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首页> 外文期刊>The International journal of pharmacy practice >Repeat prescribing processes in primary care: a qualitative study
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Repeat prescribing processes in primary care: a qualitative study

机译：重复初级保健中的处方过程：定性研究

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Objective To investigate the characteristics, local agreements and changes regarding repeat prescribing processes in primary health care in Finland. Setting Twenty-eight municipal health centres nationwide.Method Twenty-eight physicians and 28 medical receptionists were given semi-structured telephone interviews about repeat prescribing practices. The repeat prescribing process of each health centre was displayed as a flow chart and the processes were classified according to the quality of the practical flow and the medication review.Key findings There are various ways of carrying out repeat prescribing in different health centres. In some centres, a review of the medications is recognised as part of the repeat prescribing process, but in others there is no systematic review of the patients' medication. Repeat prescribing is often performed in a busy atmosphere. Repeat prescribing systems have evolved over time without proper management, and few local guidelines exist.Conclusions There is a need to reorganise the repeat prescribing systems in primary health care. A regular review of long-term medications, in particular, needs to become a part of the repeat prescribing process. There is a need for both local and national guidelines.
机译：目的研究芬兰初级卫生保健中有关重复处方过程的特征，当地协议和变更。方法在全国范围内设置28个市政卫生中心。方法对28位医生和28位医疗接待员进行半结构化电话采访，询问重复处方的做法。每个卫生中心的重复处方过程均以流程图显示，并根据实际流程的质量和用药情况进行分类。主要发现在不同的卫生中心有多种重复处方的方法。在一些中心，对药物的审查被认为是重复处方过程的一部分，但在其他中心，没有对患者药物的系统审查。经常在繁忙的气氛中进行重复处方。在没有适当管理的情况下，重复处方系统已经随着时间的推移而发展，并且几乎没有当地准则。结论在初级卫生保健中需要重新组织重复处方系统。特别是，对长期药物的定期检查需要成为重复处方过程的一部分。地方和国家准则都需要。

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