没有处方的咨询:一般实践中的横截面研究
Amélie Richard1, Élodie Charuel1, Sébastien Cambier2
1Department of General Practice, UFR Medicine and Medical Professions, University of Clermont Auvergne, 28, place Henri-Dunant, 63000 Clermont-Ferrand, France; Research Unit ACCePPT, Clermont Auvergne University, 63000 Clermont-Ferrand, France; Maison de santé pluriprofessionnelle des batignolles (MSP), 63350 Joze, France.
概括
在法国,2021年,24%的全科医院咨询没有产生处方. 急性咨询和患者对药物的期望是影响这一率的关键因素.
科学领域:
- 一般的做法一般的做法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 无处方诊疗在欧洲各大不同,对法国的数量数据有限.
- 影响处方率的因素包括产品的可用性,临床指南和公共卫生政策.
研究的目的:
- 量化2021年法国全科医院无处方诊疗的比例.
- 描述这些商,并确定它们的决定因素.
主要方法:
- 进行了一项定量观察性研究.
- 自我问卷被管理到患者在奥维尔涅的一般性诊所.
主要成果:
- 没有处方的咨询率为24% (95%CI [20.11-27.41]).
- 没有处方的咨询与预防,行政问题和医疗程序有关.
- 关键的限制因素包括患者对药物的愿望 (OR=0.006),对药物需要的不确定性 (OR=0.11) 和急性咨询原因 (OR=0.33).
结论:
- 急性咨询显著降低了无处方治疗的可能性.
- 一般医生可能会高估患者对药物处方的期望.
- 在非处方决策和患者教育方面支持全科医生对于长期影响至关重要.
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