ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1993
Towards accurate prescribing analysis in general practice: accounting for the effects of practice demography.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- The influence of age, gender and pharmacogenetic profiles on the perspective on medicines in the German EMPAR study.PloS one · 2024Observational
- Gender Differences in Medication Use: A Drug Utilization Study Based on Real World Data.International journal of environmental research and public health · 2020Article
- Prescriptive variability of drugs by general practitioners.PloS one · 2018Article
- Factors associated with prescribing costs: analysis of a nationwide administrative database.Cost effectiveness and resource allocation : C/E · 2018Article
- Identifying how age and gender influence prescription drug use in a primary health care environment in Catalonia, Spain.British journal of clinical pharmacology · 2008Article
- A qualitative comparative investigation of variation in general practitioners' prescribing patterns.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Article
- Analysis of the ability of the new needs adjustment formula to improve the setting of weighted capitation prescribing budgets in English general practice.BMJ (Clinical research ed.) · 2000Article
- Polypharmacy in general practice: differences between practitioners.The British journal of general practice : the journal of the Royal College of General Practitioners · 1999Article
- Investigation of whether on-site general practice counsellors have an impact on psychotropic drug prescribing rates and costs.The British journal of general practice : the journal of the Royal College of General Practitioners · 1996Article
- Specific therapeutic group age-sex related prescribing units (STAR-PUs): weightings for analysing general practices' prescribing in England.BMJ (Clinical research ed.) · 1995Article
- The use of nitrates, calcium channel blockers and ACE inhibitors in primary care in the Northern Region: a pharmacoepidemiological study.British journal of clinical pharmacology · 1994Article
- General practice fundholding: observations on prescribing patterns and costs using the defined daily dose method.BMJ (Clinical research ed.) · 1993Article
- New weightings for analysing prescribing in general practice.BMJ (Clinical research ed.) · 1993Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The object of this study was to develop a more accurate method of analysing prescribing patterns in general practice than is currently provided by prescribing analysis and cost (PACT) data. In particular it was hoped to be able to develop a system to predict accurately both the prescribing activity related to practice population age-sex distributions, and the related prescribing activity in the individual therapeutic groups used in PACT reports. Data from the Vamp research data bank were combined with mean prescription costs from the Prescription Pricing Authority and the patient age-sex profile of each practice. The estimated cost of prescribing for each practice in each therapeutic group was derived, and subsequently compared with the PACT data. Large variations were found between predicted patterns and PACT 'averages' for both overall costs, and within therapeutic groups. This was most noticeable where a practice's age-sex profile varied markedly from the family health services authority mean age-sex distribution. Comparison of data for the different therapeutic groups showed the largest differential between the predicted patterns and PACT averages to be in the drugs for the cardiovascular system. Audit requires a baseline against which to measure, change and re-evaluate performance and this system of analysis provides a more accurate baseline against which to measure a practice's prescribing habits. Subsequent evaluation will provide a judgement of the quality of that prescribing. A practice population's age-sex structure is such a fundamental determinant of the practice's prescribing patterns that some modification of the current PACT weighting system should be undertaken so as to reflect more accurately average prescribing in different age groups.(ABSTRACT TRUNCATED AT 250 WORDS)
Indexed as
Identifiers
8323786PMC1372329What OpenQuestion holds
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