Prescribing pattern in a Dutch university hospital.

Abstract:

:In many countries, including The Netherlands, little is known about the overall prescribing patterns within hospitals. While individual hospitals have some data available, these are not pooled on a regional or national level. The available data consist of dispensing data that are neither patient-linked nor diagnosis-linked. We report the results of a study in a Dutch university hospital which show that despite the limitations, such data can be used for a general evaluation of prescribing patterns. Using three categories of undesirable or irrational drug prescribing the dispensing data were screened. The categories were 'inferior or dubious' drugs, 'semi-innovative' drugs, and 'inappropriately used' drugs. The results show that most problems are seen with the use of new drugs. In the first instance, this involves the use of semi-innovative drugs whose adoption may be stimulated by clinical trials in the hospital concerned. Secondly, innovative drugs seem to be used on too large a scale, i.e., for indications for which their use is not warranted. Based on these findings, a follow-up study has been initiated to study some of these suboptimal drug choices in detail.

journal_name

J Clin Pharm Ther

authors

Denig P,Haaijer-Ruskamp FM,Versluis A,Wesseling H

doi

10.1111/j.1365-2710.1991.tb00332.x

subject

Has Abstract

pub_date

1991-12-01 00:00:00

pages

423-33

issue

6

eissn

0269-4727

issn

1365-2710

journal_volume

16

pub_type

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