Using Patient-Oriented Evidence-Based Information Guides in Practice: The Family Physician and Community Pharmacist Pers
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Lira Dolovich, PkamD, MSc Centre for Evaluation of Medicines, S t . Joseph’sHealthcare, Hamilton, Ontario Skeri Burns, BA Centre for Evaluation of Medicines. St. Joseph’s Healthcare. Hamilton. Ontario Alan Casrelr, MPA School of Health Information Science, University of Victoria, Victoria. British Columbia Mitchell Levine, MD, MSc, FRCPC Centre for Evaluation of Medicines, S t . joseph’s Healthcare, Hamilton, Ontario Kalpana Nair, Med MSc Centre for Evaluation of Medicines. S t . Joseph’sHealthcare, Hamilton, Ontario James P. McCornack, PharmD Faculty of Pharmaceutical Sciences, University of British Columbia. Vancouver, British Columbia Karen Main, PbD Division of Medical Education. Dalhousie University, Faculty of Medicine. Halifax, Nova Scotia Jean Gray, MD Offfice of Continuing Medical Education. Dalhousie University, Halifax. Nova Scotia Key Words Evidence-based, therapeutic information guides; 0 steoporosis; Heart bum; Sore throat Correspondence Address Lisa Dolovich. Centre for the Evaluation of Medicines. 105 Main St E Level P I , Hamilton, ON L8N I G6. Canada (e-mail: 1dolovic~mcmaster.ca).
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Using Patient-Oriented Evidence-Based Information Guides in Practice: The Family Physician and Community Pharmacist Perspective Objective: To assess the acceptability,utility, and efle&’veness of evidence-based i n f a a tion guides for three conditions (sore throat, osteoporosis), designed with patient input, j h the perspective of family physicim and community pharmacists. Method: A cross-sectional suwq design was used. Fiftr-three family physicians and 29
examined ation eptabihty, measured 13 questions with the physicians and pharmacists.
INTRODUCTION Patients acquire their drug information from a variety of sources, such as health professionals, books, the media, the Internet, the library, other patients, and friends and family (1-4). Many patients, however, prefer to receive their information on drugs or drug therapies from a competent and trusted clinician, usually a physician or pharmacist (55-7). The Toronto Consensus statement on doctor-patient communication noted that patient satisfaction with their care is closely tied with having received sufficient information, explanation, and feedback from their doctors (8).Passive information on its own has been shown to be less effective than information that is contextualized by or discussed with a health professional (5).Patient information materials coupled with practitioner-patient interaction can facilitate shared decision making and improve how patients manage their health (9-11). Research evaluating patient health information shows that much of the information is low
Results: No problems with the content were reported by 97%of physicians and 100%of pharmacists. Fijly-three percent of physicians and 41%of pharmacists felt the inclusion of absolute numbers and gmphs to explain the risks and benefitsof therapy had an impact on drug use and selection. Ninety-eight percent of physicians and 81% of pharmacists reported that the infaation guides helped their pat
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