Study of Drug Information Transmission Mechanism-Survey on Drug Information Retrieving by Physicians
Date Issued
2005
Date
2005
Author(s)
Lin, Hsin-Hua
DOI
zh-TW
Abstract
Background
To provide correct drug information efficiently is an important key in drug safety. This is a big challenge for health policy authority, license holders of pharmaceutical products, and health providers especially now the new medical information change is so fast. Drug information is so complicated that there is no unique mechanism to deliver drug information efficiently. Understanding how the drug information can be used and can be obtained by medical professionals may be useful to set up strategy to create an effective drug safety information transmission channel.
Methods
In this research, the medical practitioners in Taiwan were taken as the target of samples. Followed the non-random sampling pattern, questionnaires were sent out through a pharmaceutical manufacture representatives’ network. There are four major parts of the questionnaire：‘The use of drug information tool’, ‘The use of drug package insert’, ‘The ways to obtain drug information’, ‘Personal data and institutional characteristics’. After received the filled questionnaires, they were encoded and keyed in the computer and preceded statistical analysis. Window SPSS 11.5 English edition was used for statistical analysis descriptive statistics of frequency, percentage, average, standard deviation and of inferential statistics of paired-sample t test, the Chi-square test, factor analysis, reliability analysis, etc.
Results
A total of the 2,640 copies of questionnaires were sent out. There were 439 questionnaires (16.6%) received. After excluding invalid 10 questionnaires, it was 429 valid questionnaires with a response rate of 16.3%.
Most of the doctors (38.7%) mainly used ‘The daily drug compendium, the daily drug treatment compendium, the basic level healthcare compendium, and etc. reference books’ as drug information resource. ‘Content credibility’ (46.2%), and ‘Convenience’ (29.1%) were the two major factors for choosing drug information tools. Most of the doctors (60.6%) claimed they used drug information tool ‘More than once a week’, and in most condition (48.0%) the average time to look for drug information each time was ‘Under the 30 minutes’. The main access through personnel to obtain drug information is ‘The doctor colleague’ (35.9%) and followed by ‘company’s personnel’ (31.2%). The frequency of personnel offer drug information was mainly ‘More than once a week’ (51.0%). ‘The daily drug compendium, The daily drug treatment compendium, The basic level healthcare compendium, etc. reference book’ was also the major drug information resource even when prescribed a new drug (28.7%), or when prescribed for children, old people, pregnant women, etc. (31.9%). However, for the condition that the adverse drug reaction occurred to the patient, the most doctors (26.3%) may consider ‘Drug package insert or Physician Desk Reference (PDR)’ as the drug information tool resource.
There were 24.2% of the doctors considered ‘Micromedex, UpToDate, MD consult, STAT ref, etc. medical database’ have the most complete drug safety information, followed by ‘domestic and international medical journal’ (21.9%). Most of doctors recognized ‘Micromedex, UpToDate, MD consult, STAT ref, etc.’ as the most updated drug information (28.4%), followed by ‘Drug package insert or Physician Desk Reference (PDR)’ (17.7%). For doctors in clinics, drug safety information channel was mainly form ‘manufacturer’s documents or promotions’. However, for doctors in medical centers were mainly from ‘The medical newsletter inside hospital’.
Most of the doctors (47.8%) received drug package inserts from the ‘Company’s personnel’, followed by ‘The pharmacist’' (26.1%). Most of doctors (66.4%) have known that drug package insert need “the governments’ verification”. And the doctors were satisfied with drug package insert, but relatively unsatisfied about the updated speed of drug package insert.
No matter brand name drug or generic name drug, doctors considered the content credibility of the drug package insert of English edition significantly higher than that of Chinese edition. ‘The content of regarding drug safety’ was considered to be the most important part in the package insert(68.8%) and need to be updated more efficiently (63.9%). The content of the drug package insert used most frequently was ‘the drug-use materials’ (53.6%). Most of the doctors answered the changes and updates of the drug package insert for a drug through ‘manufacturer's documents or promotions’ in clinics and ‘the medical newsletter inside hospital’ in medical centers.
Subjects
傳遞機制
用藥安全
drug information tool
transmission mechanism
drug safety
SDGs
Type
text
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