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了解患者对药物不良反应报告智能手机应用程序的需求:来自沙特阿拉伯的定性见解。

Understanding Patient Needs Regarding Adverse Drug Reaction Reporting Smartphone Applications: A Qualitative Insight from Saudi Arabia.

作者信息

Kassem Lamyaa M, Alhabib Bushra, Alzunaydi Khaledah, Farooqui Maryam

机构信息

Department of Pharmacy Practice, Unaizah College of Pharmacy, Qassim University, Unaizah 51911, Saudi Arabia.

出版信息

Int J Environ Res Public Health. 2021 Apr 7;18(8):3862. doi: 10.3390/ijerph18083862.

Abstract

BACKGROUND

A pragmatic shift in the healthcare sector characterized by moving from curative to preventive approaches highlights the role of pharmacovigilance in patient safety. There have been few published studies on patient reporting of adverse drug reactions (ADRs) in Saudi Arabia. This qualitative study aims to explore the community opinions and the need for patient-friendly smartphone applications (SPAs) to enhance their participation in ADR reporting.

METHODS

Purposeful sampling was followed to recruit study participants, a semi-structured interview guide was used to conduct interviews, and the saturation was reached after the 13th interviewer; no new information was obtained after two subsequent interviews. All the interviews were audio-recorded, transcribed verbatim, and analyzed by means of a standard content analysis framework.

RESULTS

As per the WHO guidelines, eleven participants were aware of the term "ADR". All the participants denied receiving any prior education and attending events about ADRs and were unaware of the Saudi FDA-ADR reporting systems. The use of technologies such as SPAs has been widely accepted with a high level of concern for data confidentiality and privacy.

CONCLUSIONS

These findings point out the need to build patient-oriented educational programs to increase their awareness of ADR reporting and to prioritize the use of artificial intelligence (AI) to be integrated in the Saudi healthcare system to develop future SPAs for improving both patient safety and signal detection of ADRs.

摘要

背景

医疗保健领域从治疗方法向预防方法的务实转变凸显了药物警戒在患者安全中的作用。沙特阿拉伯关于患者报告药物不良反应(ADR)的已发表研究很少。这项定性研究旨在探讨社区意见以及对方便患者的智能手机应用程序(SPA)的需求,以提高他们参与ADR报告的程度。

方法

采用目的抽样法招募研究参与者,使用半结构化访谈指南进行访谈,在第13次访谈后达到饱和;随后两次访谈未获得新信息。所有访谈均进行录音,逐字转录,并通过标准内容分析框架进行分析。

结果

根据世界卫生组织的指南,11名参与者知晓“ADR”一词。所有参与者均否认曾接受过任何关于ADR的先前教育或参加过相关活动,并且不了解沙特食品药品管理局的ADR报告系统。诸如SPA之类的技术的使用已被广泛接受,同时对数据保密性和隐私性高度关注。

结论

这些发现指出需要建立以患者为导向的教育项目,以提高他们对ADR报告的认识,并优先考虑在沙特医疗保健系统中使用人工智能(AI),以开发未来的SPA,从而提高患者安全性和ADR信号检测能力。

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