CONTINUED PRESCRIBING OF INAPPROPRIATE DRUGS IN GENERAL-PRACTICE
CONTINUED PRESCRIBING OF INAPPROPRIATE DRUGS IN GENERAL-PRACTICE
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DOI：
10.1111/j.1365-2710.1995.tb00649.x
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发表时间：
1995-08-01
影响因子：
2
通讯作者：
HERXHEIMER, A
中科院分区：
文献类型：
--
作者：
BRITTEN, N;BRANT, S;HERXHEIMER, A
七名全科医生使用各种方法，以确定他们的做法，他们继承了谁的病人，他们认为谁的药物根据目前的知识是不合适的。在每例病例中收集有关药物、患者、原始处方者和继续处方原因的信息。每个病人都接受了采访。总共有25种不同的药物被开给40名患者：16名患者的不适当药物是作用于大脑的药物，13名患者是抗高血压药物，7名患者是心脏病药物，3名患者是哮喘药物。最初开处方者的影响，以及患者对药物的依赖，有助于解释其持续使用。几乎一半的患者表示他们可能会考虑改变药物。该研究强调了审查长期药物治疗的重要性，并提供了一种在全科实践中仔细检查重复处方的方法。社区药剂师可以在这个过程中提供帮助。
Seven general practitioners used various methods to identify patients in their practices whom they had inherited and whose medication they regarded as inappropriate in the light of current knowledge. Information was collected in each case about the drug concerned, the patient, the original prescriber, and the reason for continued prescribing. Each patient was also interviewed. Altogether, 25 different drugs were prescribed for 40 patients: in 16 the inappropriate drug was one acting on the brain, in 13 an antihypertensive, in seven it was given for heart disease and in three, for asthma. The influence of the original prescriber, and the patient's dependence on the drug, helped to explain its continued use. Almost half the patients said that they might consider changing their medication. The study underlines the importance of reviewing long-term medication and offers a method of scrutinizing repeat prescribing in general practice. Community pharmacists could help in this process.