Effect of patient engagement on medication safety for chronic disease patients: a systematic review
10.3760/cma.j.cn114798-20230221-00149
- VernacularTitle:门诊慢性病患者参与用药对用药安全性影响的系统评价
- Author:
Hui LI
1
;
Zhengwen FENG
;
Xiaolei CHEN
;
Chenli ZHU
;
Tiancheng ZHANG
;
Shuang SHAO
;
Juan DU
Author Information
1. 首都医科大学全科医学与继续教育学院，北京100069
- Keywords:
Patient participation;
Medication safety;
Intervention strategy;
Randomized controlled trial;
Systematic review
- From:
Chinese Journal of General Practitioners
2023;22(9):934-940
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of patient engagement on medication safety for patients with chronic disease through a systematic review.Methods:Relevant randomized controlled trials of patient engagement on medication safety were searched from PubMed, EMBASE, The Cochrane Library, CNKI, Wanfang and VIP database. The literature was screened according to inclusion and exclusion criteria, and data extraction and literature quality evaluation was conducted on the selected literature.Results:A total of 15 eligible studies was included. Most of the studies occurred in outpatient and home settings, and the subjects were patients with chronic diseases. Patient engagement strategies can be divided into three categories: (1) patient engagement in medical decision-making; (2) patient engagement in medication adjustment; (3) patient engagement in medication management. The outcomes of medication safety included medication adherence, medication knowledge, medication beliefs, adverse events and medication errors. Intervention strategies for patients to actively engage in medication safety significantly improved patients′ medication knowledge and beliefs, but did not improve medication adherence of patients.Conclusion:Promoting patient active engagement is an effective intervention measure to improve patients ′ perception of medication safety. Due to the limited quality and quantity of the included studies, more high-quality studies are needed to verify the above conclusions.
