Evaluation of drug prescription at the Geneva prison's outpatient service in comparison to an urban outpatient medical service

Article Article scientifique Article Evaluation of drug prescription at the Geneva prison's outpatient service in comparison to an urban outpatient medical service eng 2004 author Elger Bernice Simone 29552 author Bindschedler Marc 83884 author Goehring Catherine 36096 author Antonini Revaz Sylvie 633-644 10.1002/pds.907 15362087 1053-8569 PURPOSE: To analyse non-psychotropic drug prescription in a prison outpatient clinic in comparison with an urban medical outpatient service. METHODS: Comparative study during 3 weeks at Geneva: prison outpatient service and medical policlinic (MP) of the University Hospital. RESULTS: The most often prescribed non-psychotropic drugs at the Geneva prison were systemic analgesics (mostly non-steroidal anti-inflammatory drugs (NSAID) and paracetamol), dermatologicals, systemic anti-infectives and drugs for the gastrointestinal system. For most types of non-psychotropic drugs, frequency of prescription as well as the prescribing patterns were similar in the prison ambulatory service and the urban MP. Dermatologicals were prescribed more frequently at the prison than at the MP. Analgetics have been prescribed mainly for osteoarticulary reasons, especially low back pain at the MP, and for traumatism and headache at the prison. CONCLUSIONS: The higher frequency of dermatological prescriptions could be due to prison environmental factors. We do not have arguments for any overprescription of analgesics or other non-psychotropic drugs. The data did not show any prescription or co-prescription of several substances that violated clinical guidelines. Adult Drug Prescriptions/statistics & numerical data Drug Utilization Female Humans Male Middle Aged Outpatient Clinics, Hospital/statistics & numerical data Pharmaceutical Preparations/administration & dosage Physician's Practice Patterns/statistics & numerical data Prisoners/statistics & numerical data Prisons/statistics & numerical data Switzerland Urban Health Services/statistics & numerical data Dewey 614.1 67 Institut de médecine légale 22A2 false Pharmacoepidemiology and drug safety 13 9 e584b040-ee46-4f76-9be4-c60de174447e Article (Accepted version) Restricted Article.pdf 121451 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires / Institut de médecine légale

Title	Published in	Year	Views	Downloads

Prescription médicamenteuse non psychotrope à la prison préventive de Champ-Dollon en 1997		2004	1,272	745
Evaluation of drug prescription at the Geneva prison's outpatient service in comparison to an urban outpatient medical service	Pharmacoepidemiology and drug safety	2004	641	0

Archive ouverte UNIGE

Bindschedler, Marc