Fiol M, Guillaumet J, Llobera J, López R, Pareja A, Pérez J A, Pou J, Vidal J
Unidad Docente de MF y C de Palma de Mallorca.
Aten Primaria. 1990 Jan;7(1):22-4, 26-8.
The possible influence of the model of primary health care (PHC), the educational background of the physician and the type of contract on pharmaceutical prescription were evaluated. The information was obtained from a sample of 1799 prescriptions, which were representative of the overall prescription of the PHC physicians from the Health Service of Palma de Mallorca. The health center physicians (HC) prescribed less expensive drugs than the classical clinic physicians (CC). The mean prize for HC was 498.98, with SD 418.97, and for CC it was 589.65 with SD 750.25. This difference was significant (p less than 0.0001). There were other significant differences, such as a smaller use of preparations with fixed drug associations (p less than 0.01) and parenteral administration (p less than 0.05) by HC. There were no significant differences in the prescription of cerebral and peripheral vasodilators and drugs for the digestive tract and metabolism considered as doubtful indications.
评估了初级卫生保健（PHC）模式、医生的教育背景以及合同类型对药物处方的可能影响。信息取自1799份处方样本，这些样本代表了帕尔马·德·马略卡卫生服务中心PHC医生的总体处方情况。健康中心医生（HC）开具的药物比传统诊所医生（CC）开具的药物便宜。HC的平均药价为498.98，标准差为418.97，而CC的平均药价为589.65，标准差为750.25。这种差异具有显著性（p小于0.0001）。还存在其他显著差异，例如HC较少使用固定药物组合制剂（p小于0.01）和肠胃外给药（p小于0.05）。在被视为可疑适应症的脑和外周血管扩张剂以及消化道和代谢药物的处方方面，没有显著差异。
