Alonso López F A, Anzola Fernández B, Arratibel Arrondo J, Gancedo González Z
Centro de Salud de Zumaia Guipúzcoa.
Aten Primaria. 1993 Nov 15;12(8):465-8.
To quantify medications not prescribed at the primary level and their suitability for patients included in a programme of compliance and computerised control of long treatments at a Health Centre.
Descriptive study.
Zumaia Health Centre (Guipúzcoa).
The study sampled 75 patients out of a total of 397 in treatment.
The total number of drugs studied was 230, out of which 23% were prescribed by the General Practitioner and 77% referred from other care levels. Of these last, the bibliographical sources consulted advised against their use in chronic treatments in one out of every 5 cases, which depended on the pathology which was the cause of referral.
Much of the medication included in our long-treatment programme was prescribed at other care levels than our Health Centre. The elaboration of a list of medications excluded from long-treatment programmes should bear in mind the prescription's real origin in order to avoid negative consequences both for the user and the system. The computerisation of prescriptions could be extremely valuable both in the control of our programmes and the analysis of their attributable costs. We propose that the validity of the type of referred medications used for long-treatment patients should be studied as an indicator of a Health Centre's proper functioning.
量化在基层未开具的药物及其对纳入健康中心长期治疗依从性和计算机化控制项目患者的适用性。
描述性研究。
苏马亚健康中心（吉普斯夸省）。
该研究从总共397名接受治疗的患者中抽取了75名患者作为样本。
所研究的药物总数为230种，其中23%由全科医生开具，77%来自其他护理级别。在后者中，查阅的文献资料建议，每5例中就有1例不应用于慢性治疗，这取决于转诊原因的病理情况。
我们长期治疗项目中的许多药物是在我们健康中心以外的其他护理级别开具的。制定长期治疗项目中排除的药物清单时，应考虑处方的实际来源，以避免对使用者和系统造成负面影响。处方的计算机化在我们项目的控制及其可归因成本的分析方面可能非常有价值。我们建议研究用于长期治疗患者的转诊药物类型的有效性，作为健康中心正常运作的一个指标。
