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首页> 外文期刊>BMC Family Practice >A mixed methods study on medicines information needs and challenges in New Zealand general practice
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A mixed methods study on medicines information needs and challenges in New Zealand general practice

机译：新西兰一般实践中药品信息需求和挑战的混合方法研究

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Medicines are central to healthcare in aging populations with chronic multi-morbidity. Their safe and effective use relies on a large and constantly increasing knowledge base. Despite the current era of unprecedented access to information, there is evidence that unmet information needs remain an issue in clinical practice. Unmet medicines information needs may contribute to sub-optimal use of medicines and patient harm. Little is known about medicines information needs in the primary care setting. The aim of this study was to investigate the nature of medicines information needs in routine general practice and understand the challenges and influences on the information-seeking behaviour of general practitioners. A mixed methods study involving 18 New Zealand general practitioner participants was undertaken. Quantitative data were collected to characterize the medicines information needs arising during 642 consultations conducted by the participants. Qualitative data regarding participant views on their medicines information needs, resources used, challenges to meeting the needs and potential solutions were collected by semi-structured interview. Integration occurred by comparison of results from each method. Of 642 consultations, 11% (n?=?73/642) featured at least one medicines information need. The needs spanned 14 different categories with dosing the most frequent (26%) followed by side effects (15%) and drug interactions (14%). Two main themes describing the nature of general practitioners’ medicines information needs were identified from the qualitative data: a ‘common core’ related to medicine dose, side effects and interactions and a ‘perplexing periphery’. Challenges in the perplexing periphery were the variation in information needs, complexity, ‘known unknowns’ and ‘unknown unknowns’. Key factors affecting general practitioners’ strategies for meeting medicines information needs were trust in a resource, presence of the patient, how the information was presented, scarcity of time, awareness of the existence of a resource, and its accessibility. General practitioners face challenges in meeting wide-ranging medicines information needs in patients with increasingly complex care needs. Recognising the challenges and factors that influence resource use in practice can inform optimisation of medicines information support resources. Resources for general practitioners must take into account the complexity and time constraints of real-world practice. An individually responsive approach involving greater collaboration with pharmacists and specialist medicines information support services may provide a potential solution.
机译：药物是慢性多发病率的老龄化种群的医疗保健。他们的安全有效地利用依赖于大型且不断增加的知识库。尽管目前出现前所未有的信息时代，但有证据表明未满足的信息需求仍然是临床实践的问题。未满足的药物信息需求可能有助于次优，使用药物和患者伤害。关于初级保健环境中的药品信息需要很少。本研究的目的是调查药品信息需求的性质，在常规一般实践中，了解挑战和对全科医生信息行为的挑战和影响。涉及18名新西兰全科医生参与者的混合方法研究。收集定量数据，以表征参与者进行的642次磋商期间所需的药物信息。有关参与者对其药物信息需求的看法的定性数据，通过半结构化访谈收集了所使用的资源，满足需求和潜在解决方案的挑战。通过对每个方法的结果进行比较发生集成。 642次咨询，11％（n？= 73/642）至少需要一种药物信息。需求跨越14种不同的类别，给药最常见的（26％），然后是副作用（15％）和药物相互作用（14％）。从定性数据中确定了描述通用从业者药物信息需求的性质的两个主要主题：与药物剂量，副作用和相互作用有关的“常见核心”以及“令人困惑的外围”。令人困惑的外围中的挑战是信息需求的变化，复杂性，“已知未知”和“未知未知”。影响全科医生的满足药物信息需求的关键因素是对资源，患者的存在，如何呈现，时间，时间，资源存在的意识，以及其可访问性的资源。一般从业者面临越来越复杂的护理需求的患者患者大规模药物信息需求的挑战。认识到影响实践中资源使用的挑战和因素可以为药品信息支持资源提供信息。一般从业者的资源必须考虑到现实世界实践的复杂性和时间限制。涉及与药剂师和专业药物信息支持服务更加合作的个别响应方法可以提供潜在的解决方案。

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