Evidence map›Paper›PMID 27476064›Full record

ArticleIrish journal of medical science2017

A study to investigate the factors that influence the prescribing habits of non-consultant hospital doctors in Ireland.

B Ramasubbu, M Heron, R Ramasubbu, P Murphy

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Article in Irish journal of medical science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

B RamasubbuDepartment of General Medicine, Midlands Regional Hospital, Tullamore, Ireland. ramasubb@tcd.ie.
M HeronDepartment of Anaesthesia, St George's Hospital, London, UK.
R RamasubbuDepartment of Undergraduate Medicine, University of Edinburgh, Edinburgh, UK.
P MurphyDepartment of General Medicine, Midlands Regional Hospital, Tullamore, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Health Service Executive estimates it spent just under €2 billion on medicines in 2013 following a fivefold increase in the cost of medicines over the preceding decade. With this increasing cost, it is important to understand what factors affect doctors prescribing.

aimsTo investigate the influencing factors on prescribing of non-consultant hospital doctors (NCHDs) in Irish hospitals and to provide data regarding the sources of information NCHD's use for commonly prescribed drugs.

methodsAll medical manpower offices of adult public hospitals in the Republic of Ireland were emailed with our survey for distribution to NCHDs. It contained demographic information and questions regarding factors which most influence their prescribing of particular drug groups. Tests of significance were carried out using Chi-square.

resultsOne hundred and seventy-nine surveys were returned out of a possible 8987 (0.02 %). Consultant preference was the biggest overall influencing factor on junior doctors prescribing (27 %). This was closely followed by local departmental policies (26 %). Evidence-based prescribing only influenced 14 % of the total prescribing of NCHDs with the pharmaceutical representative influence only a fraction behind (13 %). Knowledge obtained during medical school greater influenced postgraduate prescribing than undergraduate (34 vs 14 %, p = 0.046). Registrars were significantly more likely to prescribe using evidence-based medicine than intern and SHOs (p = 0.03).

conclusionsThe prescription of medications in Ireland by NCHDs varies greatly depending not only on drug group, but it is also affected by the doctors' previous education and experience. This information is key in leading to sensible cost-effective prescribing.

Indexed as

ConsultantsEvidence-Based MedicineFemaleHospitalsHumansIrelandMaleMedical Staff, HospitalPhysiciansPractice Patterns, Physicians'Surveys and QuestionnairesInfluencing factorsNon-consultant hospital doctorsPharmaceutical representativePrescribing

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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.