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Self Medication In General Practice Attainders In Slovenia.Ppt Beograd
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Self Medication In General Practice Attainders In Slovenia.Ppt Beograd

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  • 1. Marija Petek Šter Janko Kersnik Beograd, september 2009
  • 2. Background - definition
    • Most health care takes place outside the formal health care system
    • Self-medication describes treatment that is initiated and managed by individual rather than prescribed by a health care professional
  • 3. Background-epidemilogy
    • Different methods for self-medication were used in 20-70% of population (herbs, vitamins, OTC, homeopatic drugs...)
    • Slovenia: 72% of poupulation use herbs, 83,6% of population sometimes or regularly use OTC
    • Self medication is more frequently used in elderly, chronicaly ill patients (eg. patients with cancer) and patinets belong to higher socio-economical classes
    • More than half of the patients don’t discuss about the self medication use with their general practitioner
  • 4. Background –benefits/risk
    • Benefits of self-medication
    • Autonomy and empowerment
    • Free to set priorities, use resources, control treatment.
    • Improved adherence.
    • Self-monitoring and self-medication may affect outcomes in:
      • hypertension
      • diabetes
      • asthma
      • anti-coagulation therapy
  • 5. Background –benefits/risk
    • Risks of self-medication
    • Harm from adverse effects
    • Drug-drug interactions
    • Risk in older patients
    • Multiple co-morbidity
    • Poly-pharmacy
    • Physicians unaware of the OTC or CAM
    • Increasing costs from self-medication
    • OTC medication may a reduce visits
    • Reduce use of prescription drugs
  • 6. Research questions
    • We would like to know :
    • the prevalence
    • the reasons for self- medication
    • recognise the characteristics of patients who use self-medication
  • 7. Methods
    • Study population: 38 tutors in general practice collect data about use of self-medication for 564 consecutive attainders ( pysicinas didn’t report that any of the attaninders refuse participation in the study)
    • Methods: During the 17th Bled course the participants developed the qestionnaire about self-medication. We adapted and translated the questionnaire into Slovene. Patients fulfil l a questionnaire by themselves
    • The questions were about:
    • the use of self-medication by themselves
    • reasons for use of unprescribed drugs or remedies
    • their attitudes about efficacy and safety of self-medication
    • their knowledge on self-medication
  • 8. Results - prevalence
    • The mean age of patients was 49.5 years, 63.4 % of patients were female
    • 71.8 % of patients used self-medication ( in average 1.4 different self-medicines )
    • The most popular self-medicines were herbal tea in 59.3 % and OTC medicines in 35.8 % of those who use self medicines
  • 9. Results – who reccomended
    • family members or friends in 46.9 %
    • pharmacist in 22.2 %
    • physicians in 20.2 %
    • media in 14.8 %,
    • other health care professionals in 6.9 %
    • 11.6 % of patients decided for self-medication by themselves
  • 10. Results - reasons
    • The most frequent answers:
    • it is more natural than medical treatment - 37.8 %
    • traditional - 21.0 %,
    • safer than conventional medicine - 7.2 %
    • more convenient in 4.2 %
  • 11. Results-would you like to know more?
    • 53.5 % of patients who use self-medication would like to know more
    • 70.9 % they thought that a physician would be the best person to advice them
  • 12. Results – predictors of self-medication
    • female sex (OR=1.73, 95 % CI 1.14-2.64)
    • higher level of education (OR=1.91, 95 % CI 1.54-2.37)
    • the presence of psychiatric disorders (OR=2.34, 95 % CI 1.02-5.34).
  • 13. Discussion
    • The questionnaire need some clarification (eg. unclear definitions of OTC, unclear questione about the potential risks of self-medication)
    • Fulfilment of the questionaire: Patients alone or an interview leaded by the nurse or physician?
  • 14. Conclusions
    • People in Slovenia frequently use self-medication because they believe that self-medication is more natural than prescribed medication
    • More than a half would like to know more about the self-medicines they use and they thought physicians are the most suitable persons for advice

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