ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2022
Low-value pharmaceutical care among Dutch GPs: a retrospective cohort study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- Low-value chronic prescription of acid reducing medication among Dutch general practitioners: impact of a patient education intervention.BMC primary care · 2024Trial
- Advancing sustainable medication use in healthcare: a Delphi study on (de)prescribing interventions.BMJ open · 2026Article
- Unwarranted variation in potentially inappropriate medication in general practice: a Danish nationwide register-based cohort study.BMJ open · 2026Article
- Associations of Chinese diagnosis-related group system with low-value coronary revascularisation: an interrupted time series analysis.BMJ open · 2025Observational
- Article
- 'Give me something meaningful': GPs perspectives on how to improve an audit and feedback report provided by health insurers - an exploratory qualitative study.BMJ open quality · 2022Article
Corrections and comments
- Erratum issuedCorrections.2024
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLow-value pharmaceutical care exists in general practice. However, the extent among Dutch GPs remains unknown.
aimTo assess the prevalence of low-value pharmaceutical care among Dutch GPs. DESIGN AND
settingRetrospective cohort study using data from patient records.
methodThe prevalence of three types of pharmaceutical care prescribed by GPs between 2016 and 2019 were examined: topical antibiotics for conjunctivitis, benzodiazepines for non-specific lower back pain, and chronic acid-reducing medication (ARM) prescriptions. Multilevel logistic regression analysis was performed to assess prescribing variation and the influence of patient characteristics on receiving a low-value prescription.
resultsLarge variation in prevalence as well as practice variation was observed among the types of low-value pharmaceutical GP care examined. Between 53% and 61% of patients received an inappropriate antibiotics prescription for conjunctivitis, around 3% of patients with lower back pain received an inappropriate benzodiazepine prescription, and 88% received an inappropriate chronic ARM prescription during the years examined. The odds of receiving an inappropriate antibiotic or benzodiazepine prescription increased with age (
conclusionThe results show that the prevalence of low-value pharmaceutical GP care varies among these three clinical problems. Significant variation in inappropriate prescribing exists between different types of pharmaceutical care - and GP practices.
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