Prescribing patterns for asthma by general practitioners in six European countries

被引:21
作者
Jepson, G [1 ]
Butler, T [1 ]
Gregory, D [1 ]
Jones, K [1 ]
机构
[1] Med Sch Newcastle Upon Tyne, Dept Primary Hlth Care, Newcastle Upon Tyne NE2 4HH, Tyne & Wear, England
关键词
asthma; prescribing patterns; drug utilization; primary care; Europe;
D O I
10.1053/rmed.2000.0782
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To assess the level of concordance with international consensus on asthma management, we compared primary care prescribing patterns for asthma in different European countries. A prospective study of prescription items with an associated diagnostic label of asthma in patient consultations with a total of 235 general practitioners (GPs) from Belgium, England, Ireland, Italy, Northern Ireland, Portugal, Scotland and Spain was performed. A total of 101 544 consecutive consultations were recorded in autumns 1994 and 1995 of which 3595 (3.5%) were for patients with asthma and 3243 (3.2%) were for patients receiving a prescription for asthma. Overall asthma consultations varied from 1.8% in Italy to 5.8% in Ireland (mean 3.4%, so 1.6). Prescribed inhaled medications for children varied from 72% of the total asthma prescriptions in Ireland and Portugal to 82% in Northern Ireland (mean 79%, SD 8.1) and for adults 55% in Italy to 85% in Spain (mean 70%, SD 10). Inhaled corticosteroid usage for adults varied from 14% in Italy to 31%; in Northern Ireland (mean 24%, SD 6.4). Far children, beta(2)-agonist use varied from 24% in Italy to 67% in Spain (mean 45%, SD 13). Despite publication of international guidelines for the management of asthma, inter-country prescribing practices vary considerably and could be improved. The frequency of use of asthma as a diagnostic label also varies markedly.
引用
收藏
页码:578 / 583
页数:6
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