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[基层医疗医生对袖珍手册可靠性的信任度]

[Trust of primary care physicians in the reliability of the vade mecum].

作者信息

Nieto-Hernández T, Altimiras J, Buitrago F

机构信息

Centro de Salud Universitario La Paz, Unidad Docente de Medicina Familiar y Comunitaria.

出版信息

Aten Primaria. 1996 Mar 15;17(4):247-50.

PMID:8679858
Abstract

OBJECTIVES

To assess the reliability which doctors grant to the International Vademecum as a source of information, up-dating and on-going training in pharmacotherapy; also to find their knowledge of the presence of Saccharose as an excipient in the composition of several pharmaceutical products commonly used in primary care.

DESIGN

A descriptive, crossover study using a self-filled postal questionnaire.

SETTING

Badajoz health sector.

PATIENTS AND OTHER PARTICIPANTS

Primary care doctors (general and paediatricians) from three health areas in the province of Badajoz.

MEASUREMENTS AND MAIN RESULTS

A total of 178 doctors filled in the questionnaire (57.6% of the 309 doctors from the health centres). All the information in the Vademecum is considered useful and trustworthy by 68.2% of the doctors. Nor were there any significant differences in the assessment of the Vademecum between doctors with MIR (intern) training (63.6%) and without (71.1%). The Vademecum is used as a source of updating and on-going training in pharmacotherapy by 33.7% of doctors. Its use increases in line with the doctor's age and the time worked in primary care. Knowledge among doctors of the presence of saccharose as one of the excipients in the five pharmaceutical products analysed varied between 21.2% and 46.4%.

CONCLUSIONS

Widespread acceptance and use of the Vademecum by primary care doctors and scant knowledge of the presence of Saccharose as an excipient in the pharmaceutical products analysed.

摘要

目的

评估医生对《国际药典》作为药物治疗信息来源、更新及持续培训工具的信赖程度;同时了解他们对几种基层医疗常用药品中蔗糖作为辅料存在情况的知晓程度。

设计

采用自行填写的邮政问卷进行描述性交叉研究。

地点

巴达霍斯卫生部门。

患者及其他参与者

来自巴达霍斯省三个卫生区域的基层医疗医生(全科医生和儿科医生)。

测量与主要结果

共有178名医生填写了问卷(占健康中心309名医生的57.6%)。68.2%的医生认为《药典》中的所有信息都有用且值得信赖。接受过住院医师培训(MIR)的医生(63.6%)和未接受过该培训的医生(71.1%)对《药典》的评价没有显著差异。33.7%的医生将《药典》用作药物治疗更新及持续培训的来源。其使用频率随医生年龄和在基层医疗工作的时间增加而上升。在分析的五种药品中,医生对蔗糖作为辅料之一存在情况的知晓率在21.2%至46.4%之间。

结论

基层医疗医生广泛接受并使用《药典》,但对分析的药品中蔗糖作为辅料的存在情况了解甚少。

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