Melbourne Dental School, The University of Melbourne, Carlton, Victoria, Australia.
UWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.
J Dent. 2023 Oct;137:104654. doi: 10.1016/j.jdent.2023.104654. Epub 2023 Aug 12.
Dentists in Australia are the second largest prescriber group, and are generally not formally taught how to prescribe. The objective of this review is to describe the Prescribing Competencies Framework and its relevance to dentistry.
The four-model stage of prescribing by Coombes and colleagues, and the seven competencies within the Prescribing Competencies Framework devised by the Australian National Prescribing Service MedicineWise, are discussed and applied to dentistry.
Each of the seven competencies are analysed and detailed in the context of clinical dental practice. Competencies 1-5 describe the skillset and tasks required by dentists to safely prescribe, whereas Competencies 6 and 7 describe the clinical environment and recommended resources to support dentists to prescribe safely and effectively.
The Prescribing Competencies Framework provides an overview of safe and effective prescribing. Prescribing is a process, and a separate skillset to clinical dentistry. The process involves information gathering, clinical assessment, effective communication and review of the patient. Access to timely and appropriate resources and relevant electronic sources of health information for clinicians are important to provide the support required for better informed prescribing decisions. The framework describes a patient-centered prescribing process, and ultimately prescribing should be a shared decision between the dentist and the patient.
Safe and effective prescribing is an integral part of dentistry and dentists are the second largest prescriber group. However, dentists display high rates of inappropriate and unnecessary prescribing, and to minimise errors, the Prescribing Competencies Framework has been established. This article details how the Framework applies to clinical practice dentistry.
澳大利亚的牙医是第二大处方开具群体，但他们通常没有接受过如何开具处方的正规培训。本综述的目的是描述处方能力框架及其与牙科的相关性。
库姆斯同事提出的四阶段处方模式，以及澳大利亚国家处方服务机构 MedicineWise 制定的处方能力框架中的七个能力，将对其进行讨论并应用于牙科。
在临床牙科实践的背景下，对七个能力中的每一个进行分析和详细阐述。能力 1-5 描述了牙医安全开具处方所需的技能和任务，而能力 6 和 7 描述了临床环境和推荐资源，以支持牙医安全有效地开具处方。
处方能力框架提供了安全有效的处方概述。处方是一个过程，与临床牙科不同。这个过程包括信息收集、临床评估、有效沟通和患者评估。及时获得合适的资源和相关的电子健康信息对临床医生来说很重要，这为做出更明智的处方决策提供了所需的支持。该框架描述了以患者为中心的处方流程，最终处方应该是牙医和患者之间的共同决策。
安全有效的处方是牙科的一个组成部分，牙医是第二大处方开具群体。然而，牙医存在大量不适当和不必要的处方开具情况，为了尽量减少错误，已经建立了处方能力框架。本文详细介绍了该框架如何应用于临床实践牙科。
