Improving Safe Use of Medications During Pregnancy: The Roles of Patients, Physicians, and Pharmacists.

Autor: Lynch MM; 1 RTI International, Research Triangle Park, North Carolina, USA., Amoozegar JB; 1 RTI International, Research Triangle Park, North Carolina, USA., McClure EM; 1 RTI International, Research Triangle Park, North Carolina, USA., Squiers LB; 1 RTI International, Research Triangle Park, North Carolina, USA., Broussard CS; 2 Centers for Disease Control and Prevention and United States Public Health Service, Atlanta, Georgia, USA., Lind JN; 2 Centers for Disease Control and Prevention and United States Public Health Service, Atlanta, Georgia, USA., Polen KN; 2 Centers for Disease Control and Prevention and United States Public Health Service, Atlanta, Georgia, USA., Frey MT; 2 Centers for Disease Control and Prevention and United States Public Health Service, Atlanta, Georgia, USA., Gilboa SM; 2 Centers for Disease Control and Prevention and United States Public Health Service, Atlanta, Georgia, USA., Biermann J; 3 March of Dimes Foundation, White Plains, New York, USA.
Jazyk: angličtina
Zdroj: Qualitative health research [Qual Health Res] 2017 Nov; Vol. 27 (13), pp. 2071-2080. Date of Electronic Publication: 2017 Oct 03.
DOI: 10.1177/1049732317732027
Abstrakt: Our study sought to explore the actual and potential roles of patients, physicians, and pharmacists, as well as their shared challenges and opportunities, in improving the safety of medication use during pregnancy. We conducted virtual focus groups with 48 women and in-depth interviews with nine physicians and five pharmacists. Qualitative analysis revealed that all three groups of participants reported "playing it safe," the need for an engaged patient making informed decisions, challenges surrounding communication about pregnancy status, and a lack of patient-centric resources. Patients, physicians, and pharmacists are highly motivated to protect developing babies from potential harms of medication use during pregnancy while maintaining the patient's health. Strategic messaging could maximize the effectiveness of these interactions by helping physicians discuss the benefits and risks of medication use during pregnancy, pharmacists screen for pregnancy and counsel on medication safety, and patients using medications to share pregnancy intentions with their providers pre-pregnancy.
Databáze: MEDLINE