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社区药剂师与全科医生对合理用药、处方集及其他用药相关问题的意见比较。

A comparison of community pharmacists' and general practitioners' opinions on rational prescribing, formularies and other prescribing related issues.

作者信息

Nathan A, Sutters C A

机构信息

Department of Pharmacy, King's College, London.

出版信息

J R Soc Health. 1993 Dec;113(6):302-7. doi: 10.1177/146642409311300606.

Abstract

A postal survey of Community Pharmacists (CPs) and General Medical Practitioners (GPs) in the Enfield and Haringey (E&H) and North Yorkshire (N Yorks) Family Health Services Authority (FHSA) areas was carried out to investigate: a. their opinions regarding clinically oriented 'extended' roles for CPs, and the possibility of interprofessional collaboration on them, and b. their views on a range of prescribing related issues. The overall response rate was 67% for CPs and 42% for GPs. There were no significant differences in responses to questions between CPs in both FHSAs, but significant differences in answers to some questions between the two groups of GPs, due to a large proportion of dispensing GPs in N Yorks. Results were therefore expressed as comparisons between total numbers of CPs and GPs, and between dispensing and non-dispensing GPs. The results showed an affinity of outlook between CPs and GPs on a range of prescribing related issues, and considerable goodwill between the two groups on which future cooperation could be founded. GPs were, however, significantly less enthusiastic than CPs about collaboration in areas which would concede a role to CPs in making prescribing decisions. GPs were most favorably disposed to collaboration in areas such as the provision of drug information, which could be considered as within GPs' domain of specialist expertise.

摘要

对恩菲尔德和哈林盖(E&H)以及北约克郡(N Yorks)家庭健康服务管理局(FHSA)辖区内的社区药剂师(CPs)和全科医生(GPs)进行了一项邮政调查,以调查:a. 他们对CPs以临床为导向的“扩展”角色的看法,以及在这些角色上进行跨专业合作的可能性;b. 他们对一系列与处方相关问题的看法。CPs的总体回复率为67%,GPs为42%。两个FHSA辖区内的CPs对问题的回答没有显著差异,但两组GPs对一些问题的回答存在显著差异,原因是北约克郡有很大比例从事配药工作的GPs。因此,结果表示为CPs和GPs总数之间以及从事配药和不从事配药的GPs之间的比较。结果显示,CPs和GPs在一系列与处方相关的问题上观点相近,且两组之间有相当的善意,未来合作可基于此。然而,在一些会让CPs在处方决策中发挥作用的领域,GPs对合作的热情明显低于CPs。GPs最倾向于在提供药物信息等领域进行合作,这可被视为在GPs的专业知识范围内。

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