抗抑郁药处方：全科医生与精神科医生的比较。
Antidepressant prescribing: a comparison between general practitioners and psychiatrists.
作者信息
Kerr M P
机构信息
Department of Psychological Medicihe, Ely Hospital, Cardiff.
出版信息
Br J Gen Pract. 1994 Jun;44(383):275-6.
BACKGROUND
The 'defeat depression' campaign emphasizes the importance of adequate prescribing of antidepressants in general practice.
AIM
A study was undertaken to investigate the prescribing habits of a group of general practitioners and psychiatrists.
METHOD
A postal questionnaire was sent to 123 general practitioners and 97 psychiatrists in south Wales.
RESULTS
The response rate among general practitioners was 60% and among psychiatrists it was 67%. As a group, the psychiatrists reported using significantly higher daily dosages of antidepressant medication for adult and for elderly patients over a longer period compared with general practitioners. Fifty two per cent of 68 general practitioners and 17% of 60 psychiatrists reported using lower than recommended daily treatment dosages for adult patients and 40% of 68 general practitioners and 7% of 62 psychiatrists used a shorter than recommended period of continuation therapy (less than four months). Both groups showed a wide variation in the use of maintenance therapy.
CONCLUSION
Educational efforts should be made to improve the prescribing habits of general practitioners and psychiatrists.
背景
“战胜抑郁症”运动强调在全科医疗中合理开具抗抑郁药的重要性。
目的
开展一项研究以调查一组全科医生和精神科医生的处方习惯。
方法
向南威尔士的123名全科医生和97名精神科医生发送了邮寄问卷。
结果
全科医生的回复率为60%，精神科医生的回复率为67%。总体而言，与全科医生相比，精神科医生报告在更长时间内为成年患者和老年患者使用的抗抑郁药每日剂量显著更高。68名全科医生中有52%以及60名精神科医生中有17%报告为成年患者使用低于推荐的每日治疗剂量，68名全科医生中有40%以及62名精神科医生中有7%使用的持续治疗时间短于推荐时间（少于四个月）。两组在维持治疗的使用上均存在很大差异。
结论
应努力开展教育以改善全科医生和精神科医生的处方习惯。
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