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首页> 外文期刊>Integrated Pharmacy Research and Practice >Displaying medication costs on dispensing labels as a strategy to reduce wastage: views of the Welsh general public
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Displaying medication costs on dispensing labels as a strategy to reduce wastage: views of the Welsh general public

机译：在分配标签上显示药品成本，以减少浪费：威尔士普通民众的观点

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Introduction: In 2015, the UK health secretary made public an intention to include the value of medicines costing over ￡20 on dispensing labels as an attempt to reduce wastage attributable to patient behavior. However, there is a lack of evidence investigating the potential effect or feasibility of this proposal, and concerns have been raised that it may introduce new problems in vulnerable groups. This pilot study aimed to gather views of the Welsh general public on this subject. Methods: Six focus groups from within key population groups were conducted. A snowball sampling strategy was employed with participants recruited via a neutral gatekeeper. Focus groups session were audio recorded and transcribed verbatim and iterative thematic analysis was used to identify emergent themes. Results: Six focus groups were conducted. Three key themes were identified: “influence of cost” – whereby participants expressed concern about cost linking to their perceived value, guilt for needing prescribed medication and irrelevance of cost if the medication was considered necessary; “knowledge is power” – whereby participants expressed a desire to know more about their medicines and engage with health care professionals about them, and felt information on dispensing labels alone would be insufficient to support this and “blame the system” – whereby participants felt responsibility for wastage should be shared by both system and patient and identified existing wasteful practices such as inappropriate prescribing, ordering and disposal of returned medicines. Conclusion: Findings were largely consistent with criticisms publicized by professional bodies that introducing cost may serve to make patients feel guilty or unworthy rather than encourage them to use their medicines appropriately. Similarly, providing cost information on labels alone was considered insufficient and therefore additional counseling or education would be necessary to prevent misunderstanding. The acknowledgment of system factors contributing to wastage highlights an important role for pharmacists to become involved in using medicines more cost-effectively. However, cost was considered irrelevant if the medicine was deemed necessary by the patient, and therefore more mindful prescribing of superfluous items should be promoted.
机译：简介：2015年，英国卫生大臣公开表示有意将标价超过20英镑的药品的价值包括在配药标签上，以减少患者行为造成的浪费。但是，缺乏调查该建议的潜在效果或可行性的证据，并且有人担心该建议可能会给弱势群体带来新的问题。这项初步研究旨在收集威尔士公众对此主题的看法。方法：从关键人群中进行了六个焦点小组。通过中立的网守招募的参与者采用了雪球采样策略。焦点小组会议进行了录音和逐字记录，并使用了迭代主题分析来确定紧急主题。结果：进行了六个焦点小组。确定了三个关键主题：“成本影响” –参与者对成本与他们的感知价值相关联表示担忧，对需要开处方药的内and以及在认为必要的情况下不相关的费用表示担忧; “知识就是力量” –参与者表示希望更多地了解自己的药物并与医疗保健专业人员联系，并感到仅凭分配标签的信息不足以支持这一点并“归咎于系统” –参与者因此感到责任因为浪费应该由系统和患者共同承担，并确定现有的浪费做法，例如不适当的处方，订购和处置退回药品。结论：研究结果与专业机构的批评基本一致，即引入费用可能使患者感到内或不值得，而不是鼓励他们适当地使用药物。同样，仅在标签上提供费用信息被认为是不够的，因此，有必要进行额外的咨询或教育，以防止产生误解。对造成浪费的系统因素的认可突显了药剂师参与更经济有效地使用药物的重要作用。但是，如果患者认为药物是必需的，则认为费用无关紧要，因此应提倡更谨慎地开出多余物品。

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