息或药物适应症来加强患者、医生和药剂师之间的沟通。

方法

对加拿大安大略省的20名患者进行了半结构化访谈,以了解患者目前如何存储其用药信息,以及在处方和药品标签上添加RFU的利弊。两位访谈者使用了一份访谈指南,访谈进行了录音、转录和主题编码。

结果

分析得出三个主要主题:患者基于RFU的决策、现代以患者为中心护理中的RFU以及RFU沟通的后勤方面。接受访谈的患者表示,在决定药物是否有效或是否停止服用药物时,RFU很有价值。患者对在处方中添加RFU感到放心,并认可在药品标签上添加RFU的价值,这有助于患者和其他人识别和区分药物。患者普遍表示希望RFU用通俗易懂的语言书写,并指出了通过网站或应用程序获取RFU的优缺点。

结论

患者对了解RFU的重要性评价很高,认同在处方上与药剂师分享RFU以及在药品标签上标注RFU的价值。这些结果可用于为关于在处方和药品标签上添加RFU的政策提供参考,并支持改善患者、药剂师和医生之间关于RFU的沟通。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9992/7541269/76eeb1ac06a3/40545_2020_268_Fig1_HTML.jpg

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