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Physician drug dispensing.

C W Lober1, S D Behlmer, N S Penneys

  • 1Division of Dermatology, University of South Florida College of Medicine, Tampa.

Journal of the American Academy of Dermatology
|November 1, 1988
PubMed
Summary
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Physician drug dispensing enhances medication availability and patient compliance, potentially improving care quality and convenience. Restricting this practice may negatively impact patient outcomes and access to pharmaceuticals.

Area of Science:

  • Medical Economics
  • Pharmaceutical Policy
  • Patient Care

Background:

  • Physician drug dispensing is a practice with implications for quality of care, economics, drug availability, patient compliance, and safety.
  • Existing regulations and professional perspectives often focus on potential conflicts of interest and quality concerns related to physician dispensing.

Purpose of the Study:

  • To review the multifaceted issue of physician drug dispensing.
  • To analyze the impact of physician dispensing on key healthcare parameters including quality of care, cost, safety, and patient compliance.

Main Methods:

  • A comprehensive review of literature and existing arguments concerning physician drug dispensing.
  • Analysis of quality of care, economic, availability, compliance, and safety factors associated with physician dispensing versus traditional pharmacy models.

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Main Results:

  • Physician dispensing can enhance medication availability and patient compliance, particularly for complex regimens.
  • Concerns regarding pharmacist substitution and education are raised as potential quality issues in traditional pharmacy settings.
  • Economic arguments against physician dispensing are challenged, emphasizing physician convenience and enhanced doctor-patient relationships.

Conclusions:

  • Restricting physician drug dispensing may negatively affect medical care quality, medication costs, safety, availability, and patient compliance.
  • Physician dispensing is presented as a practice that can benefit patients by improving convenience and adherence.
  • The study concludes that limitations on physician dispensing are not in the best interest of patients.