Prescribing with indication: uptake of regulations in current practice and patients opinions in the Netherlands.

Autor: Holsappel IG; Division of Pharmacoepidemiology and Clinical Pharmacology, Department of Pharmaceutical Sciences, Utrecht University, PO Box 80082, 3508 TB, Utrecht, The Netherlands., Koster ES, Winters NA, Bouvy ML
Jazyk: angličtina
Zdroj: International journal of clinical pharmacy [Int J Clin Pharm] 2014 Apr; Vol. 36 (2), pp. 282-6. Date of Electronic Publication: 2013 Dec 14.
DOI: 10.1007/s11096-013-9903-8
Abstrakt: Background: Since January 2012 the Dutch Medicines Act has been changed to enable medication monitoring and counselling for individual patients. Prescribers of medicines are now obliged to record the indication on the prescription of medicines mentioned in this law.
Objective: To assess patients' opinion about recording of the indication on prescription and to explore the uptake of alterations in the medicines act in clinical practice.
Methods: The study was conducted in a sample of 57 community pharmacies belonging to the Utrecht Pharmacy Practice Network for Education and Research. In total, 528 patients were interviewed in these pharmacies and automated dispensing records were obtained from 22 community pharmacies to check prescriptions for linking of diagnosis codes (indications).
Results: For 12.5 % of the prescriptions that required notification of the indication, a diagnosis code was mentioned. For all other medicines, 15.1 % of the prescriptions were provided with diagnosis codes. There was large variation between different drugs. Only 11.7 % of the interviewed patients were familiar with the law. The majority of patients (91.1 %) had no objections with mentioning the indication for use on the prescription.
Conclusion: Indications are insufficiently mentioned on prescriptions while the majority of patients are generally positive about the law.
Databáze: MEDLINE
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