Tzimis L, Katsantonis N, Leledaki A, Vasilomanolakis K, Kafatos A
Department of Pharmacy Services, Chania General Hospital, St George, Crete, Greece.
Public Health. 1996 Nov;110(6):361-7. doi: 10.1016/s0033-3506(96)80009-6.
The aim of this study was to make a systematic registration of a group of 354 social care indigent patients in relation to: their pharmaceutical needs: the conditions for which it was prescribed, its cost, and details of prescriptions. In addition patients' eating patterns relating to and knowledge of how to use their medication was assessed. They were compared to a control group of 153 Social Security patients.
The Social Care indigent patients were of low income, consisting of groups as unmarried mothers with their children and Greeks emigrants coming back home from other countries (Albania, Russia, Georgia, Ukraine, Romania etc.). The socio-demographic profiles of this group reveal an unemployment rate of 74% and an illiteracy rate of 18%. As regards marital status, 20% are bachelors and 12% divorcees.
The results of the study indicated no significant difference between the two groups in the mean cost of prescription (40 ECU for Social Care patients vs 32 ECU for Social Security patients), in the mean number of medication per prescription (2.6 vs 2.6 respectively), in the percentages of the Daily Defined Doses and the cost of the various categories of drugs. For both groups, the most common drugs were those of the Cardiovascular system (30% vs 26%), Gastrointestinal system (17% vs 27%) and Nervous system (16% vs 18%). The most common diagnosis was Hypertension (10% vs 8%) and the most common drugs were Ranitidine (3% vs 2%), Diclofenac (3% vs 3%), Salbutamol (3% vs 3%) and Paracetamol (2% vs 2%). Significant differences between Social Care patients to Social Security patients respectively were found regarding: knowing how to take their medication correctly (47% vs 77%), knowing for how long treatment needed to be taken (21% vs 43%), requesting information from the pharmacist (39% vs 68%) knowledge of dietary instructions regarding medication (17% vs 41%) and in smoking more than 20 cigarettes per day (15% vs 3%).
The results indicated that the Social Care patients, in comparison with the patients of the Social Security, need more education and more help in the area of the proper use of drugs and in the personal contact that this procedure involves.
本研究旨在对354名社会护理贫困患者进行系统登记，内容涉及：他们的用药需求、所开药物的病症、费用及处方详情。此外，还评估了患者与用药相关的饮食习惯以及用药知识。将他们与153名社会保障患者组成的对照组进行比较。
社会护理贫困患者收入较低，包括带着孩子的未婚母亲以及从其他国家（阿尔巴尼亚、俄罗斯、格鲁吉亚、乌克兰、罗马尼亚等）回国的希腊移民群体。该群体的社会人口学特征显示，失业率为74%，文盲率为18%。在婚姻状况方面，20%为单身汉，12%为离婚者。
研究结果表明，两组在处方平均费用（社会护理患者为40欧洲货币单位，社会保障患者为32欧洲货币单位）、每张处方的平均用药数量（分别为2.6种和2.6种）、每日规定剂量的百分比以及各类药物的费用方面均无显著差异。两组中，最常用的药物均为心血管系统药物（分别为30%和26%）、胃肠道系统药物（17%和27%）以及神经系统药物（16%和18%）。最常见的诊断为高血压（10%和8%），最常用的药物为雷尼替丁（3%和2%）、双氯芬酸（3%和3%）、沙丁胺醇（3%和3%）以及对乙酰氨基酚（2%和2%）。社会护理患者与社会保障患者在以下方面存在显著差异：知道如何正确用药（47%和77%）、知道治疗需要持续多长时间（21%和43%）、向药剂师咨询信息（39%和68%）、关于药物饮食说明的知识（17%和41%）以及每天吸烟超过20支（15%和3%）。
结果表明，与社会保障患者相比，社会护理患者在正确用药及用药过程中涉及的个人沟通方面需要更多的教育和帮助。
