Survey of outpatients’ use and needs of patient medicine information leaflets in Thailand
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Background Patient information leaflets are important sources of medicine information. Regulations of patient information leaflet provision varies among country. Little is known regarding patients’ behavior and expectation on use of patient information leaflets. Objectives To explore patients’ use of either package inserts or patient information leaflets and to survey patients’ expectations and needs on use of patient information leaflets and their associated factors. Setting Two university hospitals in Thailand. Methods Cross-sectional study using self-administered questionnaires distributed to outpatients over a 3-month period. Participants were selected through systematic random sampling. Logistic regression was used for data analysis. Main outcome measure Patient use of medicine information. Visual Analogue Scale scores for patient needs and their expectation of knowledge gains from using patient information leaflets. Results The response rate was 77.0%. Most respondents had received package inserts (91.3%) with 59.4% reporting that they sometimes read them. While most respondents had not previously known about patient information leaflets (75.9%), 97.3% reported that patient information leaflets would be useful. Respondents scored their needs and expected knowledge gains after reading patient information leaflets as 9.68 ± 0.97 and 9.64 ± 0.99, respectively. Previous experience with package inserts was associated with increased patient need scores (p = 0.002) and higher expected knowledge gains from use of patient information leaflets (p = 0.037). In addition, patients who had not previously known about patient information leaflets had higher expectations of knowledge gains (p = 0.016). Conclusion Overall, patients showed good behavior on reading package inserts. Although many patients were not previously aware of patient information leaflets, they realized the importance. Hence, patient information leaflets should be developed and provided to Thai patients.
KeywordsExpectations Expected knowledge Medicine information Patient needs Package inserts Patient information leaflets Thailand
We would like to express our thanks to all participants in this study and the staff at Srinagarind hospital and Queen Sirikit Heart Center who assisted in data collection.
This study received financial support from Graduate School, Khon Kaen University (Grant Number 59121110). The funding organization had no role in the design or conduct of the study.
Conflicts of interest
The authors declare no conflicts of interest.
- 2.Burgener AM. Enhancing communication to improve patient safety and to increase patient satisfaction. Health Care Manag. 2017;36:238–43.Google Scholar
- 8.European Medicines Agency. Information on benefit-risk of medicines: patients’, consumers’ and healthcare professionals’ expectations. London; 2009. http://www.emea.europa.eu.
- 11.Kessels RP. Patients’ memory for medical information. J R Soc Med. 2003;96:219–22.Google Scholar
- 22.Medicine Act B.E. 2510. 1967. http://web.krisdika.go.th/data/law/law2/%C204/%C204-20-9999-update.pdf.
- 24.Sweileh WM, Zeid AN, Jaradat NA. Drug informational value of patient package insert (PPI): a sample study in Palestine. IUG J Nat Stud. 2004;12:59–68.Google Scholar
- 28.Raynor DKT, Blenkinsopp A, Knapp P, Grime J, Nicolson DJ, Pollock K, et al. A systematic review of quantitative and qualitative research on the role and effectiveness of written information available to patients about individual medicines. Health Technol Assess (Rockv). 2007;11:1–160.Google Scholar
- 29.Fuchs J, Hippius M, Schaefer M. A survey of package inserts use by patients. Hosp Pharm Eur. 2005;21:29–31.Google Scholar
- 30.Raynor DK, Knapp P. Do patients see, read and retain the new mandatory medicines information leaflets? Pharm J. 2000;264:268–70.Google Scholar
- 31.Aslani P, Hamrosi K, Feletto E, Raynor DT, Knapp P, Hughes J, et al. Investigating Consumer Medicine Information (I-CMI) Project. 2012.Google Scholar
- 32.Burapadaja S, Tantipathananandh P, Sirithunyalug B. Consumer’ s opinions on reading a medicine leaflet. Chiang Mai Univ J. 2004;3:155–67.Google Scholar
- 34.Schwappach DLB, Mülders V, Simic D, Wilm S, Thürmann PA. Is less more? Patients’ preferences for drug information leaflets. Pharmacoepidemiol Drug Saf. 2011;20:987–95.Google Scholar
- 37.Fuchs J, Banow S, Görbert N, Hippius M. Europharm pharmind importance of package insert information in the European Union Medicinal and pharmaceutical experts questioning results. 2005.Google Scholar