Educating and informing patients receiving psychopharmacological medications: are family physicians in Pakistan up to the task?
Studies have shown a high prevalence of psychiatric illnesses among patients in primary health care settings. Family physicians have a fundamental role in managing psychiatric illness with psychopharmacological medications. Providing information about the disease, its management and the potential ad...
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| Veröffentlicht in: | PloS one 2009-02, Vol.4 (2), p.e4620 |
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| creator | Ganatra, Hammad Ashraf Bhurgri, Hadi Channa, Roomasa Bawany, Fauzia Ahmad Zafar, Syed Nabeel Chaudhry, Rafia Ishfaq Batool, Syeda Hina Basit, Abdul Asghar, Mehmood Saleem, Sarah Naqvi, Haider |
| description | Studies have shown a high prevalence of psychiatric illnesses among patients in primary health care settings. Family physicians have a fundamental role in managing psychiatric illness with psychopharmacological medications. Providing information about the disease, its management and the potential adverse effects of the medications is an important part of the management of mental illnesses. Our objective was to determine if patients who were prescribed psychopharmacological drugs by family physicians at a community health center in Karachi, Pakistan were provided adequate education about their disease and its management.
A cross-sectional study was conducted at the Community Health Centre (CHC), Aga Khan University Hospital Karachi, Pakistan. Details about the prescriptions and patient education were acquired from the patients after their consultations.
A total of 354 adult patients were interviewed during 3 days. Among them, 73 (20.6%) were prescribed psychopharmacological medications. Among patients receiving psychopharmacological medicines, 37 (50.7%) did not know their diagnosis; 50 (68.5%) were unaware of the disease process; 52 (71.2%) were unaware of alternative treatments; 63 (86.3%) were not cautioned about the potential adverse effects of the drugs; 24 (32.9%) were unaware of the duration of treatment and in 60 (82.2%) of the participants an appropriate referral had not been discussed. For all aspects of education, patients prescribed psychopharmacological medications knew less as compared to those patients that were prescribed other medications.
The practice of imparting information to patients who receive psychopharmacological medications seems to be inadequate in Pakistan. We have hypothesized about the possible reasons for our findings, and identified a need for further research to determine the cause for such findings and to address them accordingly. At the same time there is a need to educate family physicians in Pakistan about the special importance of providing adequate information to such patients. |
| doi_str_mv | 10.1371/journal.pone.0004620 |
| format | Article |
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A cross-sectional study was conducted at the Community Health Centre (CHC), Aga Khan University Hospital Karachi, Pakistan. Details about the prescriptions and patient education were acquired from the patients after their consultations.
A total of 354 adult patients were interviewed during 3 days. Among them, 73 (20.6%) were prescribed psychopharmacological medications. Among patients receiving psychopharmacological medicines, 37 (50.7%) did not know their diagnosis; 50 (68.5%) were unaware of the disease process; 52 (71.2%) were unaware of alternative treatments; 63 (86.3%) were not cautioned about the potential adverse effects of the drugs; 24 (32.9%) were unaware of the duration of treatment and in 60 (82.2%) of the participants an appropriate referral had not been discussed. For all aspects of education, patients prescribed psychopharmacological medications knew less as compared to those patients that were prescribed other medications.
The practice of imparting information to patients who receive psychopharmacological medications seems to be inadequate in Pakistan. We have hypothesized about the possible reasons for our findings, and identified a need for further research to determine the cause for such findings and to address them accordingly. At the same time there is a need to educate family physicians in Pakistan about the special importance of providing adequate information to such patients.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0004620</identifier><identifier>PMID: 19247488</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Antipsychotic Agents - adverse effects ; Antipsychotic Agents - therapeutic use ; Colleges & universities ; Communities ; Cross-Sectional Studies ; Disease control ; Disease management ; Drugs ; Education ; Family medicine ; Female ; General practitioners ; Health ; Health care ; Humans ; Illnesses ; Male ; Management ; Medical personnel ; Medical research ; Mental depression ; Mental disorders ; Mental Disorders - drug therapy ; Mental Health ; Mentally ill persons ; Middle Aged ; Non-Clinical Medicine/Communication in Health Care ; Pakistan ; Patient compliance ; Patient education ; Patient Education as Topic - methods ; Patients ; Physician-Patient Relations ; Physicians ; Physicians, Family ; Prescription drugs ; Primary health care ; Psychotropic drugs ; Public Health and Epidemiology ; Side effects ; Surveys and Questionnaires ; Teaching methods</subject><ispartof>PloS one, 2009-02, Vol.4 (2), p.e4620</ispartof><rights>COPYRIGHT 2009 Public Library of Science</rights><rights>2009 Ganatra et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Ganatra et al. 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c662t-b8d15476129c90d601749b470508e8bba49b4fa74f2d964405c58e71b8604df73</citedby><cites>FETCH-LOGICAL-c662t-b8d15476129c90d601749b470508e8bba49b4fa74f2d964405c58e71b8604df73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2645685/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2645685/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,2104,2930,23873,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19247488$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>von Elm, Erik</contributor><creatorcontrib>Ganatra, Hammad Ashraf</creatorcontrib><creatorcontrib>Bhurgri, Hadi</creatorcontrib><creatorcontrib>Channa, Roomasa</creatorcontrib><creatorcontrib>Bawany, Fauzia Ahmad</creatorcontrib><creatorcontrib>Zafar, Syed Nabeel</creatorcontrib><creatorcontrib>Chaudhry, Rafia Ishfaq</creatorcontrib><creatorcontrib>Batool, Syeda Hina</creatorcontrib><creatorcontrib>Basit, Abdul</creatorcontrib><creatorcontrib>Asghar, Mehmood</creatorcontrib><creatorcontrib>Saleem, Sarah</creatorcontrib><creatorcontrib>Naqvi, Haider</creatorcontrib><title>Educating and informing patients receiving psychopharmacological medications: are family physicians in Pakistan up to the task?</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Studies have shown a high prevalence of psychiatric illnesses among patients in primary health care settings. Family physicians have a fundamental role in managing psychiatric illness with psychopharmacological medications. Providing information about the disease, its management and the potential adverse effects of the medications is an important part of the management of mental illnesses. Our objective was to determine if patients who were prescribed psychopharmacological drugs by family physicians at a community health center in Karachi, Pakistan were provided adequate education about their disease and its management.
