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区域药品信息服务:医疗保健的一个因素?

The regional drug information service: a factor in health care?

作者信息

Leach F N

出版信息

Br Med J. 1978 Mar 25;1(6115):766-8. doi: 10.1136/bmj.1.6115.766.

Abstract

Most regional health authorities throughout the United Kingdom have established drug information units to provide health service staff with a wide range of information about drugs and drug use. The units, which are staffed by drug information pharmacists, provide their service mainly by answering inquiries, although some disseminate information more positively through lectures and bulletins.An analysis of inquiries received by regional information units during 1976 showed that most were submitted by hospital doctors or pharmacists; comparatively few were received from general practitioners. Topics of inquiry included adverse effects of drugs, source of supply and identification, current treatment, dosage, route, precautions, and pharmaceutical problems such as stability or formulation of drug preparations. A more detailed analysis of the inquiries received by the North-western Regional Drug Information Service at Manchester over three years showed that the number of inquiries gradually increased and that more were received from general practitioners after a programme of lectures had been introduced to tell them about the service. The North-western service also received more requests from hospital pharmacists than other units, though many originated from clinicians.The regional drug information units consulted widely with clinical and other specialists in answering questions, but about a quarter of all inquiries were pharmaceutical, relating to stability and incompatibility. A multidisciplinary approach therefore seems necessary to provide a comprehensive and advisory drug information service.

摘要

英国各地的大多数地区卫生当局都设立了药品信息部门,为卫生服务人员提供有关药品及用药的广泛信息。这些部门由药品信息药剂师任职,主要通过回答咨询来提供服务,不过有些部门也会通过讲座和简报更积极地传播信息。对1976年各地区信息部门收到的咨询进行的分析表明,大多数咨询是由医院医生或药剂师提交的;来自全科医生的咨询相对较少。咨询主题包括药品的不良反应、供应来源及识别、当前治疗方法、剂量、给药途径、注意事项以及药品制剂的稳定性或配方等药学问题。对曼彻斯特西北地区药品信息服务部门三年来收到的咨询进行的更详细分析表明,咨询数量逐渐增加,在开展了向全科医生介绍该服务的讲座项目后,收到的来自全科医生的咨询更多了。西北地区的服务部门收到的来自医院药剂师的请求也比其他部门多,尽管许多请求来自临床医生。地区药品信息部门在回答问题时广泛咨询临床和其他专家,但所有咨询中约有四分之一是药学方面的,涉及稳定性和配伍禁忌。因此,似乎需要采取多学科方法来提供全面的咨询性药品信息服务。

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引用本文的文献

本文引用的文献

1
Wastage of pharmaceuticals.药品浪费
Lancet. 1976 Dec 4;2(7997):1239-40. doi: 10.1016/s0140-6736(76)91159-4.
2
Letter: How do doctors learn about drugs?信函:医生如何了解药物?
Lancet. 1975 Dec 13;2(7946):1201-2. doi: 10.1016/s0140-6736(75)92679-3.

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