ArticleBMJ (Clinical research ed.)1993
General practice fundholding: observations on prescribing patterns and costs using the defined daily dose method.
Article in BMJ (Clinical research ed.), 1993. 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 40 papers, 2 of them syntheses that pooled it.
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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
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pharmaceutical policies: effects of financial incentives for prescribers.The Cochrane database of systematic reviews · 2015Pooled it
- Physician awareness of drug cost: a systematic review.PLoS medicine · 2007Pooled it
- Nutritional counselling in general practice: a cost effective analysis.Journal of epidemiology and community health · 1999Trial
- Do prescribing formularies help GPs prescribe from a narrower range of drugs? A controlled trial of the introduction of prescribing formularies for NSAIDs.The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Trial
- Effect of an intervention targeting inappropriate continued empirical parenteral vancomycin use: a quasi-experimental study in a region of high MRSA prevalence.BMC infectious diseases · 2018Article
- The impact of physician-level drug budgets on prescribing behavior.The European journal of health economics : HEPAC : health economics in prevention and care · 2018Article
- Controlling endemic multidrug-resistant Acinetobacter baumannii in Intensive Care Units using antimicrobial stewardship and infection control.The Korean journal of internal medicine · 2016Article
- Inappropriate continued empirical vancomycin use in a hospital with a high prevalence of methicillin-resistant Staphylococcus aureus.Antimicrobial agents and chemotherapy · 2015Article
- The timing of introduction of pharmaceutical innovations in seven European countries.Journal of evaluation in clinical practice · 2014Article
- Economic analysis of a pediatric ventilator-associated pneumonia prevention initiative in nicaragua.International journal of pediatrics · 2012Article
- Doctors' attitudes about prescribing and knowledge of the costs of common medications.Irish journal of medical science · 2009Article
- Do family physicians know the costs of medical care? Survey in British Columbia.Canadian family physician Medecin de famille canadien · 2004Article
- Replacement of broad-spectrum cephalosporins by piperacillin-tazobactam: impact on sustained high rates of bacterial resistance.Antimicrobial agents and chemotherapy · 2004Article
- A prescription for improvement? An observational study to identify how general practices vary in their growth in prescribing costs.BMJ (Clinical research ed.) · 2000Article
- [Impact of a pharmacotherapy bulletin at a primary health care area].Atencion primaria · 2000Article
- Therapeutic substitution and therapeutic conservatism as cost-containment strategies in primary care: a study of fundholders and non-fundholders.The British journal of general practice : the journal of the Royal College of General Practitioners · 1999Article
- A comparison of three methods of setting prescribing budgets, using data derived from defined daily dose analyses of historic patterns of use.The British journal of general practice : the journal of the Royal College of General Practitioners · 1998Article
- Health care expenditures after introduction of a gatekeeper and a global budget in a Swiss health insurance plan.Journal of epidemiology and community health · 1998Article
- General practice fundholding: progress to date.The British journal of general practice : the journal of the Royal College of General Practitioners · 1998Review
- Customising an international disease management model to the needs of individual countries. Application to upper gastrointestinal disease.PharmacoEconomics · 1998Review
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare prescribing patterns between a group of fundholding practices and a group of non-fundholding practices in north east Scotland using a method which provides more accurate statements about volumes prescribed than standard NHS statistics.
designThe pharmacy practice division of the National Health Service in Scotland provided data for selected British National Formulary sections over two years. Each prescription issued was converted using the World Health Organisation "defined daily dose" mechanism.
settingSix fundholding groups (nine practices) in Grampian and Tayside regions and six non-fundholding practices in Grampian.
resultsDuring the past two years both fundholding and control practices reduced the volume of their prescribing for the classes of drug analysed. The unit costs of drugs in some classes, however, rose substantially, contributing to higher costs per patient. The unit costs rose more in the control practices (24%) than in the fundholding practices (11% in Tayside, 16% in Grampian).
conclusionThe use of defined daily doses helped identify cost and volume trends in specific areas of prescribing in fundholding and control practices. The basis on which funds are set needs improving, and defined daily doses may prove useful for setting volume targets within drug classes for all practices, whether fundholding or not.
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