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首页> 外文期刊>Journal of Health Services Research & Policy >Influencing prescribing in English primary care: the views of primary care organisations
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Influencing prescribing in English primary care: the views of primary care organisations

机译：影响英语初级保健的处方：初级保健组织的观点

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Objective: The rapid rise of prescribing expenditure is a concern in many industrialised countries and methods to manage medicines are widely employed. The purpose of this study was to identify the approaches to improve primary care prescribing by primary care organisations (PCOs) in the National Health Service (NHS) in England. nnMethods: A questionnaire (Management of Medicines, MANMED) was mailed to prescribing advisers and prescribing leads in 332 PCOs. nnResults: A response rate of 66% (220/332) was achieved. Most PCOs report the improvement of the quality of prescribing as their top priority, followed by budget adherence at both practice and PCO levels. Prescribing advisers typically offer several forms of support: practice visits, prescribing reviews, indicators of prescribing, prescribing newsletters, hands-on support, seminars and local formularies. PCOs are pursuing a wide range of prescribing initiatives, covering, on average, seven different therapeutic areas. National targets are the main driver for prescribing initiatives but other key influences include inappropriate prescribing and clinical governance. Although cost considerations are important, improving the quality of prescribing is perceived as the overriding principle on which PCO prescribing strategy is based. Multifaceted prescribing support is widespread and national targets are the largest single factor influencing choice of therapeutic area for prescribing initiatives. nnConclusions: Diversity in approaches presents the opportunity to improve the evidence base for medicines management. Not only could such research inform PCOs in their central aim of improving the quality of prescribing within the NHS, but it may also offer insights of relevance to other countries if the influence of process and context upon the effectiveness of medicines management is systematically explored.
机译：目的：处方药支出的迅速增加是许多工业化国家关注的问题，并且广泛使用药物管理方法。这项研究的目的是确定英格兰国家卫生局（NHS）的初级保健组织（PCO）改善初级保健处方的方法。 nn方法：向332个PCO中的处方顾问和处方线索邮寄了问卷（药品管理，MANMED）。结果：答复率为66％（220/332）。大多数PCO将改善处方质量作为其首要任务，其次是在实践和PCO级别遵守预算。开处方的顾问通常提供几种形式的支持：实习访问，开处方评论，开处方指标，开新闻通讯，动手支持，研讨会和当地处方。 PCO正在采取各种处方措施，平均涵盖七个不同的治疗领域。国家指标是开处方的主要动力，但其他关键影响包括不适当的开处方和临床治疗。尽管成本因素很重要，但提高处方质量被视为PCO处方策略所基于的首要原则。多方面的处方支持是广泛的，国家目标是影响处方计划治疗区域选择的最大单一因素。结论：方法的多样性为改善药品管理的证据基础提供了机会。这样的研究不仅可以使PCO达到提高NHS内处方质量的中心目的，而且如果系统地探讨过程和环境对药物管理有效性的影响，也可以提供与其他国家相关的见解。

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