Tilyard M W, Dovey S M
Department of General Practice, Otago Medical School, Dunedin.
N Z Med J. 1991 May 22;104(912):204-6.
this study aims to assess the effect of the 1989 health benefits package on the prescribing and consultation rates of the contributing general practitioners.
following the introduction of the health benefits package in February 1989 information on the consultation rates and prescribing records of twenty-eight computerised general practitioners was obtained for the two three month periods of February, March and April 1988 and 1989. Analysis was undertaken both on the pooled data and by comparing consultations for adults, beneficiaries aged 60 or older, beneficiaries less than 60 years and children.
the number of consultations increased from 57,209 in 1988 to 63,736 in 1989. The number of items prescribed decreased from 66,984 in 1988 to 62,284 in 1989 indicating a mean decrease in the number of prescription items per consultation from 1.02 in 1988 to 0.83 in 1989. Based on the 1988 figures provided by the study the actual percentage decrease in pharmaceutical use by the contributing doctors during the study time frame was 9.3% whereas the expected increase was 11.4%.
there was an increase in consultation rates and a decrease in prescribing among the contributing general practitioners during the 1989 study period compared with the 1988 study period. These changes may be attributed to the introduction of the 1989 health benefits package.
本研究旨在评估1989年健康福利套餐对参与研究的全科医生开处方率和诊疗率的影响。
在1989年2月推出健康福利套餐之后，获取了28位使用计算机记录的全科医生在1988年和1989年2月、3月、4月这两个三个月时间段内的诊疗率信息和开处方记录。对汇总数据进行了分析，并比较了成人、60岁及以上受益患者、60岁以下受益患者和儿童的诊疗情况。
诊疗次数从1988年的57,209次增加到1989年的63,736次。所开处方项目数量从1988年的66,984项减少到1989年的62,284项，这表明每次诊疗的处方项目平均数从1988年的1.02项降至1989年的0.83项。根据该研究提供的1988年数据，在研究时间段内参与研究的医生实际用药减少百分比为9.3%，而预期增加幅度为11.4%。
与1988年研究期间相比，1989年研究期间参与研究的全科医生诊疗率上升，开处方率下降。这些变化可能归因于1989年健康福利套餐的推出。
