The Inappropriate Use of Prescription Medicine

Frauenfelder, J.; Bungey, J.B.

doi:10.1111/j.1753-6405.1985.tb00529.x

Community Health Studies

1985

DOI: 10.1111/j.1753-6405.1985.tb00529.x

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The Inappropriate Use of Prescription Medicine

J. Frauenfelder

J.B. Bungey

Abstract: Evidence suggests that there are six major issues which influence the inappropriate use of prescription medicine. This paper presents the current debate with particular reference to the situation in Australia. The article concludes with a discussion of issues which must be addressed when attempting to formulate remedial strategies, and highlights the research needs and opportunities in this area.

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1988

1989

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Cited by 3 publications

References 22 publications

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Automedicación y cumplimiento farmacológico en una consulta de atención primaria

Turabián¹,

Juanes

1989

Gaceta Sanitaria

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The prevalence of reported self-medication and compliance and some associated factors in patients 25 and over years of age attending a primary health center is studied using the case finding method, during the period of March-December, 1987. Self-medication was reported by 48% of patients (41% were taking one drug and 7% two drugs). Nervous system drugs were the most common pharmacologic group over the counter. As for compliance of prescribed drugs, 81% reported to take their medication in the prescribed way at least 3 out of 4 times. Younger patients reported more self-medication. Non compliance was more frequent in members of larger families. No other statistical differences were found. We conclude that the patients in our practice report a high level of self-medication and also a high level of compliance of prescribed drugs. These data are to be taken into account for the planning of future health programs targeted to the use of drugs in our community.

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Automedicación y cumplimiento farmacológico en una consulta de atención primaria

Turabián¹,

Juanes

1989

Gaceta Sanitaria

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Issues in developing a community medication collection: An overview of medidump projects*

Wilks

Withers

1989

Australian Drug and Alcohol Review

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Each year hundreds of people are admitted to hospitals as a result of inappropriate ingestion of medications. Non‐compliance with prescription directions is a particular problem among the elderly. Young children are also at risk for accidental poisoning, especially when unused and out‐of‐date medications are not stored safely in the home. Many campaigns encouraging the public to dispose of old medications have been run by service clubs, government agencies and pharmacies. However, few Australian groups have documented their projects in any detail and most show little appreciation of the legal and ethical implications of such programs. This paper draws attention to some of the relevant issues involved and offers guidelines for conducting medication collections in the community.

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Sources of Australian Pharmacoepidemiology Data

Hurley

McNeil²,

Berbatis

1988

Community Health Studies

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Information about the use of drugs by the population can be used to monitor the prescribing patterns, safety and costs of drugs. Major deficiencies exist in the routine sources of Australian pharmacoepidemiology data and in data collection. The Pharmaceutical Benefits Scheme (PBS), Intercontinental Medical Statistics (IMS) and the Australian Health Survey are the main sources of data, but all are severely limited. At present there is no adequate means of determining what proportion of the Australian community is receiving treatment with a particular drug. The morbidity and prescribing data collected by IMS are not freely available and relate only to prescribing by general practitioners. A comprehensive source of data on drug use in hospitals does not exist because hospital statistics are not merged. Currently, there is no uniform drug coding system and hospital and community drug usage data cannot be easily combined. The quality of Australian pharmacoepidemiology data could be improved by making declaration of sales figures by pharmaceutical companies mandatory, adopting a uniform drug coding system, and establishing an ongoing, comprehensive morbidity and prescribing survey.

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The Inappropriate Use of Prescription Medicine

Cited by 3 publications

References 22 publications

Automedicación y cumplimiento farmacológico en una consulta de atención primaria

Automedicación y cumplimiento farmacológico en una consulta de atención primaria

Issues in developing a community medication collection: An overview of medidump projects*

Sources of Australian Pharmacoepidemiology Data

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