Gene
The recent Crown Review report on the prescribing, supply and administration
of medicines in the UK (copy online at Department of Health website)
included a review of the literature and comparisons with the set-up in other
countries. The work that led to, but was not published within our report
(because of the immense amount of information), was to be available to
legitimate scholars. You could apply to the Pharmacy Division at the Dept -
see document itself for details.
Sally Gooch
Member of the Crown Review Team
-----Original Message-----
From: Gene Elizabeth Harkless <[log in to unmask]>
To: [log in to unmask]
<[log in to unmask]>
Date: 06 July 1999 15:18
Subject: International differences in prescribing regulations
>I am trying to find information that describes the regulatory environment
>across different countries in the EEC and other countries world-wide that
>determines which pharmaceuticals are prescription only (legend or scheduled
>in US terms) and those that are over the counter sales requiring no
>prescription by a medical doctor. I am particularly interested in how
>these lists are determined and changed. Also, I would like to know if any
>of these lists differentiate which type of physician or other health care
>provider including nurses, pharmacists, optometrists, psychologists, etc.
>may prescribe which drug. It would also be helpful to know which countries
>have no restrictions on who buys drugs.
>
>I have searched through the EEC WWW site, Lexis/Nexis Academic, Medline,
>and have sent e-mails to a few international pharmaceutical and nursing
>organizations. Any information, ideas, or thoughts on this topic would
>be greatly appreciated. Send e-mails to me and I will be happy to share
>all I receive with others.
>
>The reason for my query to the listserve is that as a nurse practitioner
>educator I am very interested in the historical / social/ and evidence base
>for vesting nearly complete authority for drug prescribing in medical
>practice here in the US and worldwide. A few states (including New
>Hampshire where I live and work) now allow plenary authority to prescribe
>to nurse practitioners (NPs) and have done so now for nearly ten years with
>no evidence of any problems. Although NPs in New Hampshire have
>independent prescriptive authority (no requirement for supervision or
>collaboration), it is from a somewhat limited formulary that is determined
>by a board comprised of medical doctors, pharmacists, and nurse
>practitioners. To extend my understanding of prescriptive authority, I
>would like to learn more aobut the international environment for drug
>prescribing and the formal or informal status of nurses as drug
>prescribers.
>
>Lastly, I would like to thank whoever contributed the quote I use in my
>signature lines to the evidence based health listserve a few years back.
>It is one of my favorite quotes. I would love to know the exact source.
>
>Best wishes,
>
>Gene
>
>
>
>
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