ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2003
A qualitative study to explore influences on general practitioners' decisions to prescribe new drugs.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors affecting the uptake of new medicines: a systematic literature review.BMC health services research · 2014Pooled it
- French Consumption of Methylphenidate in Primary Care From 2016 to 2023, Impact of Prescribing Policy Changes-A Time-Series Analysis.Pharmacoepidemiology and drug safety · 2026Article
- Context and general practitioner decision-making - a scoping review of contextual influence on antibiotic prescribing.BMC family practice · 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
- Antidiabetic medication use in patients with type 2 diabetes and chronic kidney disease.Journal of diabetes and its complications · 2019Article
- The prescription of lidocaine patches in osteoarthritis-a complete audit cycle.Irish journal of medical science · 2019Article
- "I'm Dr Jekyll and Mr Hyde": are GPs' antibiotic prescribing patterns contextually dependent? A qualitative focus group study.Scandinavian journal of primary health care · 2013Article
- An ethnographic exploration of influences on prescribing in general practice: why is there variation in prescribing practices?Implementation science : IS · 2013Article
- Would primary healthcare professionals prescribe a polypill to manage cardiovascular risk? A qualitative interview study.BMJ open · 2013Article
- What differentiates primary care physicians who predominantly prescribe diuretics for treating mild to moderate hypertension from those who do not? A comparative qualitative study.BMC family practice · 2012Article
- Primary care physicians' adoption of new drugs is not associated with their clinical interests: a pharmacoepidemiologic study.Scandinavian journal of primary health care · 2011Article
- Statin prescribing in Northern Ireland and England pre and post introduction of the quality and outcomes framework.Pharmacy world & science : PWS · 2010Article
- Therapeutic traditions, patient socioeconomic characteristics and physicians' early new drug prescribing--a multilevel analysis of rosuvastatin prescription in south Sweden.European journal of clinical pharmacology · 2009Article
- Is new drug prescribing in primary care specialist induced?BMC health services research · 2009Article
- Patient educational level and use of newly marketed drugs: a register-based study of over 600,000 older people.European journal of clinical pharmacology · 2008Article
- Factors influencing GPs' choice between drugs in a therapeutic drug group. A qualitative study.Scandinavian journal of primary health care · 2007Article
- General practitioners' adoption of new drugs and previous prescribing of drugs belonging to the same therapeutic class: a pharmacoepidemiological study.British journal of clinical pharmacology · 2005Article
- International variation in prescribing antihypertensive drugs: its extent and possible explanations.BMC health services research · 2005Article
- Changes in prevalence of and prescribing for ischaemic heart disease in Ireland 1990-2002.Irish journal of medical scienceArticle
- Factors Influencing Physician Prognosis: A Scoping Review.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnsuring appropriate prescribing is an important challenge for the health service, and the need for research that takes account of the reasons behind individual general practitioners' (GPs) prescribing decisions has been highlighted.
aimTo explore differences among GPs in their decisions to prescribe new drugs. DESIGN OF STUDY: Qualitative approach, using in-depth semistructured interviews.
settingNorthern and Yorkshire Health Authority Region.
methodParticipants were identified from a random sample of 520 GPs in a quantitative study of patterns of uptake of eight recently introduced drugs. Purposeful sampling ensured inclusion of GPs prescribing any of the eight drugs and working in a range of practice settings. Fifty-six GPs were interviewed, using a topic guide. Interviews were recorded on audiotape. Transcribed text was methodically coded and data were analysed by constantly comparing emerging themes.
resultsBoth low and high prescribers shared a view of themselves as conservative in their prescribing behaviour. Low prescribers appeared to conform more strongly to group norms and identified a consensus among practice partners in prescribing and cost-consciousness. Conformism to group norms was represented by a commitment to practice formularies. High prescribers more often expressed themselves to be indifferent to drug costs and a shared practice ethos.
conclusionsA shift in the attitudes of some GPs is required before cost-effectiveness is routinely incorporated in drug prescribing. The promotion of rational prescribing is likely to be more successful if efforts are focused on GPs' appreciation of cost issues and attitudes towards shared decision-making and responsibility.
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12817357PMC1314511What 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.