预防药物处方诱导需求的策略:一项定性研究

Azam Mohamadloo, A. Ramezankhani
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引用次数: 1

摘要

目的:本定性研究的目的是通过对不同利益相关者(医生、药剂师、教职员工和患者)的深入访谈,探讨预防诱导药物处方需求的策略。材料和方法:在数据收集方面,我们采用深度访谈的方式,根据参与者的经验选择有目的的样本20人。采访被转录、分析和识别,关键主题被命名并编码为引文样本。我们使用内容分析来分析访谈。所有作者都参与了分析过程,以避免偏见并获得同意。结果:在数据分析过程中,从数据分析中得出预防诱发性处方需求的所有策略,并将其分为健康教育计划和卫生系统管理两个主题,共12类37小类。一些战略包括促进制药企业的健康素养;制定、实施和评估政策,以防止对处方药的诱导需求;改革教育体制和医学研究;发展卫生信息;改革卫生体制结构;改革卫生系统监测与控制体制;遵守患者权利宪章;改革保险公司。结论:本研究证实了诱导需求是可以预防的。因此,我们建议股东考虑防止诱导需求的策略,以防止不必要的药物处方和后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The strategies of the preventing induced demand for medicine prescription: A qualitative study
Aims: The purpose of the present qualitative study was to investigate strategies of preventing induced demand for medicine prescription through in-depth interviews with various stakeholders (physicians, pharmacists, faculty members, and patients). Materials and Methods: For data gathering, we used in-depth interviews with a purposive sample of 20 participants who were selected according to their experience. Interviews were transcribed, analyzed, and identified, and the key themes were named and coded with a sample of quotation. We used content analysis to analyze the interviews. All authors participated in the analysis process to avoid bias and receive an agreement. Results: In the process of data analysis, all the strategies of preventing induced demand for prescription of medicine were elicited from the data analysis and were classified into two themes: Health education program and stewardship in the health system with 12 categories and 37 subcategories. Some strategies include promoting pharmaceutics' health literacy; developing, implementing, and evaluating policies to prevent induced demand for prescription of medicine; reforming the education system and medical research; development of health information; reforming the health system structure; reforming the monitor and control system in the health system; observing patients' rights charter; and reforming the insurance companies. Conclusion: The present study provides evidence that confirms the induced demand is preventable. Hence, we recommend that stockholders consider the strategies to preventing induced demand for the prescription to prevent unnecessary prescriptions of medicines and the consequences.
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