Media, messages, and medication: strategies to reconcile what patients hear, what they want, and what they need from medications.
Media, messages, and medication: strategies to reconcile what patients hear, what they want, and what they need from medications.
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DOI：
10.1186/1472-6947-13-s3-s5
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发表时间：
2013
影响因子：
3.5
通讯作者：
Bell RA
中科院分区：
文献类型：
--
作者：
Kravitz RL;Bell RA
在过去的30年里，患者获取处方药信息的选择范围急剧扩大。在这篇叙述性综述中，我们解决了四个问题：（1）患者接触到哪些信息源，他们是否正在关注？(2)他们听到的信息是否可信和准确？(3)当患者要求处方时，他们真正想要和需要的是什么？最后，（4）医生如何协调患者听到的、想要的和需要的？一个关键的文献合成的报告。观察表明，公众普遍了解并关注越来越多的卫生信息资源，包括传统新闻媒体、广告和社交网络。然而，外行受众往往没有可靠的方法来评估媒体、互联网或直接面向消费者的广告中的健康信息的准确性。这种无法评估信息的能力可能导致决策瘫痪，患者会质疑已知的，可知的以及他们的医生知道什么。许多患者对他们希望接受的护理有特定的期望，并且很容易让这些期望为人所知。然而，假设病人表达的愿望是他们潜在的愿望或需求的直接反映是危险的。在试图调和患者对处方药信息的需求时，政策和临床举措的结合可能比单独采取任何一种方法都有更大的希望。患者被药物信息轰炸。问题不在于缺乏信息，而在于知道哪些信息值得信任。确保患者得到他们需要的药物，并准备安全服用，需要政策和临床干预相结合。
Over the past 30 years, patients’ options for accessing information about prescription drugs have expanded dramatically. In this narrative review, we address four questions: (1) What information sources are patients exposed to, and are they paying attention? (2) Is the information they hear credible and accurate? (3) When patients ask for a prescription, what do they really want and need? Finally, (4) How can physicians reconcile what patients hear, want, and need? A critical synthesis of the literature is reported. Observations indicate that the public is generally aware of and attends to a growing body of health information resources, including traditional news media, advertising, and social networking. However, lay audiences often have no reliable way to assess the accuracy of health information found in the media, on the Internet, or in direct-to-consumer advertising. This inability to assess the information can lead to decision paralysis, with patients questioning what is known, what is knowable, and what their physicians know. Many patients have specific expectations for the care they wish to receive and have little difficulty making those expectations known. However, there are hazards in assuming that patients’ expressed desires are direct reflections of their underlying wants or needs. In trying to reconcile patients’ wants and needs for information about prescription medicines, a combination of policy and clinical initiatives may offer greater promise than either approach alone. Patients are bombarded by information about medicines. The problem is not a lack of information; rather, it is knowing what information to trust. Making sure patients get the medications they need and are prepared to take them safely requires a combination of policy and clinical interventions.