ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2006
The relationship between prescribing expenditure and quality in primary care: an observational study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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Who cites it
4 citing papers in PubMed.
- Compliance with quality prescribing indicators linked to financial incentives: what about not incentivized indicators?: an observational study.European journal of clinical pharmacology · 2014Observational
- Achievement of cholesterol targets and prescribing of higher-cost statins: a cross-sectional study in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Correlation between prescribing quality and pharmaceutical costs in English primary care: national cross-sectional analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- The UK pay-for-performance programme in primary care: estimation of population mortality reduction.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIf all GPs target their prescribing appropriately, then a positive relationship may be expected between targeting quality indicators and associated prescribing expenditure. Little is known about this relationship.
aimTo explore the relationship between prescribing quality indicators and associated prescribing expenditures.
designObservational study of prescribing expenditure and quality indicators.
settingSeventy-one of the 121 practices in the Norfolk and Waveney area of East Anglia in England.
methodData were collected on quality indicators for 2002-2003 in seven areas likely to produce the greatest number of lives saved over a period of 1 year. This was linked to routine data on associated pharmaceutical expenditure.
resultsThere was considerable variation in quality in all areas apart from influenza immunisation. Significant correlations between prescribing quality and expenditure were found in only two of the seven areas. When quality scores were combined into a composite quality index weighted by health gain, a small positive association was found, but this association is lost if all indicators are weighted equally.
conclusionsThere appeared to be no relationship between quality indicators and prescribing expenditure at the practice level for most of the therapeutic areas studied. This suggests the possibility that there may be scope for some GPs to target prescribing more appropriately towards high risk patients -- and thus save more lives -- without increasing prescribing expenditure.
Indexed as
Identifiers
16882380PMC1874526What 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.