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  1. Survey on repeat prescribing for acid suppression drugs in primary care in Cornwall and the Isles of Scilly.

    Article - En anglais

    Background 

    Repeat prescriptions for acid suppression therapy represent an important burden on health care resources.

    Aim 

    To determine the prevalence of acid suppression therapy and its indications by general practitioners (GPs) in a larger sample of practices than previous studies.

    Method 

    Practices in Cornwall and the Isles of Scilly were invited to identify the number of patients on repeat prescription for acid suppression drugs in their practice, to review the indication for treatment in a sample of 50 patients, and to indicate the mode of review of these patients.

    Results 

    Out of 77 practices, 42 (55%) participated in the study.

    Overall, 5% of patients were authorized to receive a repeat prescription for acid suppression drugs.

    Repeat rates varied between practices, from 1.68% to 11.11%. Repeat rates increased with age and were higher in men than in women.

    Only 41% of patients had a proven diagnosis of gastro-oesophageal reflux disease or peptic ulcer.

    A review of notes was the most frequent way (36%) stated by GPs to review acid suppression therapy.

    Conclusion 

    The repeat rate found in our study was higher than that found in previous studies.

    A high proportion of older patients in Cornwall, as well as a continuing increase in the prescription of acid suppression drugs, may account for these results.

    Mots-clés Pascal : Soin santé primaire, Antiacide, Prescription médicale, Economie santé, Analyse coût efficacité, Analyse avantage coût, Homme, Médecin généraliste, Evaluation

    Mots-clés Pascal anglais : Primary health care, Antiacid, Medical prescription, Health economy, Cost efficiency analysis, Cost benefit analysis, Human, General practitioner, Evaluation

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0353587

    Code Inist : 002B02H. Création : 14/12/1999.