Abstract
Objective There is limited knowledge on repeat prescribing of different drug groups in cases where the physician does not see the patient. This study aimed to investigate the frequency of repeat prescribing of different drug groups both with and without consultation. Method The study was a nationwide prescription database study performed in Finnish primary care in 2001. Each physician in a sample of 400 physicians was asked to report all patient contacts over a specified period of five consecutive working days once over a period of six months, and another sample of 400 physicians did the same for the next six months. Copies of physicians’ prescriptions were collected and data on the drugs and type of prescriptions were recorded. Repeat prescriptions issued with and without a consultation were included. ResultsAbout 19% of all prescriptions were issued without direct contact between the physician and the patient. In the different drug groups, the range was from 2% of antibiotics to 57% of antipsychotics. Psychotropics including hypnotics and tranquillizers, cardiovascular drugs and drugs for elderly patients were most often issued without consultation. Conclusion Repeat prescribing without consultation is common especially for elderly patients and users of psychotropics and cardiovascular drugs, and this may contribute to suboptimal therapy.
References
Harris CM, Dajda R. The scale of repeat prescribing. Br J Gen Pract. 1996;46:649–53.
Zermansky A. Who controls repeats? Br J Gen Pract. 1996;46:643–7.
McGavock H, Wilson-Davis K, Connolly JP. Repeat prescribing management–a cause for concern? Br J Gen Pract. 1999;49:343–7.
Connolly J, McGavock H. Repeat prescribing: which diagnoses, which drugs? Pharmacoepidemiol Drug Saf. 2000;9:305–11.
Jones J, Matheson C, Bond C. Patient satisfaction with a community pharmacist-managed system of repeat prescribing. Int J Pharm Pract. 2000;8:291–7.
Dijkers FW. Repeat prescriptions: a study in general practice in the Netherlands. Dissertation, Faculty of Medical Science, University of Groningen, Groningen 1997.
Saastamoinen L, Enlund H, Klaukka T. Repeat prescribing processes in primary care: a qualitative study. Int J Pharm Pract. 2008;16:155–7.
Rokstad K, Straand J. Drug prescribing during direct and indirect contacts with patients in general practice. A report from the More & Romsdal Prescription Study. Scand J Prim Health Care. 1997;15:103–8.
Finnish Statistics on Medicines 2006. National Agency for Medicines and Social Insurance Institution. Helsinki; 2007.
Avohoidon lääkärikäynnit ja lääkärin potilaat ikäryhmittäin. From the Internet 21st January 2008: http://www.stakes.fi/FI/tilastot/aiheittain/Terveyspalvelut/yleisterveydenhuolto/YleisterveydenhuoltoTkAvohoito.htm.
Finnish Statistics on Medicines 2001. National Agency for Medicines and Social Insurance Institution. Helsinki; 2002.
IMS Global Insights. 2008. From the Internet 17th January 2008: http://www.imshealth.com/web/home/0,3153,64576068_63872702,00.html.
Strom B. Other approaches to pharmacoepidemiology studies. Pages 349–362 In: Strom B, editor. Pharmacoepidemiology, 4th ed. USA: Wiley; 2007.
Straand J, Sandvik H. Stopping long-term drug therapy in general practice. How well do physicians and patients agree? Fam Pract. 2001;18:597–601.
Curran HV, Collins R, Fletcher S, Kee SCY, Woods B, Iliffe S. Older adults and withdraval from benzodiazepine hypnotics in general practice: effects on cognitive function, sleep, mood and quality of life. Psychol Med. 2003;33:1223–37.
He J, Muntner P, Chen J, Roccella E, Streiffer R, Whelton P. Factors associated with hypertension control in the general population of the United States. Arch Intern Med. 2002;162:1051–8.
Acknowledgment
The authors wish to thank Suomen IMS Health OY for their support.
Funding
The Elli Turunen Fund of the Finnish Cultural Foundation.
Conflicts of interest
We declare that we have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Saastamoinen, L., Enlund, H. & Klaukka, T. Repeat prescribing in primary care: a prescription study. Pharm World Sci 30, 605–609 (2008). https://doi.org/10.1007/s11096-008-9224-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11096-008-9224-5