BMJ:医药公司礼物对法国全科医生处方模式的影响

2019-11-06 MedSci MedSci原创

研究认为,医药公司礼物对法国全科医生处方存在一定影响,未接受礼物医生的廉价药物处方率较高

近日研究人员评估了法国全科医生(GPS)接受制药公司礼物对处方模式的影响。

研究人员利用法国国家健康数据系统设计本次回顾性研究。41257名GPs参与,根据收到的礼物的货币价值,将GPS分成6组。研究的主要终点为药物处方报销的金额以及国家健康保险用于计算医生业绩相关的11项财政奖励药物处方率。

研究发现,2016年,未接受礼物GP组国家医疗保险处方的报销金额较低,接受至少1种礼物的GP组其处方金额较接受礼物价值1000欧的GP组低5.33欧。与接受礼物价值1000欧的GP组相比,未接受礼物GP组处方中一般抗生素(+2.17%)、抗高血压(+4.24%)以及他丁类(+12.14%)药物的处方率较高。未接受礼物GP组超过12周苯二氮卓类(-0.68%)和血管扩张剂(-0.15%)的处方率较低,且血管紧张素转化酶(ACE)抑制剂处方占所有ACE和沙坦类处方的比例较高。组间阿司匹林、非专利抗抑郁药和质子泵抑制剂的处方率差异不显著。

研究认为,医药公司礼物对法国全科医生处方存在一定影响,未接受礼物医生的廉价药物处方率较高。

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    2020-07-03 gaoxiaoe
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    2019-11-08 neurowu
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    2019-11-08 cathymary

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