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This question was closed without grading. Reason: Other
Aug 7, 2008 11:03
16 yrs ago
9 viewers *
French term

prescription de complaisance

French to English Law/Patents Medical (general)
Under Guinean law, "ceux qui auront sciemment établis des prescriptions de complaisance de drogues a haut risque" will be imprisoned or fined.

Discussion

Ellen Kraus Aug 7, 2008:
Have carefully read the examples listed by you to come to the conclusion that inappropriate prescribing is something entirely different. It has nothing to do with the purpose of enhancing the yields of pharmacists or medical doctors.This was at least what
Ellen Kraus Aug 7, 2008:
Thank you for shedding light on this matter.I have come across similar comments before. Don´t you think that something should be done about it? After all face loss is involved not only for Proz but for all of us. As to complacency prescriptions, I will re
Sarah Russell (asker) Aug 7, 2008:
Indeed, my question is along those lines. I am just wondering whether there is a set term for "prescription de complaisance". Thanks for looking at this.
blavatsky Aug 7, 2008:
Is the question "those who have a history of knowingly prescribing drugs of high risk through complacency" will be imprisoned or fined ?

Proposed translations

-2
1 hr

complacency prescriptions

that ought to be the corresponding term in English . Complacency prescriptions designed to increase the turnover.
Peer comment(s):

disagree :::::::::: (X) : Sorry this does not exist in English Ellen
37 mins
I was of the same opinion, but then I consulted KudoZ glossary to find this expression. Would like to hear your comments
disagree Tony M : Nothing to do with 'complacency', this is about doing it to suit the patient (cf. flag / marriage of convenience) / 'complacency' is much narrower, just one of all the possible senses of 'complaisance' in FR
1 hr
this implies that complaisance and complacency are different notions. Why don´t you suggest the correct term? As a rule one contradicts if one has something better to offer.
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1 hr

inappropriate prescribing

Another set of issues which deserves attention is inappropriate prescribing. Seniors are more likely to receive prescriptions for medication that are potentially inappropriate; 11% to 46% of seniors receive at least one inappropriate prescription per year9,68-78. Inappropriate prescriptions include drugs that are relatively contraindicated by virtue of co-existing disease (drug-disease contraindications), by other drugs in an individual's treatment regimen (drug-drug interaction, therapeutic duplication), by age (drugs contraindicated in older persons) or by treatment duration (excess duration). Prescribing errors account for approximately 19% to 36% of drug-related hospital admissions79,80. The co-existence of multiple prescribing physicians, the number of drugs currently in the market (over 24,000), the number of relative contraindications documented (over 33,000) and deficiencies in physician knowledge related to both age and training are important contributors to the risk of inappropriate prescriptions81-83.

Annex 8 - Excessive or inappropriate prescribing - guidance ...- [ Traduire cette page ]1.1 The aim of this Guidance is to outline and provide examples of what might be considered to be excessive or inappropriate prescribing. ...
www.bma.org.uk/ap.nsf/Content/revisionnGMSFeb20062~annex8ex... - 25k - En cache - Pages similaires - À noter

Inappropriate prescribing for elderly Americans in...[Arch Intern ...- [ Traduire cette page ]Assessing potentially inappropriate prescribing in the elderly Veterans ... 1998]; Inappropriate drug prescribing for the community-dwelling elderly. [JAMA. ...
www.ncbi.nlm.nih.gov/pubmed/15302631 - Pages similaires - À noter

Inappropriate prescribing and health outcomes in elderly veteran ...Titre du document / Document title. Inappropriate prescribing and health outcomes in elderly veteran outpatients. Auteur(s) / Author(s) ...
cat.inist.fr/?aModele=afficheN&cpsidt=2670959 - Pages similaires - À noter

Inappropriate prescribing in an acutely ill population of elderly ...- [ Traduire cette page ]Introduction: Adverse drug events (ADEs) are associated with inappropriate prescribing (IP) and result in increased morbidity, mortality and resource ...
ageing.oxfordjournals.org/cgi/content/abstract/37/1/96 - Pages similaires - À noter

