de Vries C S, van Diepen N M, Tromp T F, de Jong-van den Berg L T
Department of Pharmaceutical Pharmacology and Clinical Pharmacy, Groningen Utrecht Institute for Drug Exploration, State University Groningen, The Netherlands.
Eur J Clin Pharmacol. 1996;50(5):349-52. doi: 10.1007/s002280050121.
To determine to what extent general practitioners' (GPs) prescribing behaviour is a result of repeat prescribing of medication which has been initiated by specialists.
During a 4-week period, pharmacists identified GPs' prescriptions for a large group of cardiovascular drugs. Next, questionnaires were sent to the prescribing GPs to find out whether the prescriptions were in fact repeat prescriptions. If they were, the GPs were asked whether or not they had originally been prescribed by a specialist.
Six pharmacies in the northeastern part of the Netherlands.
Fourty-four GPs, 39 of whom responded.
Of 1648 questionnaires, 1342 (81%) were returned. Of drugs for cardiovascular therapy that the GPs prescribed, 66% had originally been prescribed by specialists.
For many cardiovascular drugs, GPs' prescriptions predominantly originated from specialists' prescribing. For more reliable attribution of prescription data or prescribing behaviour to either specialists or to GPs, similar studies should be made for other drug groups. Since the extent of repeat prescribing is high, qualitative studies should be made of the appropriateness of chronic medication, initiated by specialists and continued in repeat prescribing by GPs.
确定全科医生（GPs）的处方行为在多大程度上是由专科医生最初开具的药物重复处方所致。
在为期4周的时间里，药剂师识别出全科医生针对一大类心血管药物开出的处方。接下来，向开处方的全科医生发送问卷，以查明这些处方是否实际上是重复处方。如果是，会询问全科医生这些处方最初是否由专科医生开具。
荷兰东北部的六家药店。
44名全科医生，其中39人做出了回应。
在1648份问卷中，1342份（81%）被收回。全科医生开出的心血管治疗药物中，66%最初是由专科医生开具的。
对于许多心血管药物，全科医生的处方主要源自专科医生的处方。为了更可靠地将处方数据或处方行为归因于专科医生或全科医生，应对其他药物类别进行类似研究。由于重复处方的比例很高，应该对由专科医生最初开具并由全科医生在重复处方中继续使用的慢性药物的适当性进行定性研究。
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