ArticleBMJ (Clinical research ed.)1995
Appropriate prescribing in asthma and its related cost in east London.
Article in BMJ (Clinical research ed.), 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Trial
- Sharing resources to create a district drug formulary: a countywide controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 1996Trial
- Do clinical guidelines introduced with practice based education improve care of asthmatic and diabetic patients? A randomised controlled trial in general practices in east London.BMJ (Clinical research ed.) · 1995Trial
- Inter-rater reliability of explicit indicators of prescribing appropriateness.Pharmacy world & science : PWS · 2005Article
- Relationship style between GPs and community mental health teams affects referral rates.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Article
- Comparison of indicators assessing the quality of drug prescribing for asthma.Health services research · 2001Article
- Lessons from the London Initiative Zone Educational Incentives funding: associations between practice characteristics, funding, and courses undertaken.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000Article
- Do practice-based preventive child health services affect the use of hospitals? A cross-sectional study of hospital use by children in east London.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000Article
- Changing clinical practice: views about the management of adult asthma.Quality in health care : QHC · 1999Article
- Study in London confirms influence of ethnic group on treatment for asthma.BMJ (Clinical research ed.) · 1996Article
- Prescribing patterns and costs.Journal of the Royal Society of Medicine · 1996Article
- Prescribing and hospital admissions for asthma in east London.BMJ (Clinical research ed.) · 1996Article
- Characteristics of general practices that prescribe appropriately for asthma.BMJ (Clinical research ed.) · 1995Article
- General practitioner reaccreditation: use of performance indicators.The British journal of general practice : the journal of the Royal College of General Practitioners · 1995Article
- Appropriate prescribing in asthma.BMJ (Clinical research ed.) · 1995Article
- Appropriate prescribing in asthma. Good prescribing is encouraged.BMJ (Clinical research ed.) · 1995Article
- Appropriate prescribing in asthma. Cost and cost effectiveness are different.BMJ (Clinical research ed.) · 1995Article
- Appropriate prescribing in asthma. PACT data have drawbacks.BMJ (Clinical research ed.) · 1995Article
- Appropriate prescribing in asthma. NHS executive promotes prophylaxis.BMJ (Clinical research ed.) · 1995Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the patterns of preventive to reactive prescribing for asthma among general practices in the City and East London Family Health Services Authority area and their relation to prescribing cost.
designDescriptive study of asthma prescribing during April 1992 to March 1993. Prescribing data were linked with general practice and population data on one database.
settingCity and East London Family Health Services Authority area, including all general practices in contract with the authority, which covers the inner city London Boroughs of Hackney, Tower Hamlets, and Newham and the Corporation of the City of London. SUBJECTS: All 163 general practices as at 1 June 1993.
main outcome measuresRatios of prescribed inhaled corticosteroids plus cromoglycates (prophylactic treatment) to bronchodilators; distribution of the cost of asthma prescribing; distribution of overall generic prescribing; proportion of asthma generic prescribing; distribution of cost of overall drugs prescribed per prescribing unit.
resultsPractices approved for band 3 health promotion or asthma surveillance and those with a general practitioner trainer had on average higher ratios of prophylactic to bronchodilator treatment and significantly higher asthma drug costs than other practices. Those practices with high levels of overall generic prescribing had significantly higher prophylactic to bronchodilator ratios than those with lower levels of generic prescribing. Practices with higher levels of asthma drug generic prescribing also had significantly higher prophylactic prescribing. However, the proportion of generically prescribed asthma drugs was lower than overall generic prescribing. There was no correlation between the ratio of prophylactic to bronchodilator asthma prescribing and the proportion of overall drugs expenditure, but high spending practices spent significantly more on asthma drugs.
conclusionsPressure to reduce the cost of asthma prescribing may lead to a lowering of the ratio of prophylactic to bronchodilator treatments. However, reducing prophylactic prescribing would run contrary to the British Thoracic Society guidelines and might worsen the quality of asthma care.
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