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Uso de medicamentos recetados y auto-prescripción entre los médicos residentes
J D Christie1, I M Rosen, L M Bellini
1Department of Medicine, University of Pennsylvania, and the Veterans Affairs Medical Center, Philadelphia, USA.
JAMA
|October 24, 1998
Resumen
La auto-prescripción de medicamentos es común entre los médicos residentes, con más de la mitad reportando esta práctica. Muchos obtuvieron estos medicamentos de muestras o representantes farmacéuticos, lo que plantea preocupaciones sobre la supervisión.
Área de la Ciencia:
- Educación médica y educación médica.
- Farmacología Farmacología.
- Los patrones de práctica de los médicos.
Sus antecedentes:
- La auto-prescripción es frecuente entre los médicos en ejercicio.
- Existen datos limitados sobre las prácticas de auto-prescripción entre los médicos residentes.
Objetivo del estudio:
- Para investigar el uso de medicamentos recetados.
- Para determinar la prevalencia de la auto-prescripción entre los médicos residentes en los Estados Unidos.
Principales métodos:
- Encuesta por correo anónima distribuida a residentes de medicina interna en cuatro programas de capacitación de los Estados Unidos en febrero de 1997.
- Los residentes autoinformaron el uso de los servicios de atención médica y los métodos de adquisición de medicamentos recetados.
Principales resultados:
- Se logró una tasa de respuesta del 83% (316/381 residentes).
- El 78% de los residentes informaron haber usado al menos un medicamento recetado.
- El 52% de los residentes informó de medicamentos de auto-prescripción, a menudo obtenidos de gabinetes de muestras (42%) o representantes farmacéuticos (11%).
Conclusiones:
- La auto-prescripción es un comportamiento común entre los médicos residentes.
- Las fuentes de los medicamentos auto-prescritos (muestras, recetas farmacéuticas) y la ausencia de supervisión merecen una mayor investigación.
- La práctica plantea preguntas sobre la seguridad del paciente y consideraciones éticas.
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