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Prescription and dispensing duration of medicines for hypertension and other chronic conditions: a review of international policies and evidence to inform the Australian setting
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Primary Care Center, Primary Health Care Center Cityhälsan Centrum. The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia.ORCID iD: 0000-0001-6038-5131
School of Population Health, University of New South Wales, Sydney, Australia.ORCID iD: 0000-0001-6444-7272
The George Institute for Global Health, University of New South Wales, Sydney, Australia.ORCID iD: 0000-0002-9931-0580
Sydney Pharmacy School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.ORCID iD: 0000-0003-4674-0242
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2024 (English)In: Hypertension Research, ISSN 0916-9636, E-ISSN 1348-4214Article, review/survey (Refereed) Epub ahead of print
Abstract [en]

The duration of treatment for which a physician may prescribe a medicine, ‘prescription duration’, is often dispensed at the pharmacy on multiple occasions of shorter time periods, ‘dispensing duration’. These durations vary significantly between and within countries. In Australia, the quantity of medication supplied at each dispensing has recently been extended from 30 to 60 days for a selection of medicines used for chronic health conditions, such as diabetes and hypertension. Dispensing durations vary between countries, with 30, 60 or 90 days being the most common—with 90 days aligning with the recommendation of the 2023 Global Report on Hypertension from the World Health Organization. The full impact of shorter vs longer prescription durations on health costs and outcomes is unknown, but current evidence suggests that 90-day dispensing could reduce costs and improve patient convenience and adherence. More rigorous research is needed.

Place, publisher, year, edition, pages
Springer Nature, 2024.
Keywords [en]
Hypertension, prescription duration, dispensing duration, medication
Keywords [sv]
Hypertoni, förskrivningstid, dispensionstid, läkemedel
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-204229DOI: 10.1038/s41440-024-01743-2ISI: 001240466800001PubMedID: 38849500OAI: oai:DiVA.org:liu-204229DiVA, id: diva2:1866497
Note

Funding Agencies|Swedish National Research School in General Practice; George Institute for Global Health, Sydney, Australia; Strategic Research Network in Circulation and Metabolism at Linkoeping University (LiU-CircM); Swedish Society for Medical Research; NHMRC Leadership Investigator Grant [ID2017504]; National Heart Foundation of Australia [105609]; CAUL

Available from: 2024-06-07 Created: 2024-06-07 Last updated: 2024-06-26

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af Geijerstam, PederFalster, Michael OChalmers, JohnMcLachlan, Andrew JRodgers, AnthonySchutte, Aletta E.
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Division of Prevention, Rehabilitation and Community MedicineFaculty of Medicine and Health SciencesPrimary Health Care Center Cityhälsan Centrum
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Hypertension Research
Public Health, Global Health, Social Medicine and Epidemiology

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