全科医生开出的不同药物数量差异很大。一项处方数据库研究。
Wide variation in the number of different drugs prescribed by general practitioners. A prescription database study.
作者信息
Bjerrum L, Bergman U
机构信息
Research Unit of General Practice, University of Southern Denmark, Odense.
出版信息
Scand J Prim Health Care. 2000 Jun;18(2):94-8. doi: 10.1080/028134300750018972.
OBJECTIVES
To investigate the number of different drugs prescribed per dispensing unit and to analyse the influence of practice characteristics on this number.
DESIGN
Register analysis based on the Odense Pharmacoepidemiological Database (OPED).
SETTING
General practices in the County of Funen, Demnark.
SUBJECTS
173 general practices (99 single-handed and 74 group practices).
MAIN OUTCOME MEASURES
Number of different drugs prescribed per dispensing unit.
RESULTS
The number of different drugs prescribed per dispensing unit varied nearly fourfold (range 102-381) and four practice characteristics were able to predict 74% of this variation. Practices with several doctors, a high number of patients listed per doctor, a high percentage of elderly individuals, and a heavy workload showed the highest number of different drugs prescribed.
CONCLUSION
As the quality of drug prescribing is associated with the use of a limited number of drugs, it is suggested that GPs should agree on a formulary containing the most essential drugs in primary health care.
目的
调查每个配药单位所开不同药物的数量，并分析执业特征对该数量的影响。
设计
基于欧登塞药物流行病学数据库（OPED）的登记分析。
地点
丹麦菲英岛郡的普通执业诊所。
研究对象
173家普通执业诊所（99家单人执业诊所和74家团体执业诊所）。
主要观察指标
每个配药单位所开不同药物的数量。
结果
每个配药单位所开不同药物的数量相差近四倍（范围为102 - 381），四种执业特征能够预测这种差异的74%。有多名医生、每位医生列出的患者数量多、老年个体比例高以及工作量大的诊所开出的不同药物数量最多。
结论
由于药物处方质量与使用有限数量的药物相关，建议全科医生就包含初级卫生保健中最基本药物的处方集达成一致。
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