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Health Promotion International, Vol. 3, No. 3, 241-248, 1988
© Oxford University Press 1988

research-article

Drugs and users—problems and new directions

EBBA HOLME HANSEN and LAILA LAUNSØ

Department of Pharmaceutics, Royal Danish School of Pharmacy Copenhagen, Denmark This article presents the theoretical framework and the results of a pilot project carried out in Denmark in 1985. The project studied the extent and character of the side effects of drug use, including the control of side effects, noncompliance and problems with information on dosage. It deals with the work of pharmacists and various mutual aid groups in promoting health in five localities. Problems related to drug use are only partly solved by contact between the user and the health worker. We assumed that user groups (mutual aid groups and other health groups) could be a setting in which users and health care workers cooperate in exchanging information on and experiences with the use of drugs. Such cooperation should involve communication between users as well as between users and professionals in the primary health care sector. We chose pharmacists for the project because they work in the primary health care sector, and because they, owing to their education and experience, can be considered local experts on drugs. Through meetings and individual case histories we found that: drugs can cause many problems for users in daily life; users experiment with prescribed drugs and alternative treatment; there are many problems with side effects; health personnel do not take users' experience seriously; physicians are reluctant to give information on side effects and uninterested in drug users' experience; continuity of care is lacking for people taking drugs for chronic conditions; and the health care sector can cause serious problems for people who use drugs. Finally, collaboration between user groups and pharmacists on the use of drugs has been found to be very constructive.


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