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Related Experiment Videos

The scale of repeat prescribing

C M Harris1, R Dajda

  • 1Prescribing Research Unit, University of Leeds Research School of Medicine.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|November 1, 1996
PubMed
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Repeat prescribing accounts for 75% of prescription items and 81% of costs, with 48.4% of patients receiving them. This study provides a standard definition for repeat prescribing, crucial for improving clinical care audits.

Area of Science:

  • Pharmaceutical Practice
  • Health Informatics
  • Clinical Pharmacy

Background:

  • Repeat prescribing, while beneficial, has lacked a standardized definition and has increased significantly with computerization.
  • Managing repeat prescribing is crucial due to its growing scale and potential impact on clinical care.
  • A computer-linked standard definition is needed for data linkage and national comparisons.

Purpose of the Study:

  • To establish a standard definition for repeat prescribing, linked to computer procedures.
  • To estimate the current scale of repeat prescribing across different age-sex and drug groups.
  • To demonstrate the generation of clinically valuable audits from practice computer data.

Main Methods:

  • A standard definition of repeat prescriptions was established using computer-generated data from 115 practices.

Related Experiment Videos

  • Data from 750,390 patients, representing 5.82 million prescriptions over one year, were analyzed.
  • Analyses included overall repeat prescription percentages, patient demographics, and drug group distributions.

    • Main Results:

    • Repeat prescriptions constituted 75% of items and 81% of costs, with 48.4% of patients receiving them.
    • The percentage of repeat prescriptions increased with patient age, exceeding 90% for those 85 and older.
    • Certain drug groups, like hypnotics, were predominantly prescribed as repeats.

    Conclusions:

    • The study provides the most comprehensive national overview of repeat prescribing to date.
    • The proposed definition allows for practice-level analyses to identify areas needing clinical attention.
    • Adopting this standard definition can facilitate improved clinical care and auditing processes.