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处方数据作为药物治疗审核工具(二)。一种工具的开发。

Prescription data as a tool in pharmacotherapy audit (II). The development of an instrument.

作者信息

de Vries C S, van den Berg P B, Timmer J W, Reicher A, Blijleven W, Tromp T F, de Jong-van den Berg L T

机构信息

Department of Social Pharmacy & Pharmacoepidemiology, University Centre for Pharmacy, Groningen Institute for Drug Studies, State University Groningen, The Netherlands.

出版信息

Pharm World Sci. 1999 Apr;21(2):85-90. doi: 10.1023/a:1008665731627.

DOI:10.1023/a:1008665731627
PMID:10380236
Abstract

In many countries, prescription data are used as an instrument to provide feedback on prescribing. This article describes the development and implementation of a computer program as a tool for pharmacotherapy audit meetings and it illustrates the possibilities of such a program. The program was developed to support the optimisation of prescribing in the various stages of behavioural change. It enables pharmacists to make sophisticated overviews of prescribing by physicians in their audit group and furthermore, pharmacists can conduct drug utilisation studies or pharmaco-epidemiological studies in their own patient population. Forty percent of Dutch pharmacies have purchased the computer program since its introduction; it was distributed together with a technical handbook and a course book, which elaborated on the types of graphs available and their interpretation. An educational course was developed regarding the optimal selection and interpretation of graphs. Examples of prescription data as a tool to support various aims of audit meetings are given. The program is acknowledged as a welcome contribution to pharmacotherapy audit and to the pharmacists' advisory role in pharmacotherapy.

摘要

在许多国家,处方数据被用作提供处方反馈的一种手段。本文描述了一个作为药物治疗审核会议工具的计算机程序的开发与实施,并说明了该程序的可能性。该程序的开发旨在支持在行为改变的各个阶段优化处方。它使药剂师能够对其审核小组中医生的处方进行精细概述,此外,药剂师还可以在自己的患者群体中开展药物利用研究或药物流行病学研究。自推出以来,40%的荷兰药店购买了该计算机程序;它与一本技术手册和一本课程手册一起发行,手册详细介绍了可用图表的类型及其解读方法。还开发了一门关于图表最佳选择和解读的教育课程。给出了作为支持审核会议各种目标工具的处方数据示例。该程序被认为是对药物治疗审核以及药剂师在药物治疗中的咨询作用的一项受欢迎的贡献。

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本文引用的文献

1
Prescription data as a tool in pharmacotherapy audit (I). General considerations.处方数据作为药物治疗审核工具(一)。一般考虑因素。
Pharm World Sci. 1999 Apr;21(2):80-4. doi: 10.1023/a:1008617832536.
2
Primary care--opportunities and threats. Developing prescribing in primary care.初级保健——机遇与挑战。发展初级保健中的处方开具。
BMJ. 1997 Mar 8;314(7082):744-7. doi: 10.1136/bmj.314.7082.744.
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Pharmaceutical care in The Netherlands. History, definition and projects.荷兰的药学服务。历史、定义与项目。
Pharm World Sci. 1996 Dec;18(6):237-40. doi: 10.1007/BF00735966.
4
Pharmacy without walls.虚拟药房。
Am J Health Syst Pharm. 1996 Feb 15;53(4):418-25. doi: 10.1093/ajhp/53.4.418.
5
Improving drug-therapy decisions through educational outreach. A randomized controlled trial of academically based "detailing".通过教育推广改善药物治疗决策。一项基于学术的“详细介绍”随机对照试验。
N Engl J Med. 1983 Jun 16;308(24):1457-63. doi: 10.1056/NEJM198306163082406.
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Prescription sequence analysis: a new and fast method for assessing certain adverse reactions of prescription drugs in large populations.处方序列分析:一种评估大量人群中处方药某些不良反应的快速新方法。
Stat Med. 1988 Nov;7(11):1171-5. doi: 10.1002/sim.4780071110.
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Opportunities and responsibilities in pharmaceutical care.药学服务中的机遇与责任。
Am J Hosp Pharm. 1990 Mar;47(3):533-43.