Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Self Medication In General Practice Attainders In Slovenia.Ppt Beograd


Published on

  • Be the first to comment

  • Be the first to like this

Self Medication In General Practice Attainders In Slovenia.Ppt Beograd

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