PMID: 8956706Nov 30, 1996Paper

Prevalence of potentially inappropriate long term prescribing in general practice in the United Kingdom, 1980-95: systematic literature review

BMJ : British Medical Journal
S A BuetowS Halliwell

Abstract

To determine the prevalence of potentially inappropriate long term prescribing in general practice in the United Kingdom. Review of 62 studies of the appropriateness of prescribing identified from seven electronic databases, from reference lists, and by hand searching of journals. A nominal group of 10 experts helped to define the appropriateness of prescribing. General practice in the United Kingdom. Prevalences of 19 indicators of inappropriate long term prescribing representing five dimensions: indication, choice of drug, drug administration, communication, and review. Prevalences of potentially inappropriate prescribing varied by indicator and chronic condition, but drug dosages outside the therapeutic range consistently recorded the highest rates. The lowest rates were generally associated with indicators of the choice of the drug, except cost minimisation. Communication is studied less frequently than other dimensions of prescribing appropriateness. The evidence base to support allegations of widespread inappropriate prescribing in general practice is unsound. Although inappropriate prescribing has occurred, the scale of the problem is unknown because of limitations associated with selection of a standard, publication bia...Continue Reading

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Citations

Oct 4, 2005·European Journal of Clinical Pharmacology·Lisbeth BregnhøjJesper Sonne
Mar 14, 2007·Pharmacy World & Science : PWS·Lisbeth BregnhøjJesper Sonne
Jun 16, 2000·Social Science & Medicine·P BissellP R Noyce
May 13, 1998·British Journal of Clinical Pharmacology·J C Mucklow
Apr 12, 2000·British Journal of Clinical Pharmacology·D WilliamsJ Feely
Jan 1, 1997·Australian and New Zealand Journal of Public Health·S A Fawkes
Nov 27, 2002·Quality & Safety in Health Care·P DenigH W Schouten
Dec 17, 2002·Journal of the American Pharmaceutical Association : APhA·Gordon G Liu, Dale B Christensen
Dec 6, 2011·Gaceta sanitaria·Gabriel Sanfélix-GimenoRicard Meneu
Aug 4, 2009·Journal of Clinical Pharmacy and Therapeutics·L K SaastamoinenH Enlund
Jun 11, 2004·Journal of Evaluation in Clinical Practice·John D Holden
Sep 16, 2010·British Journal of Clinical Pharmacology·Norul Badriah HassanAbdul Rashid Abdul Rahman
Dec 12, 2012·Atencion primaria·Mercedes Galván-BanqueriConcepción Pérez-Guerrero
Jul 5, 2003·The Annals of Pharmacotherapy·Karen N van DijkLolkje T W de Jong-van den Berg
Aug 5, 2017·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Ghadah H AlshehriDarren M Ashcroft
Jun 5, 2003·The Australian Journal of Rural Health·Bev O'ConnellJulian Pearce
Feb 17, 2000·The Annals of Pharmacotherapy·P R WardP R Noyce

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