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Related Experiment Videos

Differences between prescribed and dispensed medications

T L Gardner1, S M Dovey, M W Tilyard

  • 1Department of General Practice, University of Otago Medical School, Dunedin.

The New Zealand Medical Journal
|March 8, 1996
PubMed
Summary
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Many prescribed medications are not dispensed in general practice, particularly antibiotics. Patients with government subsidies are more likely to fill prescriptions, suggesting potential issues with current pharmaceutical subsidy targeting.

Area of Science:

  • Pharmaceutical Policy
  • General Practice Research
  • Medication Adherence

Background:

  • A significant proportion of medications prescribed in general practice are not dispensed.
  • Understanding factors influencing prescription dispensing is crucial for optimizing medication use and healthcare resource allocation.

Purpose of the Study:

  • To investigate differences between prescribed and dispensed medications in general practice.
  • To identify patient characteristics and drug categories associated with non-dispensing of prescriptions.

Main Methods:

  • Retrospective review of computerized prescribing records and dispensed prescriptions from 13 general practices over 12 weeks in 1992.
  • Analysis of matched and unmatched prescription items to determine factors influencing dispensing rates.

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  • Detailed examination of the nine most commonly prescribed drug categories.
  • Main Results:

    • Out of 49,756 prescribed items, 43,302 (87.0%) were dispensed. Antibiotics constituted 17.6% of non-dispensed items.
    • No significant gender differences were observed in prescription non-dispensing rates.
    • Statistically significant differences in dispensing rates were found based on community services card (CSC) status (p<0.001), high user health (HUH) card eligibility (p<0.005), and patient age (p<0.001).

    Conclusions:

    • A high rate of non-dispensing for general practice prescriptions exists.
    • Patients eligible for government subsidies (CSC, HUH) demonstrate higher prescription fulfillment rates.
    • Increasing age is associated with lower non-dispensing rates, and current pharmaceutical subsidies may require better targeting.