Veje J O, Andersen K, Gjesing S, Kielgast H
Ugeskr Laeger. 1989 Aug 21;151(34):2139-41.
Investigation of the prescriptions for tranquilizers and hypnotics issued in a provincial Danish town with approximately 30,000 inhabitants, revealed that 12% of all users over 40 years had received massive quantities of tranquilizers and hypnotics within one month, viz more than 100 defined daily doses/user. Only four recipients of massive prescriptions were found in the age group 16-39 years. In the group of recipients of massive prescriptions over the age of 60 years, it was found that persons entitled to medicine free-of-charge comprised every third or forth user. Recipients of massive prescriptions over the age of 40 years did not differ as regards age and sex from recipients of ordinary quantities, viz less than or equal to 100 defined daily doses/user/month. Differences in the frequencies of prescription of massive quantities could be demonstrated between the various general practices. These differences could not be correlated with differences in the ages of the general practitioners, types of practice or sizes of practice. A series of prescribing habits on the part of the practitioner appear to be of particular significance for prescription of massive quantities of tranquillizers and hypnotics. These include; the decision to prescribe hypnotics, choice of hypnotic and prescription of several tranquillizers and/or hypnotics simultaneously.
对丹麦一个约有3万居民的省级城镇所开具的镇静剂和安眠药处方进行调查后发现,在所有40岁以上的使用者中,12%的人在一个月内接受了大量的镇静剂和安眠药,即每位使用者超过100个限定日剂量。在16 - 39岁年龄组中,仅发现4名大量处方的接受者。在60岁以上大量处方接受者群体中,发现每三到四名使用者中就有一名有权免费获得药物。40岁以上大量处方接受者在年龄和性别方面与普通剂量(即每位使用者每月小于或等于100个限定日剂量)接受者并无差异。不同全科医疗诊所之间,大量处方的开具频率存在差异。这些差异与全科医生的年龄、执业类型或诊所规模的差异并无关联。从业者的一系列开药习惯似乎对大量开具镇静剂和安眠药处方具有特别重要的意义。这些习惯包括:开具安眠药的决定、安眠药的选择以及同时开具几种镇静剂和/或安眠药。