Nemitz I, van Melle G
Schweiz Med Wochenschr. 1983 Nov 19;113(46):1719-26.
744 prescriptions written by a general practitioner are analyzed. It emerges that out of 1759 drugs prescribed, 13.5% are considered to have been directly demanded by the patient. This demand, which approaches 30% in women over 65, chiefly relates to hypnotics and tranquillizers. It involves a rise of 13% in pharmaceutical costs if the physician yields to the demands. In this study an average of 2.4 drugs were given per prescription and the average prescription cost is 47.65 Swiss francs. The scope of such demand should be taken into consideration more often when studying drug consumption in general and prescribing patterns in particular.
对一名全科医生开出的744份处方进行了分析。结果显示,在开出的1759种药物中,13.5%被认为是患者直接要求使用的。这种需求在65岁以上女性中接近30%,主要涉及催眠药和镇静剂。如果医生屈从于这些需求,药品成本将上涨13%。在这项研究中,每份处方平均开出2.4种药物,平均处方成本为47.65瑞士法郎。在总体研究药物消费尤其是处方模式时,应更频繁地考虑这种需求的范围。