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La redacción de recetas de los residentes para no pacientes
Brian M Aboff1, Virginia U Collier, Neil J Farber
1Department of Medicine, Christiana Care Health System, 501 W 14th St, Wilmington, DE 19899, USA. baboff@christianacare.org
JAMA
|July 16, 2002
Resumen
La mayoría de los residentes escriben recetas para no pacientes, a menudo sin conocer las pautas legales y éticas. La educación sobre la redacción de recetas para no pacientes es crucial durante la capacitación de residencia.
Área de la Ciencia:
- Educación médica y educación médica.
- Práctica clínica La práctica clínica es la práctica clínica.
- Ética médica y ética médica.
Sus antecedentes:
- Los médicos residentes adquieren responsabilidades de redacción de recetas después de la escuela de medicina.
- La escritura de recetas de los residentes es monitoreada durante las tareas supervisadas.
- Existe un conocimiento limitado sobre los patrones de prescripción de los residentes fuera de la supervisión y las directrices éticas / legales.
Objetivo del estudio:
- Investigar los factores que influyen en las decisiones de los residentes para prescribir para no pacientes.
- Evaluar el conocimiento de los residentes de las regulaciones éticas y legales con respecto a las recetas no para pacientes.
Principales métodos:
- Se administró una encuesta a 92 residentes de medicina interna y práctica familiar.
- El ochenta por ciento de los residentes encuestados respondió.
- Se recopilaron las actividades de prescripción autoinformadas para no pacientes y escenarios hipotéticos.
Principales resultados:
- El 85% de los residentes informaron haber recetado para no pacientes.
- Hasta el 95% prescribiría para no pacientes bajo ciertas condiciones.
- Pocos residentes entendieron las directrices éticas (13%) o los estatutos legales (4%) para las recetas no para pacientes.
Conclusiones:
- La redacción de recetas sin supervisión para no pacientes es común entre los residentes.
- La residencia es un período crítico para establecer hábitos de práctica.
- Los residentes necesitan educación sobre los aspectos éticos, legales y de responsabilidad de la prescripción para no pacientes.
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