Assist Patients with Medication Decisions

项目摘要 数以百万计的患者服用处方药、非处方药和膳食补充剂。驱动 由于各种因素，如改善健康的愿望，方便和相对较低的成本， 药物，天然产品的安全性假设，以及对医生处方的不满 治疗，许多患者寻求非处方药。当自我治疗时，病人，像医生一样， 评估症状，评估选择，并做出决定。大多数患者不愿意接受 已知无效或有害的药物。然而，患者并不总是理解 适应症、副作用和禁忌症。事实上，最近的病人调查 发现大多数潜在的药物相互作用涉及非处方药。我们认为， 有必要通过主动帮助患者做出更明智的自我用药决定 为他们提供及时、相关、可理解和可操作的信息。拟议的研究将 调查患者需要哪些疗效和安全性信息，以及如何向 患者，开发自我用药决策支持工具，以警告患者可能无效或 有害的使用，并建议更安全，更有效的替代品，并评估患者对 决策支持

Project Summary Millions of patients take prescription drugs, over the counter (OTC) drugs, and dietary supplements. Driven by a variety of factors such as the desire to improve health, the convenience and relative low cost of self- medication, the assumption of natural products' safety, and the dissatisfaction with physician-prescribed treatments, many patients seek non-prescription drugs. When self-medicating, patients, like physicians, assess symptoms, evaluate options, and make decisions. Most patients would not willingly take medications that are known to be ineffective or harmful. Patients, however, do not always understand the indication, side effects, and contraindications of the products they take. Indeed, recent patient surveys found that the majority of potential drug-drug interactions involve non-prescription drugs. We argue that it is necessary to help patients make better-informed decisions regarding self-medication by proactively providing them with timely, relevant, comprehensible, and actionable information. The propose study will investigate what efficacy and safety information patients need and how to present that information to patients, develop a self-medication decision support tool to warn patients of potentially ineffective or harmful usage and suggest safer and more effective alternatives, and evaluate patient response to the decision support.