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加拿大全科医生的处方行为:英文文献综述。

Prescribing by canadian general practitioners: review of the english language literature.

出版信息

Can Fam Physician. 1990 Mar;36:465-70.

PMID:21234063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2280664/
Abstract

General practitioners write the vast majority of the 190 million prescriptions issued annually in Canada. The author reviewed the English language literature to determine the general characteristics of that prescribing, the appropriateness of prescribing, and factors that influence prescribing. On average, GPs write one prescription for every two office visits. Each prescription is for 1.2 to 1.4 items. Most of any GP's prescriptions are for a group of fewer than 30 different medications. Factors that influence prescribing include generic prescribing and knowledge of drug contents, provincial drug programs, physician and patient characteristics, type of practice, source of information about drugs, and rapidity of adoption of new drugs. The author offers suggestions for improving prescribing.

摘要

全科医生开具了加拿大每年开出的 1.9 亿张处方中的绝大多数。作者查阅了英文文献,以确定这些处方的一般特征、开具处方的适当性以及影响处方的因素。平均而言,每位全科医生每次就诊开一张处方。每张处方开 1.2 到 1.4 种药物。任何全科医生处方中,大多数药物属于不到 30 种不同药物的一组。影响处方的因素包括通用处方和对药物成分、省级药物计划、医生和患者特征、实践类型、药物信息来源以及新药采用速度的了解。作者提出了改进处方的建议。

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本文引用的文献

1
Benzodiazepines: part of lifestyle in the 1980s.苯二氮䓬类药物:20 世纪 80 年代生活方式的一部分。
Can Fam Physician. 1984 Jan;30:193-8.
2
The use of cimetidine in hospitalized patients.西咪替丁在住院患者中的应用。
Can Fam Physician. 1984 Jan;30:69-72.
3
Antimicrobial use in a small rural hospital.农村小型医院的抗菌药物使用情况。
Can Fam Physician. 1984 Jun;30:1299-301.
4
Benzodiazepines: are we overprescribing?苯二氮䓬类药物:我们是否过度开具处方?
Can Fam Physician. 1987 Apr;33:927-34.
5
Factors influencing antibiotic use in acute respiratory tract infections in family practice.家庭医疗中影响急性呼吸道感染抗生素使用的因素
Can Fam Physician. 1988 Oct;34:2149-52.
6
Is post-marketing drug surveillance possible in the family practice setting? A collaborative study.家庭医疗环境下进行上市后药物监测是否可行?一项合作研究。
Can Fam Physician. 1988 Apr;34:819-22.
7
General practice formularies: the way ahead?全科医学处方集:未来之路?
Can Fam Physician. 1989 Aug;35:1569-75.
8
Doctor/Patient contacts in family practice-an exploratory study.家庭医疗中的医患接触——一项探索性研究。
Can Fam Physician. 1968 Sep;14(9):45-55.
9
THE INFLUENCES OF GROUP AND INDEPENDENT GENERAL PRACTICE ON PATIENT CARE: A COMPARATIVE STUDY IN ONTARIO.团体执业与个体全科医疗对患者护理的影响:安大略省的一项比较研究。
Can Med Assoc J. 1965 Jul 24;93(4):147-57.
10
A study of telephone prescriptions in family practice.一项关于家庭医疗中电话处方的研究。
J Fam Pract. 1980 May;10(5):857-62.