A cross-sectional study was conducted at the Community Health Centre (CHC), Aga Khan University Hospital Karachi, Pakistan. Details about the prescriptions and patient education were acquired from the patients after their consultations.
A total of 354 adult patients were interviewed during 3 days. Among them, 73 (20.6%) were prescribed psychopharmacological medications. Among patients receiving psychopharmacological medicines, 37 (50.7%) did not know their diagnosis; 50 (68.5%) were unaware of the disease process; 52 (71.2%) were unaware of alternative treatments; 63 (86.3%) were not cautioned about the potential adverse effects of the drugs; 24 (32.9%) were unaware of the duration of treatment and in 60 (82.2%) of the participants an appropriate referral had not been discussed. For all aspects of education, patients prescribed psychopharmacological medications knew less as compared to those patients that were prescribed other medications.
The practice of imparting information to patients who receive psychopharmacological medications seems to be inadequate in Pakistan. We have hypothesized about the possible reasons for our findings, and identified a need for further research to determine the cause for such findings and to address them accordingly. 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One</addtitle><date>2009-02-27</date><risdate>2009</risdate><volume>4</volume><issue>2</issue><spage>e4620</spage><pages>e4620-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Studies have shown a high prevalence of psychiatric illnesses among patients in primary health care settings. Family physicians have a fundamental role in managing psychiatric illness with psychopharmacological medications. Providing information about the disease, its management and the potential adverse effects of the medications is an important part of the management of mental illnesses. Our objective was to determine if patients who were prescribed psychopharmacological drugs by family physicians at a community health center in Karachi, Pakistan were provided adequate education about their disease and its management.
A cross-sectional study was conducted at the Community Health Centre (CHC), Aga Khan University Hospital Karachi, Pakistan. Details about the prescriptions and patient education were acquired from the patients after their consultations.
A total of 354 adult patients were interviewed during 3 days. Among them, 73 (20.6%) were prescribed psychopharmacological medications. Among patients receiving psychopharmacological medicines, 37 (50.7%) did not know their diagnosis; 50 (68.5%) were unaware of the disease process; 52 (71.2%) were unaware of alternative treatments; 63 (86.3%) were not cautioned about the potential adverse effects of the drugs; 24 (32.9%) were unaware of the duration of treatment and in 60 (82.2%) of the participants an appropriate referral had not been discussed. For all aspects of education, patients prescribed psychopharmacological medications knew less as compared to those patients that were prescribed other medications.
The practice of imparting information to patients who receive psychopharmacological medications seems to be inadequate in Pakistan. We have hypothesized about the possible reasons for our findings, and identified a need for further research to determine the cause for such findings and to address them accordingly. At the same time there is a need to educate family physicians in Pakistan about the special importance of providing adequate information to such patients.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>19247488</pmid><doi>10.1371/journal.pone.0004620</doi><tpages>e4620</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2009-02, Vol.4 (2), p.e4620 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1289835461 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Antipsychotic Agents - adverse effects Antipsychotic Agents - therapeutic use Colleges & universities Communities Cross-Sectional Studies Disease control Disease management Drugs Education Family medicine Female General practitioners Health Health care Humans Illnesses Male Management Medical personnel Medical research Mental depression Mental disorders Mental Disorders - drug therapy Mental Health Mentally ill persons Middle Aged Non-Clinical Medicine/Communication in Health Care Pakistan Patient compliance Patient education Patient Education as Topic - methods Patients Physician-Patient Relations Physicians Physicians, Family Prescription drugs Primary health care Psychotropic drugs Public Health and Epidemiology Side effects Surveys and Questionnaires Teaching methods |
| title | Educating and informing patients receiving psychopharmacological medications: are family physicians in Pakistan up to the task? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-05T03%3A39%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Educating%20and%20informing%20patients%20receiving%20psychopharmacological%20medications:%20are%20family%20physicians%20in%20Pakistan%20up%20to%20the%20task?&rft.jtitle=PloS%20one&rft.au=Ganatra,%20Hammad%20Ashraf&rft.date=2009-02-27&rft.volume=4&rft.issue=2&rft.spage=e4620&rft.pages=e4620-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0004620&rft_dat=%3Cgale_plos_%3EA473397304%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1289835461&rft_id=info:pmid/19247488&rft_galeid=A473397304&rft_doaj_id=oai_doaj_org_article_a2f76a78a1db46268b32ca2567f90ebb&rfr_iscdi=true |