Patient needs and preferences for herb-drug-disease interaction alerts: a structured interview study.
Patient needs and preferences for herb-drug-disease interaction alerts: a structured interview study.
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DOI：
10.1186/s12906-017-1630-6
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发表时间：
2017-05-19
影响因子：
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通讯作者：
Zeng-Treitler Q
中科院分区：
文献类型：
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作者：
Christensen CM;Morris RS;Kapsandoy SC;Archer M;Kuang J;Shane-McWhorter L;Bray BE;Zeng-Treitler Q
虽然补充和替代医学（CAM）在美国和其他地方普遍使用，并且可能发生与处方药的危险相互作用，但患者并不定期与医生沟通他们使用CAM的情况。本研究的目的是发现患者对中草药-疾病相互作用警报的信息需求和偏好。我们从犹他大学医院的几个地点招募了50人参加这个结构化的访谈研究。他们被要求提供他们对草药-药物-疾病相互作用警报的偏好。定性方法用于揭示访谈中出现的主题。大多数参与者报告说他们以前使用过或正在使用辅助生殖疗法。大多数人已经努力告知其医疗保健提供者其辅助医疗手段的使用情况，尽管有些人没有这样做。我们发现，大多数受访者对接收有关潜在交互的警报和信息感兴趣。许多人更喜欢以各种方式接收警报，包括亲自接收和电子接收。除了传统医学，许多患者经常使用补充和替代疗法。然而，患者和医疗服务提供者之间关于辅助医学使用的沟通并不一致。需要在卫生保健方面采取干预措施，提供及时、综合的沟通支持。通过多种渠道提供草药-疾病警报有助于满足关键的患者信息需求。本文的在线版本（doi:10.1186/s12906-017-1630-6）包含补充材料，可供授权用户使用。
While complementary and alternative medicine (CAM) is commonly used in the United States and elsewhere, and hazardous interactions with prescription drugs can occur, patients do not regularly communicate with physicians about their CAM use. The objective of this study was to discover patient information needs and preferences for herb-drug-disease interaction alerts. We recruited 50 people from several locations within the University of Utah Hospital to participate in this structured interview study. They were asked to provide their preferences for the herb-drug-disease interaction alerts. Qualitative methods were used to reveal the themes that emerged from the interviews. Most participants reported they had previously used, or they were currently using, CAM therapies. The majority had made the effort to inform their healthcare provider(s) about their CAM usage, although some had not. We found that most respondents were interested in receiving alerts and information about potential interactions. Many preferred to receive the alerts in a variety of ways, both in person and electronically. In addition to conventional medicine, many patients regularly use complementary and alternative therapies. And yet, communication between patients and providers about CAM use is not consistent. There is a demand for interventions in health care that provide timely, integrative communication support. Delivering the herb-drug-disease alerts through multiple channels could help meet critical patient information needs. The online version of this article (doi:10.1186/s12906-017-1630-6) contains supplementary material, which is available to authorized users.