对右丙氧芬处方模式限制的影响。
Effect of restrictions on prescribing patterns for dextropropoxyphene.
作者信息
Shenfield G M, Jones A N, Paterson J W
出版信息
Br Med J. 1980 Sep 6;281(6241):651-3. doi: 10.1136/bmj.281.6241.651.
Prescribing of compound analgesics containing dextropropoxyphene was limited to consultants only in a teaching hospital. Inpatient prescribing (mainly by junior staff) fell immediately to very low levels but outpatient prescribing (by consultants) fell more slowly to about one-third of the original level, suggesting that patients and doctors find dextropropoxyphene compounds useful. Prescriptions for paracetamol increased but so did those for other compound analgesics, particularly those containing high doses of codeine, indicating a belief that compound analgesics have a role in treatment. Restrictions may produce unexpected results and monitoring is essential, but the method of audit used by pharmacies is not suitable for detailed analysis.
在一家教学医院，含有右丙氧芬的复方镇痛药的处方权仅限于会诊医生。住院患者的处方（主要由初级医务人员开具）立即降至非常低的水平，但门诊患者的处方（由会诊医生开具）下降得较慢，降至原来水平的约三分之一，这表明患者和医生认为右丙氧芬复方制剂有用。对乙酰氨基酚的处方增加了，但其他复方镇痛药的处方也增加了，尤其是那些含有高剂量可待因的复方镇痛药，这表明人们认为复方镇痛药在治疗中具有一定作用。限制措施可能会产生意想不到的结果，监测至关重要，但药房所采用的审计方法不适用于详细分析。
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