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通过抽取报销处方估计丹麦人群药物处置情况的方法。

Method of estimating the disposition of drugs in the Danish population by sampling reimbursed prescriptions.

作者信息

Andreasen F, Bech A, Behrendt F, Madsen H, Moustgaard L, Nielsen M

出版信息

Eur J Clin Pharmacol. 1979 Nov;16(5):361-7. doi: 10.1007/BF00605637.

Abstract

A method by which for a small cost it is possible to obtain a quantitative expression for the utilization, disposition and cost of drugs in a Danish county of 500,000 inhabitants. The procedure makes it possible to follow reimbursed preparations, i. e., drugs considered essential for the treatment of diseases. The sale, in D kr., of reimbursed preparations to individuals comprises about 80% of the sale of preparations requiring prescription. And in turn the sale of the latter amounts to 80% of total drug sales to single subjects. The method is based on systematic utilization of all the information available on each prescription; concepts of 'Entry Parameters', 'Calculated Units' and 'Derived Units' was discussed; the 'units' concern frequency of prescription and age- and sex specific dose-frequencies (weight units or defined daily doses -- DDD's). The possibility of creating a base for calculation of the frequency of certain diseases and of side-effects of drugs is mentioned, and examples of the application of the method to certain categories of patients and to certain drugs are given. From limitations of the method it is concluded that it should be considered as a supplement to other complete methods for the study of drug consumption.

摘要

一种成本低廉的方法,通过该方法能够获得丹麦一个拥有50万居民的县内药物的使用、处置及成本的定量表述。该程序使得追踪报销药品成为可能,即被视为治疗疾病必不可少的药物。向个人销售报销药品的丹麦克朗金额约占需要处方的药品销售额的80%。而后者的销售额又占向个体销售的药品总销售额的80%。该方法基于对每张处方上所有可用信息的系统利用;讨论了“输入参数”“计算单位”和“派生单位”的概念;“单位”涉及处方频率以及年龄和性别特定的剂量频率(重量单位或限定日剂量——DDD)。提到了为计算某些疾病的发病率和药物副作用创建基础的可能性,并给出了该方法应用于某些类别患者和某些药物的示例。鉴于该方法的局限性,得出的结论是,应将其视为药物消费研究中其他完整方法的补充。

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