Jackson M G, Drechsler-Martell C R, Jackson E A
Drug Intell Clin Pharm. 1985 Mar;19(3):205-9. doi: 10.1177/106002808501900308.
Prescription patterns of physicians in a family practice residency office were analyzed retrospectively from the following perspectives: frequency of prescribing for individual drugs and drug categories; effect of the level of postgraduate training on prescribing patterns; and effect of patient payment systems (Medicare-Medicaid, self-pay, third-party insurance) on the number of prescriptions. Antibiotics, antihistamine-decongestants, and antihypertensive medications were the most commonly prescribed medications. Psychotropic medications were used infrequently. An average of 0.70 prescriptions was issued on each office visit. Per office visit, first-year residents averaged 0.59 prescriptions, second-year residents averaged 0.69 prescriptions, third-year residents averaged 0.72 prescriptions, and the faculty averaged 0.98 prescriptions. Patients on Medicare-Medicaid averaged 0.78 prescriptions per office visit, self-pay patients averaged 0.25 prescriptions per visit, and patients with third-party insurance averaged 1.49 prescriptions per visit. The differences in the prescription rates between each payment group were significant.
各类药物和药品类别的处方频率；研究生培训水平对处方模式的影响；以及患者支付系统（医疗保险 - 医疗补助、自费、第三方保险）对处方数量的影响。抗生素、抗组胺 - 减充血剂和抗高血压药物是最常开具的药物。精神药物使用较少。每次门诊平均开具0.70张处方。每次门诊，一年级住院医师平均开具0.59张处方，二年级住院医师平均开具0.69张处方，三年级住院医师平均开具0.72张处方，教员平均开具0.98张处方。医疗保险 - 医疗补助患者每次门诊平均开具0.78张处方，自费患者每次门诊平均开具0.25张处方，第三方保险患者每次门诊平均开具1.49张处方。各支付组之间的处方率差异显著。
