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患者使用标准化药物清单 - 混合方法研究

Christiane Eickhoff¹, Uta Müller¹, Sophie Thomas²

¹Department of Medicine, ABDA - Federal Union of German Associations of Pharmacists, Berlin, Germany.

Patient preference and adherence

|November 6, 2023

概括

德国患者经常滥用标准化药物清单 (ML),大多数清单不完整或不正确. 对药物不良反应的恐惧是不遵守药物说明的常见原因.

科学领域:

医疗保健服务研究医疗服务研究
患者安全患者安全
药物管理药物管理

背景情况:

标准化药物清单 (ML) 在2016年在德国合法建立.
关于实际使用和遵守标准化MLs的数据有限.

研究的目的:

调查患者对标准化药物清单的实际使用和理解.
评估当前ML版本的完整性和正确性.
确定患者不遵守其ML的原因.

主要方法:

社区药剂师招募了288名患者 (平均年龄76岁) 的标准化MLS和≥5种药物.
数据收集包括棕色袋分析,实践演示,患者访谈和患者档案审查.
用定性和定量方法进行数据分析.

主要成果:

38.5%的患者经常使用他们的ML来准备药物,73.3%的人使用它来告知他们的医生.
超过80%的患者理解了他们的ML上的相关信息.
没有ML是完全正确和完整的; 79.2%的关键细节有错误或遗漏. 手写的修改是常见的.
近60%的患者没有遵守他们的ML,主要是因为害怕药物不良反应.

结论:

德国目前的标准化药物清单 (ML) 缺乏完整性和正确性,手写修改频繁.
很大一部分患者不遵守他们的ML,突出了药物管理中的差距.
制定准确的ML维护策略和增强的患者咨询是改善药物坚持和安全的关键.

关键词:

社区药房社区药房药物清单药物清单药物清单药物治疗计划药物治疗计划药物的安全性药物的安全性药物治疗时间表多种药房多种药房

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