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Repeat prescribing safety survey.
Steven Lillis1, Nicki Macklin2, Michael Thorn2
1Royal New Zealand College of General Practitioners, PO Box 10440, Wellington, New Zealand; and Corresponding author.
Journal of Primary Health Care
|March 16, 2020
Summary
Repeat prescribing in New Zealand general practice is common, driven by patient convenience and efficiency. However, significant variability exists in practice policies and awareness, particularly among registrars, highlighting a need for improved systems.
Area of Science:
- General Practice
- Healthcare Management
- Clinical Pharmacy
Background:
- Repeat prescribing is a routine service in New Zealand general practice.
- Limited research exists on its utilization and clinician attitudes within New Zealand.
- Understanding current practices is crucial for service improvement.
Purpose of the Study:
- To investigate the perspectives of vocationally registered general practitioners (GPs) and registrars on repeat prescribing.
- To assess the availability and content of practice policies related to repeat prescribing.
- To identify mechanisms used for issuing repeat prescriptions.
Main Methods:
- A survey was developed by an expert group.
- The survey was distributed via the Royal New Zealand College of General Practitioners' newsletter and direct email to registrars.
- Data were collected from vocationally registered GPs and general practice registrars.
Main Results:
- Patient convenience and practice time efficiency were primary reasons for repeat prescribing.
- Registrars demonstrated low awareness of practice policies regarding repeat prescribing.
- Only 25% of practices had orientation packs with guidance on repeat prescribing.
Conclusions:
- There is substantial and undesirable variability in current repeat prescribing systems within general practices.
- Enhancing practice systems is essential to improve the safety and consistency of repeat prescribing.
- Addressing policy awareness and providing clear guidelines are necessary steps.
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