ArticlePharmacoEconomics1999
The influence of hospital-based prescribers on prescribing in general practice.
Article in PharmacoEconomics, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.
- [A systematic review of therapy coordination between primary and specialist care].Atencion primaria · 2007Pooled it
- Assessment of an electronic patient record system on discharge prescribing errors in a Tertiary University Hospital.BMC medical informatics and decision making · 2021Article
- Impact of a change of bronchodilator medications in a hospital drug formulary on intra- and out-of-hospital drug prescriptions: interrupted time series design with comparison group.Implementation science : IS · 2020Article
- GPs' perspectives on prescribing for older people in primary care: a qualitative study.British journal of clinical pharmacology · 2017Article
- Addressing potentially inappropriate prescribing in older patients: development and pilot study of an intervention in primary care (the OPTI-SCRIPT study).BMC health services research · 2013Review
- The role of discounts and loss leaders in medicine procurement in Austrian hospitals - a primary survey of official and actual medicine prices.Cost effectiveness and resource allocation : C/E · 2013Article
- The influence of drug use in university hospitals on the pharmaceutical consumption in their surrounding communities.British journal of clinical pharmacology · 2013Article
- Patented drug extension strategies on healthcare spending: a cost-evaluation analysis.PLoS medicine · 2013Article
- [Induced prescription in primary care: a bioethics perspective].Atencion primaria · 2012Article
- Prediction of persistence of combined evidence-based cardiovascular medications in patients with acute coronary syndrome after hospital discharge using neural networks.Medical & biological engineering & computing · 2011Article
- Non-clinical influences on clinical decision-making: a major challenge to evidence-based practice.Journal of the Royal Society of Medicine · 2010Review
- Is new drug prescribing in primary care specialist induced?BMC health services research · 2009Article
- Does hospitalisation affect hypnotic and anxiolytic drug prescribing?Pharmacy world & science : PWS · 2007Article
- What therapies have replaced rofecoxib in Ireland?British journal of clinical pharmacology · 2007Article
- The influence of hospitalisation on drug prescription in primary care--a large-scale follow-up study.European journal of clinical pharmacology · 2007Article
- Impact of high dose statin trials on hospital prescribers.European journal of clinical pharmacology · 2007Article
- Effect of clinical trial publicity on HRT prescribing in Ireland.European journal of clinical pharmacology · 2006Article
- The influence of guidelines on the use of statins: analysis of prescribing trends 1998-2002.British journal of clinical pharmacology · 2005Article
- Influence of socioeconomic status on the quality of prescribing in the elderly -- a population based study.British journal of clinical pharmacology · 2004Article
- Have COX-2 inhibitors influenced the co-prescription of anti-ulcer drugs with NSAIDs?British journal of clinical pharmacology · 2004Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo document the influence of hospital prescribers on prescribing in general practice. DESIGN AND
participantsFive percent of members of the Irish College of General Practitioners (n = 92) prospectively recorded 40 consecutive prescriptions.
interventionsThe name, dose and amount of medicine prescribed as well as the indication for therapy, details of their practice, distribution of private/GMS patients, and the number of years since qualification were recorded. The cost of individual prescriptions was calculated based on the ingredient cost and the number of days of treatment. This was subsequently correlated with the origin of the prescription. Each prescription was classified as either new or repeat. MAIN OUTCOME MEASURES AND
resultsOf 3286 prescriptions, 69% were for the state-supported General Medical Services (GMS) patients and 31% for private patients. Repeat prescriptions constituted 51%; 49% were new prescriptions. While hospital doctors initiated only 8% of private prescriptions, they initiated 38% of GMS prescriptions, particularly repeat prescriptions and those for cardiovascular, hormonal and centrally-acting agents. Prescriptions for anti-infectives, oral contraceptives, dermatological preparations and musculoskeletal drugs were mostly initiated in general practice. The median cost for hospital-initiated GMS prescriptions (5.93 Pounds) was greater than the cost of general practitioner (GP)-initiated prescriptions (3.49 Pounds; p < 0.01). Prescriptions from GPs who were qualified for less than 10 years and those with a mixed urban and rural practice were less costly (p < 0.05) than those issued by doctors qualified for over 10 years or working predominantly in an urban or rural area. These findings may also reflect differences in patient population, morbidity and demography.
conclusionsOur study indicates that hospital-initiated prescriptions are responsible for a significant proportion, both in volume and cost of GP prescribing.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.