Bradley C, Blenkinsopp A
Medical School, University of Birmingham, Birmingham.
BMJ. 1996 Mar 30;312(7034):835-7. doi: 10.1136/bmj.312.7034.835.
The increasing trend towards deregulation of more medicines to over the counter status has implications for the primary health care team as well as for consumers and patients. Better information for patients could improve the safety of over the counter medicines, but better systems need to be devised for reporting adverse reactions. "Collaborative care" could bring financial benefits. Doctors, nurses, and pharmacists need to discuss how they will respond to self medication practices, and ways of rewarding pharmacists for advising patients need to be found. Improved communication between doctors and pharmacists and the involvement of nurses could bring health care professionals into a new and more constructive interaction with each other and with the patient--or the changes required could split the professions as they each try to keep control of medicines.
越来越多的药品转为非处方药的趋势，对基层医疗团队、消费者和患者都有影响。为患者提供更好的信息可以提高非处方药的安全性，但需要设计更好的系统来报告不良反应。“协作护理”可以带来经济效益。医生、护士和药剂师需要讨论如何应对自我用药行为，并且需要找到奖励药剂师为患者提供建议的方法。改善医生与药剂师之间的沟通以及护士的参与，可以使医疗保健专业人员之间以及与患者进行新的、更具建设性的互动——否则所需的变革可能会导致各行业因试图各自控制药品而产生分歧。
