Jones D A, Sweetnam P M, Elwood P C
J Epidemiol Community Health. 1980 Jun;34(2):119-23. doi: 10.1136/jech.34.2.119.
There is a large excess in prescribing costs by GPs in Wales compared with England. This excess amounts to about 30%, equivalent at present to over pounds 11 m a year. The pattern of drug prescribing by GPs and of patient consultation was studied in random samples of electors in Cardiff and Bristol. Overall, more subjects in Cardiff had received prescriptions, and the average number of scripts for each person was higher than in England in the same period. The pattern for consultations was similar. For both prescriptions and consultations the rates were higher in Wales and the difference from those in England seemed to be greater for women than for men. There was no consistent difference between the two cities in the proportions of those who had consulted who received a script, nor was there any evidence that subjects in Cardiff received more prescriptions without a consultation. In both cities similar proportions of subjects bought drugs from chemists without a prescription.
与英格兰相比，威尔士全科医生的处方费用存在大量超额情况。这种超额约为30%，目前相当于每年超过1100万英镑。在加的夫和布里斯托尔的选民随机样本中，研究了全科医生的药物处方模式和患者咨询情况。总体而言，加的夫有更多受试者接受了处方，而且同期每人的处方平均数量高于英格兰。咨询模式相似。对于处方和咨询，威尔士的比率都更高，而且女性与英格兰的差异似乎比男性更大。在咨询后获得处方的人群比例方面，两个城市之间没有一致的差异，也没有证据表明加的夫的受试者在未咨询的情况下获得了更多处方。在两个城市中，相似比例的受试者从药剂师处购买了非处方药物。
