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P Olesgaard

Publications and source records attributed to P Olesgaard.

5 recordsLinked to original sources

[Generic prescription].

On the basis of increased interest by the Danish public, not only popularly but also professionally, for generic prescription, a review of the subject is presented. In USA, in particular, pronounced opposition to generic prescription exists from the medical profession and from the drug industry. It is considered that the incitement to develop an original product is weakened. It is feared that marketed "synonymous" product are not always synonymous. Investigation have been carried out to show that generic prescription can function to the satisfaction of everyone and parcticularly the consumers' satisfaction (up to 83% of the patients express satisfaction with arrangement in a Danish investigation). In addition, the system results in an immediate saving (approximately 7%), if it functions. However, at its best, the system functions in only half of the cases in the majority of places, in USA most frequently only in 10% and in England in 36%. The professional groups constitute the greatest obstacle. Doctors, in particular, show great doubts about the advisability of the system. If the system is to function at all, pharmacologists and doctors must be motivated to employ the system correctly. Education is necessary in order to avoid generic prescription involving considerable unpaid extra work for the pharmacist and the doctor. It is essential that the Danish Board of Health can guarantee that synonymous preparations on the market are, in fact, synonymous. Finally, decisions about the extent to which synonymous preparations may be dispensed must lie in the hands of the prescribing doctor who is responsible for the prescription.

Decision Making

[Generic prescription/substitution. A 6-month project in a general practice concerning prescription of synonymous preparations].

During a period of six months, two general practitioners with a total of approximately 2,800 Danish National Health Service patients investigated the advantages and disadvantages of generic prescription. Only preparations from Group C (heart and vascular disease) and Group M (bones, joints and muscles) were included. A total of 1,421 prescriptions were issued and synonym preparations were issued for 280 of these. A total of 135 out of 140 possible patients received synonym preparations and 98 (72.6%) out of 135 possible patients replied to a questionnaire sent to them. Out of these 82 (83.7%) were so satisfied with the arrangement that they considered that it should continue. Out of the total of 1,421 prescribed preparations, the savings involved were 6.4% from the Danish National Health Insurance, 4.5% for the communities and 8.4% for the patients. This corresponds to a total saving for Groups M and C of 18,628 Danish crowns (approximately 1,555 pounds) out of the original sum of 278,296 Danish crowns (approximately 23,200 pounds) which corresponds to 6.7%. In Denmark, Groups M and C constitute approximately 25% of all the prescriptions issued. More extensive investigations are recommended to illustrate this subject and before any definite conclusion are drawn.

Denmark