Prescription patterns of anxiolytics in remote consultation versus in-person consultation: a cross-sectional study in French general practice.

IF 2.5 Q2 PRIMARY HEALTH CARE

BJGP Open Pub Date : 2025-03-13 DOI:10.3399/BJGPO.2024.0176

Flora Descans, Vincent Tarazona, David De Bandt

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Abstract

Background: Teleconsultation is a new mode of medical consultation in France, poorly evaluated, and anxiolytics are among the drug classes at risk of over-medication.

Aim: This study analyses the prescription patterns of anxiolytics in remote consultation (RC) versus in-person consultation (IPC) in general practice.

Design & setting: This is a retrospective cross-sectional study in French general practice in 2021.

Method: Consultations at volunteer general practice offices were analysed. The mode of consultation was extracted. For each consultation with an anxiolytic prescription, the prescribed daily dose (PDD), the age, gender, initiation or renewal of treatments, and the length time before the next consultation were recorded. Chi square was performed to compare the correlation between the mode of consultation and the drug prescription. Then, for consultation with anxiolytic prescription, multivariate models were conducted to analyse the PDD and the average time interval before the next consultation adjusted for consultation characteristics.

Results: A total of 46 880 consultations were included from 11 general practitioners. The rate of consultations with anxiolytic prescriptions was identical in RC and IPC, but the PDD was higher by 6.17 in RC compared to IPC (95% CI=0.21; 12.12; P=0.04). The average time interval before the next consultation was identical in RC and IPC.

Discussion: The rate of consultations with anxiolytic prescriptions is identical in RC and IPC, but the prescribed doses are higher in RC. Given the adverse effects of these treatments, general practitioners should reflect on their prescriptions to avoid over-medication.

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背景远程会诊在法国是一种新的医疗会诊模式，对其评估不足，而抗焦虑药是有过度用药风险的药物类别之一。目的：本研究分析了全科医生在远程会诊（RC）与现场会诊（IPC）中开具抗焦虑药处方的模式：这是一项 2021 年在法国全科诊所进行的回顾性横断面研究：方法：分析志愿者全科诊所的咨询情况。提取咨询方式。对于每次开具抗焦虑药处方的就诊，记录处方的日剂量（PDD）、年龄、性别、治疗的开始或延续以及距下次就诊的时间长度。通过卡方检验比较了就诊方式与处方药物之间的相关性。然后，针对开具抗焦虑药处方的就诊情况，建立多变量模型，分析根据就诊特征调整后的PDD和下次就诊前的平均时间间隔：结果：11 名全科医生共提供了 46 880 次咨询。开具抗焦虑药处方的就诊率在 RC 和 IPC 中相同，但 RC 的 PDD 比 IPC 高 6.17（95% CI=0.21; 12.12; P=0.04）。讨论：讨论：开抗焦虑药处方的就诊率在 RC 和 IPC 中相同，但 RC 的处方剂量更高。鉴于这些治疗方法的不良影响，全科医生应反思自己的处方，避免过度用药。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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