Rapoport J
J R Coll Gen Pract. 1979 Aug;29(205):468-72.
I studied patients' expectations of receiving a prescription after a consultation with their general practitioner and their intention to buy a remedy from the chemist after leaving the surgery.Of a group of 368 patients, 56 per cent expected to receive a prescription and 24 per cent intended to self-medicate. A striking variation was found among patients attending each of the five doctors participating in the study. Patient expectation closely agreed with the prescribing rate per partner. No consistent relationship was found between a low prescribing rate and high self-medication rates. I suggest that by reducing prescribing and encouraging patients to be self-reliant in the management of minor ailments, it might be possible to reduce a general practitioner's workload and the amount of money spent on prescribing in general practice.
我研究了患者在与全科医生会诊后对获得处方的期望，以及他们离开诊所后从药剂师那里购买药物的意愿。在一组368名患者中，56%的患者期望获得处方，24%的患者打算自行用药。在参与该研究的五位医生各自接待的患者中发现了显著差异。患者的期望与每位医生的处方率密切相符。在低处方率和高自行用药率之间未发现一致的关系。我认为，通过减少开处方并鼓励患者在处理小病时自力更生，有可能减轻全科医生的工作量以及全科医疗中用于开处方的费用。
