Abstract
The prescribing of a group of young general practitioners was assessed, before and after educational intervention, using five parameters of rational prescribing. The proportion of drugs prescribed by their generic name, and the proportion falling within a basic formulary for general practice increased significantly even though the participating doctors had neither been involved in the compilation of the formulary nor been given a copy of it. Items prescribed bygeneric name rose from 45 to 74% and the proportions of new and repeat items within the formulary rose by 73 to 83% and 68 to 77% respectively. It appears that discussions about rational prescribing lead to similar changes in prescribing as involvement in the compilation of a formulary.
The notion of an `essential drugs list' for general practice is described, and three easily applied measures of rational prescribing are suggested: (1) the proportion of patients not given a prescription, (2) the proportion of drugs written in their generic form and (3) the proportion of drugs falling within a general practice `essential drugs list'.
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Selected References
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- Anderson R. J., Reilly P. M. Generic alternatives in general practice. Br Med J (Clin Res Ed) 1984 Apr 14;288(6424):1129–1131. doi: 10.1136/bmj.288.6424.1129. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Breckenridge A., Orme M., Serlin M. J., Davidson A. S., Lowe J. F. Postgraduate education in therapeutics: experience in Merseyside. Br Med J. 1978 Sep 2;2(6138):671–672. doi: 10.1136/bmj.2.6138.671. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Grant G. B., Gregory D. A., van Zwanenberg T. D. Development of a limited formulary for general practice. Lancet. 1985 May 4;1(8436):1030–1032. doi: 10.1016/s0140-6736(85)91625-3. [DOI] [PubMed] [Google Scholar]
- Grant G. B., Gregory D. A., van Zwanenberg T. D. Repeat prescribing: a study prior to the imposition of the limited list. J R Coll Gen Pract. 1986 Apr;36(285):148–150. [PMC free article] [PubMed] [Google Scholar]
- Harding J. M., Modell M., Freudenberg S., MacGregor R., Rea J. N., Steen C. A., Wojciechowski M., Yudkin G. D. Prescribing: the power to set limits. Br Med J (Clin Res Ed) 1985 Feb 9;290(6466):450–453. doi: 10.1136/bmj.290.6466.450. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harris C. M., Fry J., Jarman B., Woodman E. Prescribing--a case for prolonged treatment. J R Coll Gen Pract. 1985 Jun;35(275):284–287. [PMC free article] [PubMed] [Google Scholar]
- Herxheimer A., Twycross R. Continuing education in therapeutics: aids to discussions on prescribing. Br Med J. 1976 May 15;1(6019):1198–1199. doi: 10.1136/bmj.1.6019.1198. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hill A. Generic prescribing--a change of habit. J R Coll Gen Pract. 1985 Feb;35(271):89–90. [PMC free article] [PubMed] [Google Scholar]
- Jolles M. Why not compile your own formulary? J R Coll Gen Pract. 1981 Jun;31(227):372–372. [PMC free article] [PubMed] [Google Scholar]
- Keele G., Freeman J. Use of antibiotics and psychoactive preparations. J R Coll Gen Pract. 1983 Oct;33(255):621–627. [PMC free article] [PubMed] [Google Scholar]
- Reilly P. M., Patten M. P. An audit of prescribing by peer review. J R Coll Gen Pract. 1978 Sep;28(194):525–530. [PMC free article] [PubMed] [Google Scholar]
- Smith A., Walker J. H., Rawlins M. D. Clinical pharmacology clinics in general practice. Br Med J. 1977 Jul 16;2(6080):169–170. doi: 10.1136/bmj.2.6080.169. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Taylor R. J. Towards better prescribing. J R Coll Gen Pract. 1978 May;28(190):263–270. [PMC free article] [PubMed] [Google Scholar]