Patients perspectives on drug shortages in six European hospital settings - a cross sectional study / Darija Kuruc Poje, Domagoj Kifer, Isabelle Huys, Joao Miranda, Helena Jenzer, Nenad Miljković, Torsten Hoppe-Tichy, Marcin Bochniarz, Roberto Frontini, David G. Schwartz, Vesna Vujić-Aleksić, Lana Nežić, Eleni Rinaki, Leonidas Tzimis, Kim Green, Jelena Jovanić, Bojana Carić, Danijela Mandić, Katarina Vilić, Tomasz Bochenek, Vesna Bačić Vrca and Srećko Marušić

BACKGROUND: It is known that drug shortages represent a major challenge for all stakeholders involved in the process, but there is little evidence regarding insights into patients' awareness and perspectives. This study aimed to investigate the patients-perceived drug shortages experience and their view on outcomes in different European hospital settings. Furthermore, we wanted to explore information preferences on drug shortages. - METHODS: A retrospective, cross sectional, a mixed method study was conducted in six European hospital settings. One hospital (H) from each of this country agreed to participate: Bosnia and Herzegovina (H-BiH), Croatia (H-CR), Germany (H-GE), Greece (H-GR), Serbia (H-SE) and Poland (H-PO). Recruitment and data collection was conducted over 27 months from November 2017 until January 2020. Overall, we surveyed 607 patients which completed paper-based questionnaire. Questions related to: general information (demographic data), basic knowledge on drug shortages, drug shortages experienced during hospitalization and information preferences on drug shortage. Differences between hospital settings were analyzed using Chi-squared test or Fisher's exact test. For more complex contingency tables, Monte Carlo simulations (N = 2000) were applied for Fisher's test. Post-hoc hospital-wise analyses were performed using Fisher's exact tests. False discovery rate was controlled using the Bonferroni method. Analyses were performed using R: a language and environment for statistical computing (v 3.6.3). - RESULTS: 6 % of patients reported experiences with drug shortages while hospitalized which led to a deterioration of their health. The majority of affected patients were hospitalized at hematology and/or oncology wards in H-BiH, H-PO and H-GE. H-BiH had the highest number of affected patients (18.1 %, N = 19/105, p < 0.001) while the fewest patients were in H-SE (1 %, N = 1/100, p = 0.001). In addition, 82.5 %, (N = 501/607) of respondents wanted to be informed of alternative treatment options if there was a drug shortage without a generic substitute available. Majority of these patients (66.4 %, N = 386/501) prefer to be informed by a healthcare professional. - CONCLUSIONS: Although drug shortages led to serious medical consequences, our findings show that most of the patients did not perceive shortages as a problem. One possible interpretation is that good hospital management practices by healthcare professionals helped to mitigate the perceived impact of shortages. Our study highlights the importance of a good communication especially between patients and healthcare professionals in whom our patients have the greatest trust..

Medienart:

E-Artikel

Erscheinungsjahr:

12 July 2021

2021

Erschienen:

12 July 2021

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

BMC health services research - 21(2021), Artikel-ID 689, Seite 1-10

Sprache:

Englisch

Beteiligte Personen:

Kuruc Poje, Darija [VerfasserIn]
Kifer, Domagoj [VerfasserIn]
Huys, Isabelle [VerfasserIn]
Miranda, Joao [VerfasserIn]
Jenzer, Helena [VerfasserIn]
Miljković, Nenad [VerfasserIn]
Hoppe-Tichy, Torsten [VerfasserIn]
Bochniarz, Marcin [VerfasserIn]
Frontini, Roberto [VerfasserIn]
Schwartz, David G. [VerfasserIn]
Vujić-Aleksić, Vesna [VerfasserIn]
Nežić, Lana [VerfasserIn]
Rinaki, Eleni [VerfasserIn]
Tzimis, Leonidas [VerfasserIn]
Green, Kim [VerfasserIn]
Jovanić, Jelena [VerfasserIn]
Carić, Bojana [VerfasserIn]
Mandić, Danijela [VerfasserIn]
Vilić, Katarina [VerfasserIn]
Bochenek, Tomasz [VerfasserIn]
Bačić Vrca, Vesna [VerfasserIn]
Marušić, Srećko [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Cross-Sectional Studies
Drug shortages
Drugs, Generic
Europe
Germany
Greece
Hospital setting
Hospitals
Humans
Patient safety
Patients’ perspectives
Poland
Retrospective Studies

Anmerkungen:

Gesehen am 16.09.2021

Umfang:

10

doi:

10.1186/s12913-021-06721-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

1770829334

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