Rucker T D, Schiff G
College of Pharmacy, University of Michigan, Ann Arbor 48109-1065.
Med Care. 1990 Oct;28(10):928-42. doi: 10.1097/00005650-199010000-00007.
Drug formularies are pivotal tools for delineating and directing prescribing to the "drugs of choice." Full realization of their potential has been hampered by insufficient comparative data on drug efficacy/safety and local resources for formulary development. However, misconceptions concerning fundamental formulary concepts pose an even more formidable obstacle. This article identifies statements illustrating formulary misconception a) made by physicians attending Pharmacy and Therapeutics Committee meetings during a three-year period and b) appearing in published sources. The paper highlights basic objectives and operational requirements of an effective formulary, and contrasts this definition with 20 myths and misinformation culled from these two sources. Not only does such misinformation impair formulary development, many critics are so preoccupied with alleged shortcomings that progress in minimizing the real limitations of formularies has been impeded.
药品处方集是划定并指导选用“首选药物”的关键工具。药物疗效/安全性方面比较数据不足以及用于处方集编制的当地资源有限，阻碍了其潜力的充分发挥。然而，有关处方集基本概念的误解构成了更为巨大的障碍。本文识别了一些说明处方集误解的陈述：a) 来自在三年期间参加药学与治疗学委员会会议的医生；b) 出自已发表的资料。本文强调了有效处方集的基本目标和操作要求，并将这一定义与从这两个来源收集的20个误区和错误信息进行了对比。这类错误信息不仅会损害处方集的编制，许多批评者过于关注所谓的缺点，以至于阻碍了在尽量减少处方集实际局限性方面取得进展。
