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Article Dans Une Revue Therapies Année : 2023

Prescription-free consultation in France and Europe: Rates’ evolution, physicians’ and patients’ perceptions from 2005 to 2019, a systematic review

Résumé

Background In 2005, the rate of prescription-free consultations in Europe varied widely: 57% in the Netherlands, 28% in Germany, 17% in Spain and 10% in France. Objectives To assess the number of prescription-free consultations in European countries since 2005 and to analyse the perceptions of patients and general practitioners (GPs). Methods This was a systematic review of the literature from 2005 to 2019, including both quantitative and qualitative studies on prescription-free consultations. Results Of 13,380 studies, 28 were included. The rates of prescription-free consultations were 30% in Belgium, 41% in Slovenia, 47% in the UK and 22% in France, according to the most recent figures. Swedish GPs estimated their prescription-free consultation rate at 70%. The only significant factor that decreased the number of prescription-free consultations was laboratory visits. According to the qualitative data, the main constraint was lack of time; the main facilitating factor was a shared medical decision. Conclusion Medical visits decreased the number of prescription-free consultations. According to qualitative studies, the main barrier was lack of time. The countries with the highest drug consumption levels were those with the lowest number of prescription-free consultations. Achieving prescription-free consultations to combat overmedication and for the quality of care and the environment is a priority. To understand and analyse consultations without prescriptions, a quantitative observational study was launched in France in 2020.

Dates et versions

hal-04382594 , version 1 (09-01-2024)

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Amélie B Richard, Bruno Mariotti, Nathalie Piñol-Domenech, Philippe Vorilhon, Hélène Vaillant-Roussel. Prescription-free consultation in France and Europe: Rates’ evolution, physicians’ and patients’ perceptions from 2005 to 2019, a systematic review. Therapies, 2023, 78 (6), pp.733--741. ⟨10.1016/j.therap.2023.02.011⟩. ⟨hal-04382594⟩
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