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With regard to demand-side measures, engineering activities include organizational or managerial interventions such as prescribing targets, whereas economic interventions include penalties on devolved budgets, financial incentives linked to prescribing targets, as well as differential patient co-payments [ 76].
An extensive review of the literature published in JAMA in 2000 found that doctor interactions with pharmaceutical companies led to increased prescription costs and "nonrational" prescribing, such as prescribing drugs that provide only incremental benefits to patients.
Expert systems can also act on absurd clerical errors, such as prescribing an obviously incorrect dosage of a drug for a patient whose weight and age data were accidentally transposed.
The Times has found that doctors who take money from drug makers often practice medicine differently from those who do not and that they are more willing to prescribe drugs in risky and unapproved ways, such as prescribing powerful antipsychotic medicines for children.
Nurses are also increasingly undertaking roles that have been the sole domain of doctors, such as prescribing.
Meanwhile, some practitioners employ electronic mechanisms such as prescribing websites and software products as an additional reference.
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This is to be assessed using routinely gathered data such as Prescribed Audit Reports and Prescribing Catalogues (PARC).
In addition, certain medications — such as nitroglycerin, prescribed for a heart condition, and estrogen, prescribed for menopausal symptoms — are notorious causes of headache.
Cognitive enhancement with drugs such as Ritalin, prescribed for attention deficit disorder, is already widespread, of course.
We also owe them credit for a large number of our drugs, including over-the-counter medicines such as aspirin, prescribed drugs such as digitalis and atropine, and controlled drugs such as opium, cocaine, marijuana, and tobacco.
Also, taking medications that lower the acidity of the stomach — such as those prescribed for acid reflux — might alter individual response.
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