ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2002
A qualitative comparative investigation of variation in general practitioners' prescribing patterns.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Context and general practitioner decision-making - a scoping review of contextual influence on antibiotic prescribing.BMC family practice · 2021Article
- Multivariate Analysis of Physicians' Practicing Behaviors in an Urgent Care Telemedicine Intervention.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019Article
- Visualizing nationwide variation in medicare Part D prescribing patterns.BMC medical informatics and decision making · 2018Article
- Predicting medical practices using various risk attitude measures.The European journal of health economics : HEPAC : health economics in prevention and care · 2018Article
- Gender differences in French GPs' activity: the contribution of quantile regressions.The European journal of health economics : HEPAC : health economics in prevention and care · 2015Article
- 'A coal face option': GPs' perspectives on the rise in antidepressant prescribing.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Do decision support systems influence variation in prescription?BMC health services research · 2009Article
- Characteristics of children consulting for cough, sore throat, or earache.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- Variations in activity and practice patterns: a French study for GPs.The European journal of health economics : HEPAC : health economics in prevention and care · 2007Article
- Early discontinuation: more frequent among general practitioners with high levels of prescribing.European journal of clinical pharmacology · 2007Article
- Understanding the effects of a decentralized budget on physicians' compliance with guidelines for statin prescription--a multilevel methodological approach.BMC health services research · 2007Article
- Extent and structure of health insurance expenditures for complementary and alternative medicine in Swiss primary care.BMC health services research · 2006Article
- Understanding adherence to official guidelines on statin prescribing in primary health care--a multi-level methodological approach.European journal of clinical pharmacology · 2005Article
- A qualitative study of barriers to the use of statins and the implementation of coronary heart disease prevention in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn New Zealand there is increasing interest in the variation in the prescribing behaviours of general practitioners (GPs). Research conducted to date hasfocused primarily on the quantifiable aspects of prescribing variation.
aimTo investigate the qualitative aspects that may help explain variations in prescribing behaviour between GPs. DESIGN OF STUDY: Qualitative and comparative interviews.
settingThirty New Zealand GPs.
methodA sample of 60 GPs (comprising 20 low, 20 medium, and 20 high-cost prescribers) was selected. Half of this sample (10 GPs in each prescribing category) was recruited to the study. Responders participated in a 60-minute interview.
resultsLow-cost prescribers reported more experience in practice and appeared to have a more 'relaxed' attitude towards medicine. They were more comfortable with refusing patients and they responded to patient expectations with education and explanation. In addition, they viewed the prescription as a pragmatic means of delivering health care to patients. Low and medium-cost prescribers did moreformal counselling and emphasised the 'listening' aspects of general practice. High-cost prescribers appeared to be more highly motivated and to have a more 'serious' attitude toward medicine. They tended to view their obligations and responsibilities to the patient in terms of medical competence. They described their roles with patients in terms of service provision and suggested that patients viewed the prescription as a signifier of the GP's service to the patient.
conclusionThis study suggests that there are discernible, non-quantifiable differences between low, medium, and high-cost prescribers in the Otago and Southland areas of New Zealand.
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Identifiers
12014535PMC1314293What 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.