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关于新药的信息来源及对药物处方的态度:一项针对基层医疗医生差异的国际研究

Sources of information about new drugs and attitudes towards drug prescribing: an international study of differences between primary care physicians.

作者信息

Hull F M, Marshall T

出版信息

Fam Pract. 1987 Jun;4(2):123-8. doi: 10.1093/fampra/4.2.123.

DOI:10.1093/fampra/4.2.123
PMID:3609550
Abstract

Doctors in different countries completed a questionnaire relating to the importance they attributed to eight possible sources of information about a new drug, their estimation of patients' expectations of the doctor prescribing drugs under specific circumstances and their therapeutic response to common clinical general practice situations. There were major differences between the stated behaviour of doctors in different countries with regard to the importance they attached to the eight sources of information on drugs. While doctors agreed on the importance of books and journals and on the unimportance of patients, nurses and other paramedicals, there was a major disagreement about the importance of drug company representatives: this source of information about new drugs was rated high in Sweden and Yugoslavia and low in Britain and Belgium. Doctors also differed in their estimation of patients' expectations of how they would prescribe and how they responded to the clinical problems. The differences, which might be due to differences in education about therapeutics or to cultural differences between countries, are important because of the high cost of drugs bills in all countries.

摘要

不同国家的医生完成了一份调查问卷,内容涉及他们对新药八种可能信息来源的重视程度、他们对患者在特定情况下对医生开药的期望的估计,以及他们对常见临床一般实践情况的治疗反应。不同国家医生的既定行为在他们对八种药物信息来源的重视程度方面存在重大差异。虽然医生们对书籍和期刊的重要性以及患者、护士和其他医护人员的不重要性达成了共识,但在药品公司代表的重要性方面存在重大分歧:这种新药信息来源在瑞典和南斯拉夫被评为高分,而在英国和比利时则被评为低分。医生们对患者对他们开药方式以及对临床问题反应的期望的估计也存在差异。这些差异可能是由于治疗学教育的差异或国家之间的文化差异造成的,鉴于所有国家药品费用高昂,这些差异很重要。

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Sources of information about new drugs and attitudes towards drug prescribing: an international study of differences between primary care physicians.关于新药的信息来源及对药物处方的态度:一项针对基层医疗医生差异的国际研究
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