在没有处方医生与患者会面的情况下,基于处方更新的注册表研究
Agnese Rönngård-Jalkanen1, Emma Aarnio1, Leena Saastamoinen2
1School of Pharmacy, Faculty of Health Sciences, Kuopio Campus, University of Eastern Finland, Kuopio, Finland.
Basic & clinical pharmacology & toxicology
|July 16, 2024
概括
许多处方更新发生在没有患者访问的情况下,可能会影响药物治疗监测. 这项研究研究了与这些续约相关的因素,强调了需要改进监控实践的必要性.
科学领域:
- 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
- 公共卫生 公共卫生
背景情况:
- 药物治疗的连续性对于患者的健康结果至关重要.
- 如果没有直接的处方者-患者互动,处方的更新可能会损害监测.
- 了解这种更新的患病率和因素对于优化药物管理至关重要.
研究的目的:
- 调查处方更新的流行情况.
- 为了确定未经处方医生与患者会面而进行的更新的比例.
- 为了确定与没有患者接触的处方更新相关的因素.
主要方法:
- 使用芬兰电子处方和医疗保健联系人数据,利用基于注册的研究设计.
- 将处方分为原始,与患者接触更新或未与患者接触更新.
- 在10%的2019年处方样本上使用描述性和后勤通用估计方程分析.
主要成果:
- 在2,804,048份抽样处方中,41.9%是原始的,35.4%是没有患者接触的更新,22.7%是与患者接触的更新.
- 与没有患者接触的更新相关的因素包括男性性别,年龄35-54岁,心血管系统药物处方和夏季更新期.
- 处方更新的很大一部分发生在没有患者与医生直接接触的情况下.
结论:
- 没有直接患者接触的处方更新是常见的,并且与特定的患者和处方特征有关.
- 这些发现强调了在处方更新期间药物治疗监测的潜在缺口.
- 建议进行进一步的研究,以制定和实施有效的监测策略,在没有处方医生和患者会议的情况下进行续约.
相关概念视频
01:02Prescription, Nonprescription and Orphan Drugs
714
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
714
01:19Pharmacovigilance
815
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
815
01:15Drug Dosage Regimen: Overview
3.5K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.5K
02:07Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K
01:12Analysis of Population Pharmacokinetic Data
252
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
252
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
125
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
125