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Prescribing - a worldwide survey on governance
Vedamurthy Adhiyaman1, Indrajit Chattopadhyay1, Peter Hobson1
1Glan Clwyd Hospital, Rhyl, UK.
The Medico-Legal Journal
|January 24, 2023
Summary
Global prescribing governance is weak, with over 50% of doctors reporting no restrictions on prescribing for themselves or family. Many countries lack controls on antibiotics and controlled drug access.
Area of Science:
- Pharmacology and Public Health
- Global Health Policy
- Medical Practice Governance
Background:
- Prescribing practices are influenced by regulatory frameworks and governance structures.
- Understanding global variations in prescribing governance is crucial for public health and patient safety.
Purpose of the Study:
- To investigate the worldwide landscape of prescribing governance.
- To assess doctors' perceptions of prescribing regulations and their personal practices.
Main Methods:
- A web-based questionnaire was distributed to doctors globally, focusing on those with international medical qualifications.
- Data were collected on prescribing practices, self-prescribing, and access to medications like antibiotics and controlled drugs.
Main Results:
- Responses from 139 doctors across 40 countries revealed significant governance gaps.
- Over 50% of doctors reported no restrictions on prescribing for themselves or relatives; a third could prescribe controlled drugs without limits.
- Antibiotics were obtainable without a prescription in 50% of represented countries.
Conclusions:
- Many nations exhibit inadequate prescribing governance, characterized by lax restrictions on self-prescribing and family prescriptions.
- Limited oversight on obtaining antibiotics and controlled drugs contributes to poor prescribing governance globally.
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