Avorn J
Harvard Medical School, USA.
Int J Technol Assess Health Care. 1995 Summer;11(3):384-90. doi: 10.1017/s0266462300008606.
There is an informational void about pharmaceuticals in the training of most doctors, despite the importance of the prescription in medical care. The writing of the prescription is the final common pathway in therapeutic decision making, which involves such diverse forces and disciplines as anthropology, decision science, health economics, ethics, and politics, as well as pharmacology and clinical medicine. Programs to improve the precision and cost-effectiveness of doctors' prescribing must consider all of these factors if pharmacotherapeutics are to be used optimally.
尽管处方在医疗保健中至关重要,但在大多数医生的培训中,关于药物的信息却存在空白。处方的开具是治疗决策的最终共同途径,这涉及到诸如人类学、决策科学、卫生经济学、伦理学和政治学等多种力量和学科,以及药理学和临床医学。如果要最佳地使用药物治疗,提高医生处方准确性和成本效益的项目必须考虑所有这些因素。