利益相关者对有问题的多药和处方级联的看法和态度:定性研究
Aisling A Jennings1, Ann Sinéad Doherty1, Barbara Clyne2
1Department of General Practice, University College Cork, Cork, Ireland.
Age and ageing
|June 8, 2024
概括
有问题的多药和处方级联是复杂的. 利益相关者发现药物调和是危险的,导致由于不可估量的风险,避免必要的药物改变.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 问题性的多药,定义为使用五种或更多药物,存在重大风险.
- 无意的处方级联,即药物不良反应 (ADR) 导致新的处方,是多药学研究不足的一个方面.
研究的目的:
- 探索关键利益相关者对有问题的多药物的看法和态度.
- 专门调查利益相关者对在多药学背景下处方级联的看法.
主要方法:
- 使用一对一半结构面试进行的定性研究.
- 诱导性主题分析应用于31个不同利益相关者的采访数据.
主要成果:
- 医疗保健专业人员和患者对副作用的看法是务实的,但人们对患者的信心存在担忧.
- 多药学的复杂性使得风险/益处的平衡变得具有挑战性,往往导致专业人员避免改变药物.
- 药物调和,特别是退院后,由于系统性沟通缺陷,被认为是高风险的.
结论:
- 利益相关者认为深度多药药中不良反应的风险是不可估量的,这导致避免药物改变,除非危害明显.
- 药物调和过程被确定为高风险的活动,有助于在多药学中提出处方挑战.
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