Martys C R
J Epidemiol Community Health. 1982 Sep;36(3):224-7. doi: 10.1136/jech.36.3.224.
In a general practice in Derbyshire 298 patients who had been given antibiotics were questioned about possible adverse reactions to the drug prescribed. Four methods of assessing adverse effects of drugs in the community were used, and a comparison was made of the replies elicited from patients by doctor and health visitor respectively. Significant differences were shown to occur in the way in which each investigator completed the questionnaires. If ancillary staff are to be employed in monitoring adverse effects of drugs in the community on a large scale then they will have to use a method less reliant on the differentiation of incidental symptoms from drug side effects than is required in the present survey.
在德比郡的一次普通医疗实践中,298名服用过抗生素的患者被询问了对所开药物可能的不良反应。采用了四种评估社区中药物不良反应的方法,并对医生和健康访视员分别从患者那里得到的回答进行了比较。结果显示,每位调查者填写问卷的方式存在显著差异。如果要大规模雇佣辅助人员来监测社区中药物的不良反应,那么他们将不得不采用一种比本次调查所需方法更少依赖于区分偶然症状和药物副作用的方法。