Public awareness of evidence-based medicine, the Cochrane collaboration and drug selection ­approaches in pharmacies

Abstract

Background. The importance of the appropriate use of medicines by the population (consumers of health services) based on the principles and achievements of evidence-based medicine is widely recognized. However, little attention is paid to this issue all over the world, and the knowledge of the population about evidence-based medicine and sources of reliable information in Russia is practically not studied.

Aim. To study public awareness of evidence-based medicine and the practice of choosing medicines.

Material and methods. A descriptive study among the inhabitants of Russia was carried out. Information was collected using a questionnaire that respondents filled out on their own. A total of 238 people (representing the general population) participated in the study, and the responses of 134 people (individuals working in health care, patients and caregivers) to questions about information were additionally used.

Results. The study showed that the majority of the population has no knowledge about evidence-based medicine (58%) and the Cochrane Collaboration (84%). Compared with the general population, a higher proportion of people working in health care were aware of both evidence-based medicine in general (41% vs. 26%; p=0.04) and the Cochrane Collaboration (37% vs. 5%; p=0.000002). 137/372 (37%) respondents experienced difficulties in choosing drugs in pharmacies, without significant differences between men and women. The most frequent difficulties in choosing medicines were ignorance of the comparative efficacy and safety of medicines, lack of understanding of the reasons for the variation in prices for the same medicine, the offer of predominantly expensive medicines by pharmacy workers, and the choice of the right medicine in a particular situation. When choosing medicines, the respondents most often relied on the recommendations of a doctor and a pharmacy worker. At the same time, half of the respondents also used other sources of information, the most popular of which was the Internet. The vast majority of respondents are interested in obtaining independent, evidence-based information about medicines.

Conclusion. A low level of public awareness of evidence-based medicine and difficulties in choosing medicines in a pharmacy were revealed.

Keywords

adults / cross-sectional descriptive study / questionnaire / evidence-based medicine awareness / Cochrane / Cochrane Collaboration / drug choice in pharmacies / population

References

[1] Greenhalgh T, Howick J, Maskrey N, Evidence Based Medicine Renaissance Group. Evidence based medicine: a movement in crisis? BMJ. 2014;348:g3725. DOI: 10.1136/bmj.g3725.

[2] Carter E, Ryan-Vig S, Eisinga A. Cochrane at the WHO: Identifying and charting the impact of Cochrane evidence. Cochrane Community. https://community.cochrane.org/news/cochrane-who-identifying-and-charting-impact-cochrane-evidence (access date: 25.02.2022).

[3] World Health Organization. The world medicines situation 2011 — Rational use of medicines (report No.: WHO/EMP/MIE/2011.2.2). 3rd Edition. Geneva: WHO; 2011. https://www.who.int/publications/i/item/WHO-EMP-MIE-2011-2.4 (access date: 25.02.2022).

[4] World Health Organization. The pursuit of responsible use of medicines: Sharing and learning from country experiences (report No.: WHO/EMP/MAR/2012.3). Geneva: WHO; 2012. https://www.who.int/publications/i/item/WHO-EMP-MAR-2012.3 (access date: 25.02.2022).

[5] World Health Organization. WHO medicines strategy: Framework for action in essential drugs and medicines policy — 2000–2003 (report No.: WHO/EDM/2000.1). Geneva: WHO, 2000. http://apps.who.int/medicinedocs/en/d/Jwhozip16e (access date: 25.02.2022).

[6] Cochrane consumers Network. About Cochrane and its consumers. https://consumers.cochrane.org/healthcare-users-cochrane (access date: 25.02.2022).

[7] Kokreyn Rossiya. Nashe videnie, missiya, printsipy. (Cochrane Russia. Our vision, mission, principles.) https://russia.cochrane.org/ru (access date: 25.02.2022). (In Russ.)

[8] Кокрейн Россия. Наше видение, миссия, принципы. https://russia.cochrane.org/ru (дата обращения: 25.02.2022).

[9] Abdo-Rabbo A, Al-Ansari M, Gunn BC, Suleiman BJ. The use of medicines in oman: Public knowledge, attitudes and practices. Sultan Qaboos Univ Med J. 2009;9(2):124–131. PMID: 21509288.

[10] Ziganshina LE, Yudina EV, Talipova LI, Sharafutdinova GN, Khairullin RN. Smart and age-friendly cities in Russia: An exploratory study of attitudes, perceptions, quality of life and health information needs. Int J Environ Res Public Health. 2020;17(24):9212. DOI: 10.3390/ijerph17249212.

[11] Sackett D, Rosenberg W, Gray M, Haynes B, Richardson S. Evidence based medicine: What it is and what it isn’t. BMJ. 1996;312:71–72. DOI: 10.1136/bmj.312.7023.71.

[12] Fisher R. On the interpretation of χ2 from contingency tables, and the calculation of P. J R Stat Soc. 1922;85:87. DOI: 10.2307/2340521.

[13] Cochrane. About us. https://www.cochrane.org/about-us (access date: 25.02.2022).

[14] Synonym dictionary. https://synonymonline.ru (access date: 25.02.2022). (In Russ.)

[15] Словарь синонимов. synonymonline.ru (дата обращения: 25.02.2022).

[16] Gellad ZF, Lyles KW. Direct-to-consumer advertising of pharmaceuticals. Am J Med. 2007;120(6):475–480. DOI: 10.1016/j.amjmed.2006.09.030.

[17] Vasilenko OV. Hazardous consumer behavior on buying medicinal products (as exemplified by Volgograd). The review of economy, the law and sociology. 2011;(2):185–187. (In Russ.)

[18] Василенко О.В. Рисковое потребительское отношение при покупке лекарственных средств (на примере Волгограда). Вестник экономики, права и социологии. 2011;(2):185–187.

[19] Andreassen HK, Bujnowska-Fedak MM, Chronaki CE, Dumitru RC, Pudule I, Santana S, Voss H, Wynn R. European citizens' use of E-health services: a study of seven countries. BMC Public Health. 2007;7:53. DOI: 10.1186/1471-2458-7-53.

[20] Hesse BW, Nelson DE, Kreps GL, Robert TС, Neeraj KA, Barbara KR, Kasisomayajula V. Trust and sources of health information: The impact of the Internet and its implications for health care providers. Findings from the First Health Information National Trends Survey. Arch Intern Med. 2005;165(22):2618–2624. DOI: 10.1001/archinte.165.22.2618.

[21] Fox S, Duggan M. Part two: Sources of health information. Pew Research Center (Washington). http://www.pewinternet.org/2013/11/26/part-two-sources-of-health-information (access date: 25.02.2022).

[22] Nejašmić D, Miošić I, Vrdoljak D, Permozer HS, Tomičić M, Gmajnić R, Diminić LI, Sironić Hreljanović J, Pleh V, Cerovečki V, Tomljenović A, Bekić S, Jerčić M, Tuđa K, Puljak L. Awareness and use of evidence-based medicine information among patients in Croatia: A nation-wide cross-sectional study. Croat Med J. 2017;58(4):300–309. DOI: 10.3325/cmj.2017.58.300.

[23] Dawood OT, Hassali MA, Saleem F. Factors affecting knowledge and practice of medicine use among the general public in the State of Penang, Malaysia. J Pharm Health Serv Res. 2017;8:51–57. DOI: 10.1111/jphs.12167.

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