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Medicine use and medicine-related problems experienced by ethnic minority patients in the United Kingdom: A review

机译:英国少数民族患者经历的药物使用和药物相关问题:综述

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Objective The aim of this review was to establish type(s) and possible cause(s) of medicine-related problems (MRPs) experienced by ethnic minorities in the UK and to identify recommendations to support these patients in the effective use of medicines. Methods A systematic search of studies related to problems with medicine use experienced by ethnic minorities in the UK was performed using the following databases: PubMed, Embase, International Pharmaceutical Abstract and Scopus from 1990 to 2011. A hand search for relevant citations and key journals was also performed. Key findings Fifteen studies were found. The MRPs identified across studies included lack of information, problems with not taking medicines as advised, concern of dependency or side effects, lack of regular monitoring and review, risk of adverse drug reactions, adverse events and problems in accessing healthcare services. Many problems are common in other groups, however, studies examining possible explanatory factors discussed how the cultural and religious beliefs, previous experiences, different expectations, language and communication barriers, lack of knowledge of the healthcare services and underestimating patients' desire for information may contribute to the problems. Some of the recommendations were made based on the problems that were found, but these have not been evaluated. Conclusions Little evidence is known of what influences MRPs among ethnic minorities, despite the increased diversification of populations in countries throughout the world. To support their entire populations in the use of medicines, we have to ensure that we understand their different perspectives and needs regarding the effective use of medicines.
机译:目的这篇综述的目的是确定英国少数民族经历的与药物相关的问题(MRP)的类型和可能的原因,并确定支持这些患者有效使用药物的建议。方法使用以下数据库对1990年至2011年间英国少数群体经历的与药物使用问题相关的研究进行系统搜索:PubMed,Embase,International Pharmaceutical Abstract和Scopus。对相关引文和主要期刊进行手工搜索也执行了。主要发现发现了十五项研究。跨研究确定的MRP包括信息不足,不按建议服用药物的问题,对依赖性或副作用的担忧,缺乏定期的监测和审查,药物不良反应的风险,不良事件和获得医疗服务的问题。在其他人群中,许多问题很常见,但是,研究可能的解释性因素的研究讨论了文化和宗教信仰,以前的经历,不同的期望,语言和沟通障碍,对医疗服务的了解不足以及低估了患者对信息的渴望解决问题。根据发现的问题提出了一些建议,但尚未对其进行评估。结论尽管世界各国的人口多样化程度有所增加,但鲜有证据表明什么会影响少数民族中的MRP。为了支持他们的整个人群使用药物,我们必须确保我们了解他们在有效使用药物方面的不同观点和需求。

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