Archer M
J R Coll Gen Pract. 1985 Jun;35(275):293-5.
The dispensing of generic preparations at four dispensing chemist shops was investigated by means of a questionnaire. Certain generic prescriptions result in the dispensing of proprietary products despite the existence of generic preparations, and the pharmacist may be reimbursed for the cost of the proprietary drug which has been dispensed. Not all generic prescriptions result in the dispensing of cheaper drugs because of the methods of payment to chemists. If doctors write more generic prescriptions there will ultimately be more dispensing of generic products. Even in the case of drugs still under patent, prescribing by generic name should be encouraged. The savings achieved by generic prescribing are to some extent at the cost of the dispensing chemists. The method and scale of payments for dispensing requires urgent review.
通过问卷调查对四家配药药房的非专利制剂配药情况进行了调查。尽管有非专利制剂存在,但某些非专利处方却导致了专利产品的配药,药剂师可能会因已配药的专利药品成本而获得报销。由于向药剂师支付费用的方式,并非所有非专利处方都会导致配药更便宜的药品。如果医生开出更多非专利处方,最终将会有更多非专利产品被配药。即使在药品仍处于专利期的情况下,也应鼓励使用通用名开处方。非专利处方所实现的节省在一定程度上是以配药药剂师的利益为代价的。配药的支付方法和规模需要紧急审查。