在住院医生中,处方药的使用和自我处方
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
概括
在住院医生中,自行处方药物很常见,超过一半的人报告这种做法. 许多人从样本或制药公司代表那里获得这些药物,这引发了对监督的担忧.
科学领域:
- 医学教育 医学教育
- 药理学 药理学是指药理学的学科.
- 医生实践模式的模式
背景情况:
- 在执业医生中,自我处方很普遍.
- 有限的数据存在于住院医生之间的自我处方实践.
研究的目的:
- 调查处方药的使用情况.
- 为了确定在美国的住院医生中自我处方的流行程度.
主要方法:
- 1997年2月,在美国四个培训项目中,向内部医学专科医生分发了匿名邮件调查.
- 居民自我报告的医疗保健服务使用和处方药采购方法.
主要成果:
- 实现了83%的响应率 (316/381名居民).
- 78%的居民报告使用至少一种处方药.
- 52%的居民报告自行处方药物,通常来自样本柜 (42%) 或制药商代表 (11%).
结论:
- 自我处方是住院医生中常见的行为.
- 自我处方药的来源 (样本,药品复制品) 和缺乏监督需要进一步调查.
- 这种做法引发了有关患者安全和道德考虑的问题.
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