Medical speciality and pattern of medicines prescription
Medical speciality and pattern of medicines prescription
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DOI：
10.1007/s00228-004-0802-8
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发表时间：
2004-12-01
影响因子：
2.9
通讯作者：
Laporte, J
中科院分区：
文献类型：
--
作者：
Vallano, A;Montané, E;Laporte, J
目的：描述的处方模式和他们的质量在一个定义population.Methods的处方者的医疗专业：这项研究是通过社会保障系统在1年内在安道尔，一个小的欧洲国家的所有初级保健医疗处方的随机样本。记录处方药物的数量和类型、处方者的医学专业以及患者的年龄和性别。考虑的医学专业有全科医学、儿科学、心脏病学、妇科学、眼科学和其他。一组各种质量指标[世界卫生组织（WHO）/国际网络合理使用药物（INRUD）指标和其他] used.Results：处方的药物数量每次遇到不同的处方者的医疗专业和患者的年龄。心脏病学家和肺病学家倾向于开比其他医学专业更多的药。65岁以上的患者比年轻人接受更多的处方，主要是以心血管药物为代价。药物的各个组和亚组的贡献和各种处方指标的分数显示出广泛的变异性在整个medical specializes.Conclusion：处方模式和处方质量指标显示出广泛的变异性，这取决于处方者的医疗专业。这对确定信息、继续教育和研究方面的优先事项具有重要意义。
Objective: To describe the prescribing patterns and their quality in relation to the prescriber's medical speciality in a defined population.Methods: The study was done on a random sample of all primary care medical prescriptions made through the social security system during 1 year in Andorra, a small European country. Number and type of prescribed medicines, prescribers' medical speciality and patients' age and gender were recorded. Medical specialities considered were General Practice, Paediatrics, Cardiology, Pneumology, Gynaecology, Ophthalmology and Other. A set of various quality indicators [World Health Organisation (WHO)/International Network for Rational Use of Drugs (INRUD) indicators and others] was used.Results: The number of medicines prescribed per encounter varied depending on the prescriber's medical speciality and patient's age. Cardiologists and pneumologists tended to prescribe more medicines than other medical specialities. Patients older than 65 years received more prescriptions than younger adults, mostly at the expense of cardiovascular drugs. The contribution of the various groups and subgroups of medicines and the scores of various prescribing indicators showed wide variability across the medical specialities.Conclusion: Prescribing patterns and indicators of prescription quality show wide variability depending on the prescriber's medical speciality. This has important implications for priority setting in information, continuous education and research.