David de Bhál wrote:
http://australianit.news.com.au/articles/0,7204,19298148%5e16123%5e%5enbv%5e,00.html

David,

We all have interests, even Dr Phillips.

He has a point, but some of his arguments are spurious, and he fails to draw a comparison between:

1. prescribing manually with a paper Mims somewhere around,
2. a GPs 'best' information about interactions coming from the various drug reps he/she sees, or
3. having one of the software packages popping up warnings.

"There are a lot of differences between the software programs, so doctors have 
become cynical about the accuracy of the data," Dr Phillips said.

Most doctors have only experience of one package, so this is fanciful.

"The alerts that pop-up on the computer about drug interactions have a reputation of being relatively indiscriminate, so the doctor will ignore them or switch the alert system off."

A lot of this is doctor ignorance in the use of their software, or arrogance in believing they know better.

I'd hate to be GP who had to face a lawsuit based on inappropriate prescribing if he'd turned off his interaction warnings.

But I have to agree that prescribing is a bit of a lottery. Banning drug reps would help.

I wonder how he'll get GPs to use their system?

Greg
--
Greg Twyford
Information Management & Technology Program Officer
Canterbury Division of General Practice
E-mail: [EMAIL PROTECTED]
Ph.: 02 9787 9033
Fax: 02 9787 9200

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