Brånstad J O, Kamil I, Lilja J, Sjöblom M
Department of Social Pharmacy, Uppsala University, Sweden.
Soc Sci Med. 1994 Jul;39(2):207-12. doi: 10.1016/0277-9536(94)90329-8.
On 1 October 1983 hydrocortisone skin ointments in Sweden were declared OTC drugs and were made available without prescription. These preparations, however, were restricted to pharmacy-only sales. The effect of this reform was studied via telephone interviews with samples of customers who had bought hydrocortisone skin ointments, both with and without prescription. The aim of the study was to analyse the reform from the user's point of view. The interviews were conducted at four points in time: before the reform, during the month after the reform, 9 months and 6 years after the change. The total sales of hydrocortisone ointments have increased in the period from 1983 to 1989, both in terms of number of packages and in weight. Most of the background variables of the OTC users did not change over time. However, the percentage of the OTC group who had university education was high at the time of the reform but decreased later. It was found that journal articles were the most frequently used source of information about preparation availability at the time of the reform. However, their importance decreased over time and pharmacy personnel and nurses had become the most important sources 6 years after the reform. Pharmacy personnel had also become the most important source on brand selection and on how to use the preparation 6 years after the reform. An individual tended to use the same source of information about availability, brand selection and how to use the preparation. Those with university education had seen and used written material more often than those without such a background.
1983年10月1日，瑞典的氢化可的松皮肤软膏被宣布为非处方药，无需处方即可购买。然而，这些制剂仅限于在药店销售。通过对购买过氢化可的松皮肤软膏的顾客样本进行电话访谈，研究了这一改革的效果，访谈对象包括有处方和无处方购买者。该研究的目的是从使用者的角度分析这一改革。访谈在四个时间点进行：改革前、改革后一个月内、改革后9个月和6年。从1983年到1989年，氢化可的松软膏的总销量在包装数量和重量方面都有所增加。非处方药使用者的大多数背景变量没有随时间变化。然而，改革时拥有大学学历的非处方药使用者比例较高，但后来有所下降。研究发现，期刊文章是改革时关于制剂可获得性最常用的信息来源。然而，其重要性随时间下降，改革6年后药剂人员和护士成为最重要的信息来源。改革6年后，药剂人员在品牌选择和制剂使用方法方面也成为最重要的信息来源。个人在制剂可获得性、品牌选择和使用方法方面倾向于使用相同的信息来源。有大学学历的人比没有这种背景的人更常阅读和使用书面材料。
