Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-16T13:24:13.234Z Has data issue: false hasContentIssue false
  • English
  • Français

Evidence-based prescribing [cite this article?]

Published online by Cambridge University Press:  22 June 2006

Trudy Granby
Trudy Granby
Affiliation:
Assistant Director: Non-Medical Prescribing Support, National Prescribing Centre
Get access Rights & Permissions [Opens in a new window]

Extract

Summary

The discipline of evidence-based prescribing is relatively new to nurses and other non-medical prescribers. The introduction of clinical governance, which emphasises accountability, quality and efficiency, means that it is no longer acceptable to base clinical decisions on personal opinion. Prescribing itself is just one stage in making a rational treatment decision, which requires a fully structured approach. This article will highlight some of the considerations that the prescriber has to take into account, including: the efficacy and cost-effectiveness of treatment options, how to check the evidence, the benefits or harms of a treatment and, the patient's own involvement in the treatment plan.

Keywords

non-medical prescribingevidence-based prescribingtreatment efficacyclinical effectivenesscost minimisationcost-effective analysiscost-benefit analysis
Type
Focus On
Information
Nurse Prescriber , Volume 2 , Issue 2 , February 2005 , pp. 1 - 5 , e25
Copyright
© 2006 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Gray JM (1997). Evidence-based Healthcare. Edinburgh: Churchill Livingstone.
Barber N (1995). What constitutes good prescribing? British Medical Journal 310: 923–925.Google Scholar
Philips C, Thompson G (1997). What is Cost-Effectiveness? Hayward Medical Communications Ltd.
Jones C (2000). Research Methods (1). The Pharmaceutical Journal 268: 839–841.Google Scholar
Bucher HC, Weinbacher M et al. (1994). Influence of method of reporting study results on decision of physicians to prescribe drugs to lower cholesterol concentration. British Medical Journal 309: 761–764.Google Scholar
Greenhalgh T (2000). How to Read a Paper: the Basics of Evidence Based Medicine. London: British Medical Journal books.
Barry CA et al. (2000). Patients unvoiced agenda in general practice consultations: Qualitative study. British Medical Journal 320: 1246–1250.Google Scholar
Royal Pharmaceutical Society (1998). From Compliance to Concordance: Achieving Shared Goals in Medicines Taking. London: Royal Pharmaceutical Society. Sackett DL, Rosenburg WMC et al. (1996). Evidence-based medicine: what it is and what it isn't. British Medical Journal 312: 71–72.
Cox K et al. (2003). A Systematic Review of Communication between Patients and Healthcare Professionals about Medicine-taking and Prescribing. London: GKT Concordance Unit. King's College.