Whaley Colin, Bancsi Ashley, Burns Catherine, Grindrod Kelly
School of Pharmacy (Whaley, Bancsi, Grindrod), Faculty of Engineering, Waterloo, Ontario.
Faculty of Science and the Department of Systems Design Engineering (Burns), Faculty of Engineering, Waterloo, Ontario.
Can Pharm J (Ott). 2020 Aug 18;153(5):294-300. doi: 10.1177/1715163520946052. eCollection 2020 Sep-Oct.
The indication for a particular medication, or its reason for use (RFU), is important information for prescribers, pharmacists and patients but is not often communicated in writing from prescribers to pharmacists. Adding RFU to a prescription and a medication label would ensure that pharmacists are confident that they are providing high-quality, accurate patient care. This study aims to describe the perspectives of pharmacists on how receiving RFU from prescribers would affect their practice and how pharmacists putting this information on prescriptions would affect patients.
Semi-structured qualitative interviews were conducted with 20 pharmacists in Southwestern Ontario. Thematic analysis was used to analyze the interview transcripts, leading to 4 major themes.
Pharmacists expressed that RFU should be formatted to ensure that it is of clinical utility via the use of written text and noted that either medical or lay (also known as ) language would be appropriate for use. Pharmacists indicated that patient privacy should be considered when writing RFU on labels and that patient preference with respect to the addition of RFU should dictate its inclusion on a medication label. Pharmacist access to RFU was universally acknowledged to improve patient safety by providing pharmacists with more information to determine whether the given medication was indicated.
This study provides further information about the impact that having access to RFU would have on pharmacy practice and can be used to advocate for the inclusion of RFU information with prescriptions to improve patient outcomes. 2020;153:xx-xx.
特定药物的适应证，即其用药理由（RFU），对于开处方者、药剂师和患者来说都是重要信息，但开处方者通常不会以书面形式将其传达给药剂师。在处方和药品标签上添加RFU将确保药剂师确信他们提供的是高质量、准确的患者护理。本研究旨在描述药剂师对于从开处方者处接收RFU将如何影响其工作以及药剂师将此信息写在处方上会如何影响患者的看法。
对安大略省西南部的20名药剂师进行了半结构化定性访谈。采用主题分析法对访谈记录进行分析，得出4个主要主题。
药剂师表示，RFU应采用书面文本形式进行格式化，以确保其具有临床实用性，并指出医学语言或通俗语言（也称为外行语言）都适合使用。药剂师指出，在标签上书写RFU时应考虑患者隐私，并且患者对于添加RFU的偏好应决定其是否包含在药品标签上。普遍认为药剂师获取RFU可通过为药剂师提供更多信息来确定所给药物是否适用，从而提高患者安全。
本研究提供了关于获取RFU对药学实践影响的更多信息，可用于倡导在处方中包含RFU信息以改善患者结局。2020年；153：xx - xx。
