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首页> 美国卫生研究院文献>Therapeutic Advances in Drug Safety >Education around medication review and deprescribing: a survey of medical and pharmacy students’ perspectives
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Education around medication review and deprescribing: a survey of medical and pharmacy students’ perspectives

机译：围绕药物审查和开处方的教育：医学和药学专业学生观点调查

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Research into the practice of medication review is developing across the world in response to the ever-increasing burden of inappropriate polypharmacy. Education, training and support of undergraduates and novice practitioners to equip them to participate in the medication review process could lead to long-term shifts in practice. The purpose of this study was to explore the awareness of pharmacy and medical undergraduates about medication review, deprescribing and polypharmacy, in order to inform improvement strategies. In November 2016, all final-year medical and pharmacy students at a London (UK) university were invited to complete a short questionnaire survey. Qualitative analysis inductively themed free-text comments and quantitative analysis used descriptive statistics to summarize responses, with chi-square tests used to indicate differences between the groups. The overall response rate was 34% (171/500). The terms ‘medication review’ and ‘polypharmacy’ were known to the students, whilst the term ‘deprescribing’ was unfamiliar with no difference between the groups. The term ‘medication review’ meant different things to the groups: pharmacy students suggested a focus on adherence and patient understanding, whilst medical students focused on interactions and whether medicines were still indicated. The groups differed in their perceptions of who they thought undertook reviews, who identifies potentially inappropriate medicines, who makes the final decision to deprescribe and the frequency of medication reviews. Both groups reported that on qualification they would not be comfortable stopping a medicine without discussion with a senior colleague, but would be comfortable prompting a senior colleague to review. Both groups had some awareness of medication review tools. The meaning of the term ‘medication review’ differed between the student groups. While medical students focused on clinical aspects, pharmacy students emphasized patient experience. Both groups anticipated a lack of confidence in deprescribing without senior support, highlighting the need for alignment between education and professional development syllabi in a way that combines the variety of professional perspectives. Prompts by juniors could lead to more medication reviews within existing practice, and may give them invaluable experience in reviewing medicines in their future careers as seniors.
机译：为了应对不适当的多药店负担不断增加的问题，药物审查实践的研究正在全球范围内展开。为大学生和新手从业人员提供的教育，培训和支持，使他们能够参与药物审查过程，可能会导致实践的长期变化。这项研究的目的是探索药学和医学专业的本科生对药物审查，处方和综合药学的认识，以便为改进策略提供信息。 2016年11月，邀请了伦敦（英国）大学的所有医学和药学专业的最后一年的学生完成一份简短的问卷调查。定性分析以归纳主题为主题的自由文本评论和定量分析使用描述性统计数据来汇总响应，卡方检验用于表明组之间的差异。总体回应率为34％（171/500）。学生们知道“药物评论”和“多药店”这两个术语，而“处方”这个术语并不熟悉，两组之间没有区别。 “药物评价”一词对各组的意义不同：药学专业的学生建议专注于依从性和对患者的理解，而医学专业的学生则专注于相互作用以及是否仍应使用药物。小组对他们认为进行审核的人的看法不同，他们识别出可能不适当的药物，最终决定停用处方的人以及药物审核的频率不同。两组均报告说，在获得资格后，他们不愿意与高级同事讨论而停药，但愿意促使高级同事进行审查。两组都对药物审查工具有所了解。不同学生群体之间的“药物评价”一词含义不同。医学生侧重于临床方面，而药学生则强调患者体验。两组都期望在没有高级支持的情况下对开具处方缺乏信心，这突出显示了在教育和专业发展大纲之间必须结合各种专业观点的方式。大三学生的提示可能会导致在现有实践中进行更多的药物审查，并可能为他们在以后的老年人职业中提供宝贵的药物审查经验。

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