Inappropriate Prescribing Of Antibiotics By Nurses And Doctors ...- [ Traduire cette page ]6 Oct 2005 ... Both nurse practitioners and physicians are prescribing inappropriate antibiotics to patients with viral upper-respiratory tract infections, ...
www.sciencedaily.com/releases/2005/10/051006082725.htm - 47k - En cache - Pages similaires - À noter

Blackwell Synergy - J Clin Pharm Ther, Volume 32 Issue 2 Page 113 ...- [ Traduire cette page ]Conclusion: Given the high prevalence of inappropriate prescribing despite the ... Inappropriate prescribing encompasses the use of medicines that introduce ...
www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2710.2007.... - Pages similaires - À noter

Potentially inappropriate prescribing to hospitalised patientsidentified a high rate of prescribing potentially inappropriate medications among elders. Results of this study indicate that ...
doi.wiley.com/10.1002/pds.1531 - Pages similaires - À noter

Arch Intern Med -- Abstract: Inappropriate Medication Prescribing ...Inappropriate Medication Prescribing for Elderly Ambulatory Care Patients ... Conclusions Potentially inappropriate prescribing at ambulatory care visits by ...
archinte.ama-assn.org/cgi/content/abstract/164/3/305 - Pages similaires - À noter

Conference Presentation - Inappropriate Prescribing- [ Traduire cette page ]Inappropriate Prescribing. Ed Hunt Medical Consultant Department of Health and Community Services Newfoundland and Labrador ...
www.hc-sc.gc.ca/hcs-sss/pharma/nps-snpp/securit/hunt-cas-en... - 17k - En cache - Pages similaires - À noter

IngentaConnect Inappropriate prescribing in the elderly- [ Traduire cette page ]Drug utilization review tools can highlight instances of potentially inappropriate prescribing to those involved in elderly pharmacotherapy, i.e. doctors, ...
www.ingentaconnect.com/content/bsc/jcpt/2007/00000032/00000... - Pages similaires - À noter




Note from asker:
Dr Jones, I wanted to thank you very much for your input and the many reference websites you provided. However, I will close this question without grading, simply because I feel that Tony M has a good point drugs being prescribed for illegitimate purposes so would rather leave each translator to make up their own mind depending on their context. Thanks again for your help.
Peer comment(s):

agree lexeme
37 mins
merci
neutral ormiston : may I timidly just check something, although I respect your suggestion - to me 'complaisance' includes the notion of a prescription delivered at the instigation of the patient, presumably often inappropriate and unsafe, but perhaps not always
46 mins
no both patient and doctor
disagree Tony M : Yes, whether or not it is 'inappropriate' is not the key issue; this is about prescribing drugs that are not needed for medical reasons, just to oblige the patient. / Not in the examples you cite.
1 hr
that's what inappropriate means ; don't understand your weird remark T
Something went wrong...
2 hrs

patient- driven prescriptions

or delivered at the instigation of the patient. Ellen's comment has given me a little more confidence
La prescription de complaisance est un autre sujet qui mérite qu'on s'y arrête. Les personnes âgées sont plus susceptibles de se faire prescrire des médicaments probablement non indiqués ; 11 à 46 % d'entre elles reçoivent au moins une ordonnance non indiquée par année9, 68-78. Dans les prescriptions de complaisance nous incluons les médicaments qui sont plus ou moins contre-indiqués en raison d'une maladie concomitante (contre-indication médicament-maladie), en raison de la présence d'un médicament dans le régime médicamenteux (interaction médicament-médicament, médicament qui fait double emploi), de l'âge (médicaments contre-indiqués pour les personnes âgées) ou de la durée du traitement (durée excessive). Les erreurs de prescription représentent à peu près de 19 à 36 % des admissions à l'hôpital pour cause médicamenteuse79, 80. La coexistence de plusieurs médecins prescripteurs, le nombre de médicaments actuellement commercialisés (plus de 24 000), le nombre de contre-indications relatives documentées (plus de 33 000) et les lacunes dans les connaissances des médecins attribuables à leur âge et à leur formation sont d'importants facteurs qui contribuent à accroître le risque de la prescription de complaisance81
Peer comment(s):

neutral Tony M : I think the idea is right in general, except that i don't think this is about people asking to be given lots of medicines for the sake of it; it's about doctors prescribing hard drugs that are not medically justified, for patient's 'recreational' purposes
14 mins
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6 hrs

"doctor shopping" / prescribing unneeded medication at the patient's request

Is this what you are looking for? There are lots of articles on the net about it.

