PRESCRIPTION DRUG DIVERSION CONTROL AND MEDICAL-PRACTICE
PRESCRIPTION DRUG DIVERSION CONTROL AND MEDICAL-PRACTICE
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DOI：
10.1001/jama.268.10.1306
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发表时间：
1992-09-09
影响因子：
120.7
通讯作者：
MOLINARI, SP
中科院分区：
文献类型：
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作者：
COOPER, JR;CZECHOWICZ, DJ;MOLINARI, SP
对处方药转移在药物滥用中的作用的关注已导致要求更严格的管制和更好的方法来发现处方药转移。随着技术的进步，销售点的计算机系统可以迅速地将药店开出的处方报告给州政府机构，而且可能更经济。然而，更全面的控制系统的优势必须与其对医疗实践和病人护理可能产生的影响相平衡。总结了我们对处方药转移和转移控制系统对医疗实践的影响的有限知识。本文概述了所需的研究以及转移控制计划的组成部分，以平衡减少药物转移与最大限度地减少对医疗实践和患者护理的不利影响。我们强调需要广泛定义的实践参数和同行评审的医学专家完全熟悉医疗实践的复杂性。
Concern about the role of prescription drug diversion in drug abuse has led to demands for more stringent regulation and for better ways to detect prescription drug diversion. Advances in technology now allow point-of-sale computer systems to report prescriptions filled by pharmacies to state agencies rapidly and possibly more economically. However, the advantages of more comprehensive control systems must be balanced against their possible effects on medical practice and patient care. Our limited knowledge about prescription drug diversion and the impact of diversion control systems on medical practice is summarized. Needed research is outlined together with the components of a diversion control program that balances reducing drug diversion with minimizing adverse effects on medical practice and patient care. We stress the need for broadly defined practice parameters and peer review by medical experts thoroughly familiar with the complexities of medical practice.