Madeley J
J R Coll Gen Pract. 1974 Jun;24(143):425-31.
As concern has been expressed about danger to patients, a survey about repeat prescribing via the receptionist was carried out in a group practice.About one quarter of the prescriptions in the study period were ;receptionist repeats' and these were compared with a group of repeat prescriptions obtained in the course of consultation. The receptionist repeat group contained a higher proportion of the over 65s, and relatively more men than women, though the consultation repeats and the group as a whole, were heavily biased towards women. Hypnotics and drugs to relax bronchial spasm were found more commonly among the ;receptionist repeats.'This group of patients tended to have been taking their medication for a significantly longer period than their consultation fellows, often for more than five years. Although categorised as ;receptionist repeats,' two thirds of these patients were seen by a doctor more often than six monthly. No direct evidence of any serious danger or disadvantage to the patients was found.
由于有人担心这会对患者造成危险，因此在一个联合诊所开展了一项关于通过接待员进行重复开药的调查。在研究期间，约四分之一的处方属于“接待员重复开药”，并将这些处方与在问诊过程中开出的一组重复处方进行了比较。接待员重复开药组中65岁以上人群的比例更高，男性相对多于女性，不过问诊重复开药组以及整个研究群体都严重偏向女性。在“接待员重复开药”中，催眠药和缓解支气管痉挛的药物更为常见。与问诊患者相比，这组患者服药的时间明显更长，通常超过五年。尽管被归类为“接待员重复开药”，但这些患者中有三分之二看医生的频率高于每六个月一次。未发现对患者有任何严重危险或不利影响的直接证据。
