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Repeat prescribing management--a cause for concern?

H McGavock1, K Wilson-Davis, J P Connolly

  • 1Drug Utilization Research Unit, Queen's University of Belfast, Northern Ireland.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|March 29, 2000
PubMed
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Repeat prescribing management in general practices shows significant deficiencies, with essential checks often omitted. A new scoring system can help evaluate and improve quality assurance in repeat prescribing practices.

Area of Science:

  • General Practice
  • Primary Care Management
  • Healthcare Quality Assurance

Background:

  • Limited studies exist on repeat prescribing management using statistically adequate samples of general practitioners (GPs).
  • Previous research lacked the scope to extrapolate findings to the broader GP population regarding repeat prescribing practices.

Purpose of the Study:

  • To provide regional evidence on the quality of repeat prescribing management for healthcare professionals and administrators.
  • To validate a scoring system for assessing and ensuring quality in repeat prescribing.

Main Methods:

  • A semi-structured questionnaire was administered to a representative sample of 57 general practices in Northern Ireland.
  • Practices were stratified by partner numbers, geography, and fundholding status; 26 questions were used to score management quality.

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Main Results:

  • Essential checks during repeat prescription issuance are frequently omitted, and computerization potential is underutilized.
  • Opportunities for quality assurance during review consultations are often missed.
  • Fundholding practices demonstrated significantly better repeat prescribing management than non-fundholders, though neither group achieved exemplary scores.

Conclusions:

  • Serious deficiencies in repeat prescribing management were identified in a representative GP sample, allowing for regional extrapolation.
  • Guidelines have been developed for GPs to address identified issues in repeat prescribing.
  • A scoring system for evaluating repeat prescribing practices has been successfully tested and validated.