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+1
23 hrs

unjustified prescription

3 Aug 2007 ... produce to testify that any particular prescription was unjustified, .... A physician should not be contributing to putting prescription ...
advanceindiana.blogspot.com/2007/08/doctor-feel-good.html - 125

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Note added at 4 days (2008-08-11 11:38:56 GMT)
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unjustified prescription under patient pressure

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Note added at 4 days (2008-08-11 11:39:27 GMT)
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Patient pressure demanding a prescription is known to influence ... of patient pressure, reduced unjustified antimicrobial prescription (Chuc and others ...
www.dcp2.org/pubs/DCP/55/Section/8167 - 57k
Peer comment(s):

neutral Tony M : Clearly would be the case, but somehow misses out the fact that this it specifically to oblige the patient
2 hrs
add under patient pressure...
agree medilator : I agree with Tony on this matter, but the sad truth is, there simply is no better translation for this in English.
2 days 7 hrs
Thank you.
neutral Jean-Louis S. : I think it is the best choice so far//Sorry to retract my agreement but I now think that "illigetimate prescription" is the appropriate translation.
2 days 12 hrs
Not for me, illigetimate prescription might imply the prescriber is not a physician.
Something went wrong...
+1
6 hrs

prescription [of high risk drugs] solely for the patient's convenience

Another suggestion, although I still feel that something better could be found.
It is a rephrasing of Sophie's "prescribing unneeded medication at the patient's request"
I feel that "inappropriate" does not reflect the patient's input in the affair.
"Complacency" got shot-down.
"patient-driven" sounds good to me but as Tony pointed out it does not reflect the unnecessary character of the prescription "de complaisance".

--------------------------------------------------
Note added at 11 days (2008-08-18 16:48:19 GMT)
--------------------------------------------------

I think that the best translation would be "illegitimate prescription".
http://caselaw.lp.findlaw.com/scripts/getcase.pl?court=ma&vo...
www.painandthelaw.org/mayday/brushwood_042606.php
http://books.google.com/books?id=7VrQy2d8PxYC&pg=PA93&lpg=PA...
http://www.aslme.org/research/mayday/24.4/24.4c.php
Peer comment(s):

agree Tony M : Yes, i think you have at last come up with the appropriate term!
10 days
Thank you Tony!
neutral Drmanu49 : Does not convey the "unnecessary" aspect. It would be more "unnecessary and solely to answer patient demand" but that would be way too long.
11 days
Something went wrong...
+1
11 days

illegitimate prescription

Jlsjr suggested this first, on the basis of a comment I'd originally made; I am just posting it here in order to give it greater prominence for the benefit of future glossary users.
Peer comment(s):

agree Jean-Louis S.
4 hrs
neutral Drmanu49 : might mean the prescriber is not a physician Tony.
7 hrs
Something went wrong...

Reference comments

3 hrs
Reference:

Do let's note that this is a very specific context; it may well be, of course, that such precriptions would be considered 'inappropriate' — but here, they're clearly referring to the dishonest practice of prescribing hard drugs (like morphine, for example), to people who don't actually need them, so that they can procure them 'legitimately' for potentially illegitiamte purposes.

Cf. the use of:

certificat ou attestation de complaisance : medical ou doctor's certificate (issued for non-genuine illness to oblige a patient)

pavillon de complaisance : flag of convenience

and of course the similar term in EN, marriage of convenience.

However, I don't think one can probably use the term 'prescription of convenience' !!
Peer comments on this reference comment:

neutral Jean-Louis S. : I believe you had the answer (illegitimate) in your reference information all that time!
11 days
Thanks, jlsjr! In fact, now you come to mention it, that does rather seem to fit the bill, doesn't it? Wish I'd posted an answer now!
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