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Identify practice gaps in medication education through surveys to patients and physicians

机译:通过对患者和医生的调查来确定药物教育中的实践差距

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Background: Effective communication and education formats between health care providers and patients about medication use are associated with patients’ satisfaction, recall of information, and eventually their health status. Limited research exists on physician-delivered education interventions, as well as on whether the current content of medication education and delivery formats satisfies the needs of both patients and physicians. Our objective was to identify the practice gaps regarding medication education content and delivery.Methods: Separate surveys were obtained from ambulatory care patients presenting to the outpatient pharmacy for medication pickups, and physicians working at the hospital clinics.Results: A total of 108 patients completed the patient survey, and 116 hospital clinic physicians completed the physician survey. Female patients had a higher degree of concern regarding medication information compared with male patients (4.04±0.65 versus 3.58±0.66, P=0.001). Physicians were less likely to educate patients regarding their medications’ on drug–drug interactions (24.3%), drug–food interactions (24.3%), and what to do about their prescriptions if an adverse reaction is experienced (24.3%) during physician–patient encounters. Patients’ most desired education format was physician counseling (82.4%) and the second most desired education format was pharmacist counseling (50.9%). Medication device demonstration (7.0%) was the least used educational format delivered to patients by physicians, and patients would like to see an increased education delivery format through medication device demonstration (Method desired [MD] – Method received [MR] =12.0%). Patients would like to see expanded roles of patient focused handout (MD-MR=22.2%), telephone consultation (21.2%), pharmacist counseling (12.9%), the use of medication database embedded within the hospital information system (12.2%) and device demonstration (12.0%).Conclusion: This study illustrates that there are practice gaps in current medication education both in terms of content and delivery format. The study provided valuable information in designing and implementing future education activities that are drivers of good medication use and adherence.
机译:背景:医护人员与患者之间有关药物使用的有效沟通和教育形式与患者的满意度,信息的回忆以及最终的健康状况有关。关于医师提供的教育干预措施以及药物教育和提供形式的当前内容是否能够满足患者和医师的需求,研究还很有限。我们的目的是找出与药物教育内容和给药方式有关的实践差距。方法:对分别向门诊药房就诊的非卧床护理患者和在医院门诊工作的医生进行了独立调查。结果:共完成108名患者病人调查,共有116位医院诊所医生完成了医生调查。与男性患者相比,女性患者对用药信息的关注程度更高(4.04±0.65对3.58±0.66,P = 0.001)。医生不太可能对患者进行有关药物相互作用的药物教育(24.3%),药物与食物的相互作用(24.3%),以及在医师期间对患者进行不良反应治疗的处方(24.3%)。病人的遭遇。患者最需要的教育方式是医师咨询(82.4%),第二要的教育方式是药剂师咨询(50.9%)。药物器械演示(7.0%)是医生向患者提供的使用最少的教育形式,患者希望通过药物器械演示来增加教育传递形式(所需方法[MD] –接受方法[MR] = 12.0%) 。患者希望看到以患者为中心的讲义(MD-MR = 22.2%),电话咨询(21.2%),药剂师咨询(12.9%),医院信息系统中嵌入的药物数据库的使用(12.2%)和装置演示(12.0%)。结论:本研究表明,当前的药物教育在内容和给药方式方面均存在实践空白。这项研究为设计和实施未来的教育活动提供了宝贵的信息,这些活动是良好药物使用和依从性的驱动力。

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