Kochen M M, Sandholzer H, Himmel W
Department of General Practice, University of Göttingen, Germany.
Int J Clin Pharmacol Ther. 1994 Aug;32(8):400-2.
Although the concept of a drug formulary in primary health care is known for more than 10 years it was only recently that the drug budget of the new German Health Legislation has drawn doctors' attention to the use of such formularies. The loose-leaf form "Göttingen formulary" has been specifically compiled for the need of primary care doctors. It contains less than 300 drugs and drug combinations (including pseudo-placebos). This formulary was ordered by 830 colleagues from November 1992 until the end of May. In June 1993 we sent a semi-structured questionnaire to the users to learn about their experience with and attitude towards the formulary and about changes in their prescribing habits. Until the end of August 223 questionnaires have been returned. Seventy-four % of the respondents were general practitioners with considerable experience (more than 10 years in practice: 77%). The majority were satisfied or very satisfied with the drugs selected for the formulary and found the list helpful or very helpful (68%). Sixty-seven % indicated that the use of the formulary changed their prescribing habits; 70% appreciated an official (governmental) positive list. Although this study did not use a representative sample and the response rate was rather low until the cut-off point, it is noteworthy that the overall appreciation of a drug formulary for primary health care was very positive. The great majority of the respondents were convinced that an individual drug formulary does not render an official positive list superfluous.
虽然初级卫生保健中药物处方集的概念已为人所知超过10年，但直到最近，新的德国卫生立法中的药物预算才引起医生对使用此类处方集的关注。活页形式的“哥廷根处方集”是专门为初级保健医生的需求而编制的。它包含不到300种药物和药物组合（包括伪安慰剂）。从1992年11月到5月底，830位同事订购了这本处方集。1993年6月，我们向用户发送了一份半结构化问卷，以了解他们对处方集的使用经验和态度，以及他们开药习惯的变化。到8月底，共收回223份问卷。74%的受访者是经验丰富的全科医生（从业超过10年：77%）。大多数人对处方集中所选的药物感到满意或非常满意，并认为该列表有帮助或非常有帮助（68%）。67%的人表示使用处方集改变了他们的开药习惯；70%的人赞赏官方（政府）的正面清单。尽管这项研究没有使用代表性样本，且截止时的回复率相当低，但值得注意的是，对初级卫生保健药物处方集的总体评价非常积极。绝大多数受访者坚信，个人药物处方集并不会使官方正面清单变得多余。
