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It is well-known that there is a lack of continuity in care received from the emergency department, as patients have to visit their physician in order to receive official prescriptions.
Others reported buying medicine without official prescriptions and taking it without doctor supervision, simply because ongoing restrictions make it so difficult to access a health provider.
The clinical data were obtained from computerized medical records and pharmaceutical records of medications dispensed in pharmacies with official prescriptions.
Drug utilisation data in Spain are recorded in the billing database managed by the Pharmaceutical Board on the basis of all official prescriptions dispensed.
Another problem was that because the referral system is not implemented and as the public does not have enough trust in primary care physicians, FPs find themselves in the position of being a person who just writes official prescriptions for medicines prescribed to patients by specialists.
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Drugs are always prescribed by a doctor using an official prescription and the patient pays 40% of the price.
An official prescription is needed to obtain AD drugs.
By law, pharmacists may only dispense prescription drugs (Rx-only) on production of an official prescription signed by a physician.
The information on patients' drug use was obtained from the prescriptions dispensed at the pharmacy offices, as official prescription is obligatory for medication of this kind.
However, in Spain, vaccines can only be bought with an official prescription signed by a physician; in addition, these are provided free of charge in health centers.
Studies have demonstrated that there is good concordance between self-reported psychotropic medication use and information obtained from official prescription databases for most psychotropic drugs [ 42].
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