Criteria, Reliability, and Determinants of Medical Prescription

Lazaro A.R.F.; Capuñay E.D.I.; Rodríguez V.S.R.; Meza M.I. · Revista Cubana de Farmacia (2025)

Resumen

Introduction: Prescription is a medical process that involves a great deal of responsibility and arises as a result of a specific diagnosis based on the symptoms associated with a known disease. Objective: To analyze the criteria, reliability, and determinants that influence medical personnel in the preparation of prescriptions in order to determine whether these personnel act within their professional profile and the Hippocratic oath. Methods: A systematic review of scientific articles was conducted using the Prisma method. The study period was set from 2018 to 2024, and the search was conducted in scientific journals indexed in databases such as Spring Link, Scopus, PubMed, and Google Scholar. Results: The search yielded a total of 23 articles for final analysis. Eleven Scopus-level documents were retrieved (47.83%). The year 2021 saw the highest number of scientific publications. Similarly, it was noted that 13 publications referred to decision criteria and only four specified aspects of reliability, while the remaining six articles indicated the determinants that influence the preparation of medical prescriptions. Conclusions: The criteria used and determinants that influence medical personnel in the preparation of a prescription have two aspects: the first is related to the persuasion of medical sales representatives associated with pharmaceutical marketing; the second is related to the ethical principles in prescription recommendations issued by physicians in tertiary or secondary hospitals, patient medication preferences, the financial situation of patients, and the minimum requirements for prescribing.

Instituciones: Universidad Peruana Los Andes; Universidad Privada Norbert Wiener; Universidad Privada del Norte