“你的管理不善并非我们的紧急情况”——全科医疗中的重复处方管理
'Your lack of organisation doesn't constitute our emergency' - repeat prescription management in general practice.
作者信息
Garth Belinda, Temple-Smith Meredith, Clark Malcolm, Hutton Cathy, Deveny Elizabeth, Biezen Ruby, Pirotta Marie
机构信息
PhD, BHSc(Hons), is a qualitative researcher, Department of General Practice, University of Melbourne and Honorary Fellow, Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Victoria.
出版信息
Aust Fam Physician. 2014 Jun;43(6):404-8.
BACKGROUND
The importance of quality and safety in repeat prescribing is well documented, but few studies have examined how practices manage urgent requests for repeat prescriptions and why patients require them urgently.
METHODS
Twenty practice staff (receptionists, practice managers, general practitioners, practice nurse) from 10 general practices participated in semi-structured interviews, which were audio-recorded, transcribed and analysed thematically.
RESULTS
Requests for same-day appointments for patients needing repeat prescriptions emerged as problematic for most clinics in our study. Reasons included convenience, lost prescriptions and running out of medication. Clinics gave patients appointments, left prescriptions for collection at reception or ran prescription clinics. A need emerged for GPs to support individual clinic policy on repeat prescriptions.
DISCUSSION
Many urgent requests for repeat prescriptions are avoidable. Improvements are needed in the way repeat prescriptions are managed, pointing to a closer examination of general practice systems, the role of practice staff, pharmacists and patients.
背景
重复开药时质量与安全的重要性已有充分文献记载，但很少有研究探讨医疗机构如何处理重复开药的紧急请求以及患者为何急需这些药物。
方法
来自10家全科诊所的20名诊所工作人员（接待员、诊所经理、全科医生、执业护士）参与了半结构化访谈，访谈进行了录音、转录并进行主题分析。
结果
在我们的研究中，对于大多数诊所而言，需要重复开药的患者要求当天就诊成为了一个问题。原因包括方便、处方丢失和药物用完。诊所为患者安排就诊，在前台留下处方供患者领取或开设处方门诊。出现了全科医生支持个别诊所重复开药政策的需求。
讨论
许多重复开药的紧急请求是可以避免的。在重复开药的管理方式上需要改进，这表明需要更仔细地审视全科医疗系统、诊所工作人员、药剂师和患者的作用。
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