Arroyo M P, Cano E, Ansorena R, Celay J, Cortés F, Estremera V
Centro de Salud de Txantrea, Pamplona.
Aten Primaria. 1995 Nov 30;16(9):538-44.
To describe the qualitative-quantitative features of Primary Care prescriptions originated by specialists.
A crossover descriptive study.
Txantrea Health Centre (Pamplona).
All the prescriptions originated by out-clinic or hospital specialists over a two-month period, in three Health Centre clinics.
The number of prescriptions passed on to Primary Care was 3,009, costing 5,303,071 pesetas, which was 31.61% of the drugs prescribed and 38.08% of the pharmaceutical expenditure of the three clinics during the period under study. 65.88% of the prescriptions corresponded to out-clinic specialists and 34.11% to hospital specialists. They were not accompanied by a clinical note, the treatment and the length of treatment in 33.46%, 36.55% and 45.39% of cases, respectively. The group and sub-group with most prescriptions passed on were Cardiovascular Apparatus and Calcium antagonists. The commonest active principal was acetylsalicylic acid. 79.89% were taken orally, 88.20% were single drugs and 73.28% of the medicines had high intrinsic value.
An important proportion of Primary Care's pharmaceutical expenditure was identified as originating with specialists. There was scant information given for following up the patients. Improvement of communication between different care levels on the basis of common procedures and objectives would be a useful step towards better quality of care.
描述由专科医生开具的初级保健处方的定性 - 定量特征。
交叉描述性研究。
Txantrea健康中心（潘普洛纳）。
在三个月内，三个健康中心诊所中由门诊或医院专科医生开具的所有处方。
转交给初级保健的处方数量为3009张，费用为5303071比塞塔，占研究期间三个诊所所开药物的31.61%以及药品支出的38.08%。65.88%的处方来自门诊专科医生，34.11%来自医院专科医生。分别有33.46%、36.55%和45.39%的病例，这些处方未附带临床记录、治疗方案及治疗时长。转交处方最多的组和亚组是心血管器械类和钙拮抗剂。最常见的活性成分是乙酰水杨酸。79.89%的药物为口服给药，88.20%为单一药物，73.28%的药物具有高内在价值。
确定初级保健药品支出的很大一部分源自专科医生。用于患者随访的信息匮乏。基于共同程序和目标改善不同护理级别之间的沟通，将是朝着提高护理质量迈出的有益一步。
