Benefits and risks of self medication
Benefits and risks of self medication
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DOI：
10.2165/00002018-200124140-00002
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发表时间：
2001-01-01
期刊：
影响因子：
4.2
通讯作者：
Fleming, GF
中科院分区：
文献类型：
--
作者：
Hughes, CM;McElnay, JC;Fleming, GF
自我用药正在成为医疗保健中一个日益重要的领域。它促使患者在做出关于小病管理的决定时更具独立性，从而促进赋权。自我用药对医疗保健系统也有好处，因为它有助于更好地使用临床技能，增加获得药物的机会，并可能有助于降低与公共资助的卫生方案相关的处方药成本。然而，自我用药与误诊、过度使用药物剂量、延长使用时间、药物相互作用和多药联用等风险相关。后者可能在老年人中尤其成问题。监测系统，病人、医生和药剂师之间的伙伴关系，以及向所有有关人员提供关于安全自我用药的教育和信息，都是为实现利益最大化和风险最小化而提出的战略。
Self medication is becoming an increasingly important area within healthcare. it moves patients towards greater independence in making decisions about management of minor illnesses, thereby promoting empowerment. Self medication also has advantages for healthcare systems as it facilitates better use of clinical skills, increases access to medication and may contribute to reducing prescribed drug costs associated with publicly funded health programmes. However, self medication is associated with risks such as misdiagnosis, use of excessive drug dosage, prolonged duration of use, drug interactions and polypharmacy. The latter may be particularly problematic in the elderly. Monitoring systems, a partnership between patients, physicians and pharmacists and the provision of education and information to all concerned on safe self medication, are proposed strategies for maximising benefit and minimising risk.