Carvajal García-Pando A, Sánchez Sánchez A, Garrido Colomo R
Aten Primaria. 1989 Apr;6(4):234-7.
The requests for drugs by the patients in an outpatient Social Security clinic was evaluated. It was found that these requests are the motive for 54.4% of consultations. About one half of these drugs (43%) was destined to elderly individuals, and in a great proportion of instances they were prescribed for persons who did not attend the clinic and whom the physician cannot examine. The most commonly requested and prescribed subgroup during the study period was "peripheral and cerebral vascular medications" (7.7% of the overall group). However, when the different pharmaceutic preparations were evaluated on the basis of their components, the most commonly prescribed on request were "vitamins". This reflects the high number of drug associations of these drugs that were prescribed. The types of drugs and their form of prescription cast doubts on the quality of this type of practice.
对一家门诊社保诊所患者的药物需求进行了评估。结果发现,这些需求是54.4%的会诊的动机。这些药物中约有一半(43%)是开给老年人的,而且在很大一部分情况下,是给那些未到诊所就诊且医生无法检查的人开的药。在研究期间,最常被要求和开处方的亚组是“外周和脑血管药物”(占总组的7.7%)。然而,当根据药物成分对不同的药物制剂进行评估时,最常按需求开处方的是“维生素”。这反映了这些药物被开处方的药物联合使用数量众多。药物类型及其处方形式让人对这种医疗行为的质量产生怀疑。