School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, NSW, Australia.
School of Health and Society, University of Wollongong, Wollongong, NSW, Australia.
Int J Pharm Pract. 2023 Jun 30;31(4):369-379. doi: 10.1093/ijpp/riad036.
Quality use of medicines, or rational medicines use, requires patients' adherence to the quality principles of medication use. There is a limited number of reviews about quality medication use among migrant patients. This review aims to fill this gap by exploring medication-related issues experienced by Arabic-speaking patients living in English-speaking countries.
The searched databases included WebMD, EMBASE, Scopus, CINHAL, PubMed/Medline and Web of science.
The initial search retrieved 2071 publications and 23 publications met the inclusion criteria. Our review found that the most frequently reported medication-related issues among Arabic-speaking patients residing in English-speaking countries were problems related to decision-making regarding treatment options, inappropriate counselling and lack of information about medicines and diseases, lack of monitoring and follow-up, and intentional and unintentional medication non-adherence. Informed by the bio-psycho-socio-systems model, contributing factors to the medication issues included used coping strategies, ethno-cultural and religious beliefs and ineffective relationships with healthcare providers.
Our review suggests that cultural factors can significantly influence individuals' perceptions and actions around the use of medication. Thus, healthcare providers need to be mindful of the specific cultural affiliations of ethnic minorities and exhibit cultural sensitivity when prescribing medication to migrant patients to foster a better relationship between patients and healthcare providers. Applying a patient-centred approach using shared decision-making can help. Our findings also suggest that pharmacy practice is critical in improving medication safety among Arabic-speaking patients.
合理用药，即优质用药，要求患者遵循用药质量原则。针对移民患者合理用药的研究为数不多。本综述旨在通过探索居住在英语国家的阿拉伯患者在用药方面遇到的问题，填补这一空白。
检索的数据库包括 WebMD、EMBASE、Scopus、CINHAL、PubMed/Medline 和 Web of science。
初步检索得到 2071 篇文献，23 篇文献符合纳入标准。我们的综述发现，居住在英语国家的阿拉伯患者报告的最常见的用药相关问题是与治疗方案选择、咨询不当和缺乏关于药物和疾病的信息、缺乏监测和随访、以及故意和非故意用药不依从相关的问题。根据生物-心理-社会-系统模型，导致用药问题的因素包括所使用的应对策略、种族文化和宗教信仰以及与医疗保健提供者之间的无效关系。
我们的综述表明，文化因素会显著影响个人对用药的看法和行为。因此，医疗保健提供者在为移民患者开处方时需要注意少数民族的特定文化背景，并表现出文化敏感性，以促进患者与医疗保健提供者之间的良好关系。采用以患者为中心的方法，共同决策有助于实现这一目标。我们的研究结果还表明，药剂实践在提高阿拉伯患者的用药安全性方面至关重要。
