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Medications Without Borders: Themes in Caregiver Administration of Imported Medications in Pediatrics

机译:药物无国界:儿科进口药物护理人员管理的主题

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摘要

This study aimed to identify motivating factors in why parents administer imported medications to their children. In this qualitative study, we enrolled caregivers of patients younger than 18 years who presented for care at a pediatric emergency department. The study team conducted face-to-face interviews with caregivers in the emergency department and used a semistructured question guide to probe for themes regarding the use of imported medications in children. Interviews were recorded, transcribed, translated if necessary, and coded. We applied grounded theory methodology to assess for themes and adapted the Andersen model of health care utilization to provide a framework for the identified themes. We completed 30 interviews, 9 of which were conducted in Spanish. Themes surrounding imported medication usage were categorized into predisposing, enabling, and need factors. Predisposing factors included perception that an ill child needs medication to get better, perception of medication quality, and past experiences with medications. Enabling factors included proximity to foreign countries, cost, limited access to primary care, and convenience of obtaining medications. Need factors included utilization of foreign medications for a “simple illness” and utilization of foreign care for a “second opinion.” Our study used qualitative methodology to gain important insights into the caregiver experience of a diverse patient population. We identify themes not previously published in the medication importation literature. These concepts can provide insights in educational strategies aimed at mitigating the potential dangers of imported medication use in pediatrics.
机译:本研究旨在确定父母为孩子服用进口药物的动机因素。在这项定性研究中,我们招募了在儿科急诊科就诊的 18 岁以下患者的护理人员。研究小组与急诊科的护理人员进行了面对面的访谈,并使用半结构化的问题指南来探讨有关儿童使用进口药物的主题。采访被记录、转录、必要时翻译和编码。我们应用扎根理论方法来评估主题,并调整了Andersen医疗保健利用模型,为已确定的主题提供了一个框架。我们完成了 30 次采访,其中 9 次是用西班牙语进行的。围绕进口药物使用的主题分为易感因素、使能因素和需求因素。诱发因素包括认为患病儿童需要药物治疗才能好转、对药物质量的看法以及过去的用药经历。有利因素包括靠近外国、成本、获得初级保健的机会有限以及获得药物的便利性。需求因素包括使用外国药物治疗“简单疾病”和利用外国护理治疗“第二意见”。我们的研究使用定性方法来获得对不同患者群体的护理人员体验的重要见解。我们确定了以前未在药物进口文献中发表的主题。这些概念可以为旨在减轻儿科使用进口药物的潜在危险的教育策略提供见解。

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