RESUMO
Information about drug abuse and dependence from package inserts of centrally acting drugs was evaluated for content. Of the 77 labels reviewed, 40 were opiate agonists, 18 were stimulants, and the remainder fell into other selected categories. The amount of information ranged from 0-66 sentences, with greatest variability found in the opiate agonists (range 9-66). Information amount was significantly correlated with the year of drug approval (p < 0.001) but not with the latest label revision (p = 0.749). Information amount did not differ significantly with warning strength or schedule. While most package inserts explain physical dependence, tolerance, and withdrawal, there is a lack of information about psychological dependence. Variability in information about abuse and dependence potential is high and can affect prescribing by physicians and counseling by pharmacists, underscoring the need for further studies.
Assuntos
Estimulantes do Sistema Nervoso Central , Rotulagem de Medicamentos , Drogas Ilícitas , Entorpecentes , Psicotrópicos , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Estimulantes do Sistema Nervoso Central/efeitos adversos , Estimulantes do Sistema Nervoso Central/uso terapêutico , Rotulagem de Medicamentos/normas , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Necessidades e Demandas de Serviços de Saúde , Humanos , Entorpecentes/efeitos adversos , Entorpecentes/uso terapêutico , Educação de Pacientes como Assunto/normas , Psicotrópicos/efeitos adversos , Psicotrópicos/uso terapêutico , Estados Unidos , United States Food and Drug AdministrationRESUMO
Utilizing the Consultation and Relational Empathy survey, this project examined the perceptions of care team empathy and patient-centeredness between English- and Spanish-speaking patients. From fall through spring semesters, patient surveys from a primary care, interprofessional student-led teaching clinic were collected and analyzed. Overall, mean scores for both English- and Spanish-speaking patients were above the reported normative average for general practitioners. While, overall, patients expressed satisfaction with the student-led teaching clinic in terms of empathy and patient-centeredness, English-speaking patients had higher median scores than Spanish-speaking patients. Analyzed individually, questions related to communication and provider attitudes were scored lower by Spanish-speaking patients. These results demonstrate that student-led clinics can deliver patient-centered care and highlight the continuing need to investigate and address disparities between English- and Spanish-speaking patients with regard to feelings of empathy and patient-centeredness.