一项针对普通医疗中开具非甾体抗炎药情况的计算机化审计。

A computerized audit of non-steroidal anti-inflammatory drug prescribing in general practice.

作者信息

Mills K A, Steele K, Irwin W G

机构信息

Department of General Practice, Queen's University of Belfast, Dunluce Health Centre, Northern Ireland.

出版信息

Fam Pract. 1988 Mar;5(1):40-5. doi: 10.1093/fampra/5.1.40.

DOI:10.1093/fampra/5.1.40

PMID:3396805

Abstract

The two group practices based in a city health centre decided to prescribe non-steroidal anti-inflammatory drugs in generic form from an agreed date. The practices' computer was used to identify the number of repeat prescriptions being issued for this group of drugs and to monitor the effectiveness of the changeover. Although both practices showed a marked increase in the level of generic prescribing there was considerable interpractice variation. Generic prescribing for one practice increased from 4% to 64% and for the other from 1% to 38% of repeat prescriptions issued for non-steroidal anti-inflammatory drugs over the study period. The reasons for this variation, the advantages of computerized audit and the problems associated with this self-imposed audit are discussed.

摘要

设在城市医疗中心的两家联合诊所决定从商定日期起开始开通用名的非甾体抗炎药。利用诊所的计算机来确定这类药物的重复处方数量，并监测换药的效果。虽然两家诊所的通用名处方水平都有显著提高，但诊所之间存在很大差异。在研究期间，一家诊所的非甾体抗炎药重复处方中通用名处方从4%增加到64%，另一家从1%增加到38%。本文讨论了这种差异的原因、计算机化审计的优点以及这种自行实施的审计所带来的问题。