A formulary is a concise summary of medication guidelines regarding an illness or indication, agreed upon by health care professionals within a region. The formulary serves to guide the general practitioner or other health care staff when prescribing medication for a certain indication. Treatment options are listed by symptom, complaint or illness, and are divided into treatment steps and/or therapy options.
Directly put into practice
Medication management is an important factor in implementing guidelines. Formularies are not booklets that can be flicked through occasionally, but crucial links in the clinical process with many national, regional and local implications. Formularies are generally provided in the form of booklets, works of reference or websites. Prescriptor, however, provides the opportunity to implement formularies into clinical practice. These formularies are directly integrated into the HIS (information system for GPs) and are therefore also implemented into the day-to-day activities of general practitioners. Prescriptor allows formularies to be applied in practice to individual patients, which is not the case with the more general paper formularies.
Local + regional
Several digital formularies are available in Prescriptor at the moment: national ones (NHG-EVS, ETAS) and regional ones (Nijmeegs formularium). The differences between these formularies lie mainly in the extent to which changes are pursued. The composition of review panels also plays a role, for example whether or not specialists and/or (hospital) pharmacists were involved. Local influences of and agreements between primary and secondary health care play an important role too. Local dynamics are likely to play a role in a limited number of indications within a pharmacotherapeutic (transmural) review (FT(T)O). The above-mentioned factors make it all the more desirable to combine national and/or regional pharmacotherapeutic guidelines with local agreements.
Implementing FTO agreements
Aside from being a reference work based on national guidelines, Prescriptor offers guidance for electronic prescriptions. A health care or FTO group can take knowledge management into their own hands using the so-called Wizard and seek alliance with other health care chains or local groups. This makes it possible to include local agreements, therapy options and potential cost-efficient regional and/or local preferences into the system. Agreements that have been included through the Wizard can be unlocked with a special license key by the prescribers involved..
The advantage is that agreements in the clinical practice automatically appear on the 'desktop', which promotes compliance. Your health care or FTO group will have the opportunity to make the guidelines even more effective and interdisciplinary. An example of a successful implementation is the FTO group Asten, where pharmacists and general practitioners have used this method for over 10 years, which has gained them the qualification of 'best practice'.
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