Grymonpre R E, Steele J W
Faculty of Pharmacy, University of Manitoba, Winnipeg, Canada.
Ann Pharmacother. 1998 Jul-Aug;32(7-8):743-8. doi: 10.1345/aph.17417.
To present an 8-year (1985-1992) cumulative analysis of the 12,743 calls received by the Medication Information Line for the Elderly (MILE), a consumer-oriented drug information service.
Data on all calls received by MILE were documented using a standard format. Certain calls were selected by the pharmacist for follow-up based on the nature and predicted severity of the inquiry.
MILE is located within the Faculty of Pharmacy of the University of Manitoba and staffed by experienced, practicing pharmacists. Calls were received from the elderly and their care providers. Calls were initially taken on a local Winnipeg line, although in 1987 a toll-free number was made available to rural Manitoba residents.
The majority of the calls received by MILE were from women aged 65 years or older who accessed MILE on their own initiative. Ninety-one percent of the calls were rated as not serious. Only 6% of calls were from outside Winnipeg. Although 94% of the older consumers reported having a regular pharmacist, they commonly never thought of using their pharmacist for inquiries. The drugs cited most often by consumers, nurses, physicians, and dentists were the nonsteroidal antiinflammatory agents, cardiac drugs, diuretics, antihypertensives, benzodiazepines, and antidepressants. The type of inquiries most frequently involved adverse drug reactions, drug interactions, and therapeutic use. The drugs cited and inquiries made by pharmacist callers were more diverse than those of consumers and other healthcare professionals.
Many older drug consumers have medication information needs that are not being met. Since a large proportion of the callers appeared to be self-motivated women, MILE may not be accessing all older consumers in need of information. This analysis also suggests that many older consumers are not aware that the pharmacist is available and capable of providing drug information.
对老年用药信息热线（MILE）在8年（1985 - 1992年）间接到的12743个咨询电话进行累积分析。MILE是一项面向消费者的药品信息服务。
使用标准格式记录MILE接到的所有咨询电话的数据。药剂师根据咨询的性质和预测的严重程度选择某些电话进行跟进。
MILE位于曼尼托巴大学药学院内，由经验丰富的执业药剂师提供服务。咨询电话来自老年人及其护理人员。最初，电话通过温尼伯当地的线路接听，不过在1987年，为曼尼托巴农村地区的居民提供了免费电话号码。
MILE接到的大多数咨询电话来自65岁及以上的女性，她们主动拨打了MILE。91%的咨询电话被评定为不严重。只有6%的咨询电话来自温尼伯以外地区。尽管94%的老年消费者报告称有固定的药剂师，但他们通常从未想过向自己的药剂师咨询问题。消费者、护士、医生和牙医提及最多的药物是非甾体抗炎药、心脏药物、利尿剂、抗高血压药、苯二氮䓬类药物和抗抑郁药。最常涉及的咨询类型是药物不良反应、药物相互作用和治疗用途。药剂师咨询者提及的药物和咨询内容比消费者及其他医疗保健专业人员的更多样化。
许多老年药物消费者的用药信息需求未得到满足。由于大部分咨询者似乎是主动咨询的女性，MILE可能并未覆盖所有需要信息的老年消费者。该分析还表明，许多老年消费者并未意识到药剂师可以提供药物信息。
