Holbrook A M, MacLeod S M, Fisher P, Levine M A
Centre for Evaluation of Medicines, St. Joseph's Hospital, Victoria, BC.
CMAJ. 1996 May 1;154(9):1325-31.
Expenditure on drug therapy in Canada has been growing at a faster rate than spending on any other aspect of health care. Increasing societal pressure to use scarce resources more efficiently, advances in communication technology and data indicating that there is room for improvement in drug prescribing suggest that the time has come for an organized linkage of the available drug-utilization and health-outcomes data-bases across the country. A national prescribing practices network would assist prescribers, researchers and policymakers to optimize prescribing with respect to both cost effectiveness and health outcomes. The authors outline the main concerns addressed in the 1994 report to the National Pharmaceutical Strategy and present the results of discussions by the Canadian Prescribing Practices Network Project with respect to the potential users and data sources of a national network and the communications technology on which it would rely.
加拿大药物治疗方面的支出增长速度比医疗保健其他任何方面的支出都要快。社会要求更高效利用稀缺资源的压力不断增加、通信技术的进步以及表明药物处方存在改进空间的数据都表明，现在是在全国范围内对现有的药物使用和健康结果数据库进行有组织关联的时候了。一个全国性的处方实践网络将帮助开处方者、研究人员和政策制定者在成本效益和健康结果方面优化处方。作者概述了1994年提交给国家药物战略报告中涉及的主要问题，并介绍了加拿大处方实践网络项目就全国性网络的潜在用户和数据来源以及该网络所依赖的通信技术进行讨论的结果。
