Rational Prescribing: An Exemplar of Auditing Prescribing in Updating a General Practice Formulary

  • David A. Gregory

Abstract

The idea of producing a general practice formulary was first suggested in 1981 [7]. Several formularies have been developed since by practices alone or in conjunction with neighbouring practices, and by groups of doctors working with university departments and local faculties of the Royal College of General Practitioners [2,3,5,6,8–10]. The aim of a formulary is to foster rational prescribing by selecting a limited number of drugs on the basis of safety, efficacy, convenience and cost [9]. Doctors involved in compiling a formulary can achieve high levels of compliance with it [4,8]. Furthermore, prescribing costs can fall following the introduction of a formulary [2,6], though the likely financial impact is difficult to predict [8].

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References

  1. 1.
    Anonymous (1989) Local drag formularies: are they worth the effort? Drug Ther Bull 27:13–16Google Scholar
  2. 2.
    Beardon PHG, Brown SV, Mowat DAE, et al. (1987) Introducing a drug formulary to general practice: effects on prescribing costs. J R Coll Gen Pract 37:305–307PubMedGoogle Scholar
  3. 3.
    Field J, Freeman GK (1987) Ten years’ prescribing costs at Aldermoor Health Centre. Practitioner 231:701–704PubMedGoogle Scholar
  4. 4.
    Grant GB, Gregory DA, van Zwanenberg TD (1985) Development of a limited formulary for general practice. Lancet 1:1030–1032PubMedCrossRefGoogle Scholar
  5. 5.
    Grant GB, Gregory DA, van Zwanenberg TD (1987) A basic formulary for general practice. Oxford University Press, OxfordGoogle Scholar
  6. 6.
    Green PE (1985) The general practice formulary: its role in rational therapeutics. J R Coll Gen Pract 35:570–572PubMedGoogle Scholar
  7. 7.
    Jolies M (1980) Why not compile your own formulary? J R Coll Gen Pract 31:372Google Scholar
  8. 8.
    Knox JDE (1988) Westgate Formulary Project. Final report to the Chief Scientist Organisation. Department of General Practice, University of DundeeGoogle Scholar
  9. 9.
    Lothian Liaison Committee. Co-ordinator Gilleghan JD (1987) Lothian Formulary No 1Google Scholar
  10. 10.
    Roy Coll Gen Pract, Northern Ireland Faculty. Practice Formulary 1988–90Google Scholar
  11. 11.
    van Zwanenberg TD, Grant GB, Gregory DA (1987) Can rational prescribing be assessed? J R Coll Gen Pract 37:308–310PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • David A. Gregory

There are no affiliations available

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