Initial prescription of antipsychotics and antidepressants in general practice and specialist care in Norway
Initial prescription of antipsychotics and antidepressants in general practice and specialist care in Norway
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DOI：
10.1111/j.1600-0447.2011.01697.x
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发表时间：
2011-06-01
影响因子：
6.7
通讯作者：
Ruths, S.
中科院分区：
文献类型：
--
作者：
Kjosavik, S. R.;Hunskaar, S.;Ruths, S.
目的：研究发病率的抗精神病药（AP）和抗抑郁药（AD）的药物治疗在挪威和比例开始在一般的做法和专科careers.Method：从2004年1月1日至2009年8月31日在挪威的一般人群分发的所有处方的AP和AD的数据提取挪威处方数据库。这一信息与全科医生（GP）从挪威常规全科医生Scheme.Results的数据合并：每1000名居民的一年发病率为3.4 AP和AD的8.6。全科医生启动了58%的AP和73%的AD，而精神科医生分别启动了15%和6%。精神科医生更经常在年轻患者中开始治疗，并且他们比全科医生更常开出相对较新的药物。一个很大的份额的事件用户没有重新填写他们的处方AP（57%）或AD（33%）。结论：全科医生有一个关键的作用，就启动治疗与AP和AD在挪威，而精神科医生的影响力似乎有限，特别是在老年患者。提高精神卫生保健质量的努力需要包括初级卫生保健。此外，精神科医生越来越关注人口中日益老龄化的部分似乎是必要的。
Objective: To examine the incidence rates of antipsychotic (AP) and antidepressant (AD) drug treatment in Norway and the proportions initiated in general practice and specialist care respectively.Method: Data on all prescriptions of APs and ADs dispensed to the general population in Norway from 1 January 2004 until 31 August 2009 were extracted from the Norwegian Prescription Database. This information was merged with data about general practitioners (GPs) from the Norwegian Regular General Practitioner Scheme.Results: One-year incidence rates per 1000 inhabitants were 3.4 for APs and 8.6 for ADs. GPs initiated 58% of APs and 73% of ADs, while psychiatrists initiated 15% and 6% respectively. Psychiatrists initiated treatment more often among younger patients, and they prescribed relatively newer drugs more commonly than GPs. A large share of incident users did not refill their prescriptions for APs (57%) or ADs (33%).Conclusion: GPs have a key role as regards initiating treatment with APs and ADs in Norway, while psychiatrists' influence seems limited, particularly among older patients. Efforts for quality improvement of mental health care need to involve primary health care. In addition, an increased focus from psychiatrists towards the increasingly ageing part of the population seems requisite.