ArticleBMJ (Clinical research ed.)1993
Prescribing costs in dispensing practices.
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. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- 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
- Dispensing practices issue shorter prescription lengths compared with non-dispensing practices: a quasi-experimental cross-sectional study.BJGP open · 2026Article
- Medication adherence and clinical outcomes in dispensing and non-dispensing practices: a cross-sectional analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Article
- Generic substitution, financial interests, and imperfect agency.International journal of health care finance and economics · 2013Article
- Antihypertensive drug prescribing in Grampian.British journal of clinical pharmacology · 2005Article
- A healthy disposition? The use and limitations of the characteristics approach to general practice research.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- A prescription for improvement? An observational study to identify how general practices vary in their growth in prescribing costs.BMJ (Clinical research ed.) · 2000Article
- Do GPs working in practice with high or low prescribing costs have different views on prescribing cost issues?The British journal of general practice : the journal of the Royal College of General Practitioners · 2000Article
- Controversies in primary care. Setting prescribing budgets in general practice. Capitation based prescribing budgets will not work.BMJ (Clinical research ed.) · 1998Article
- Controversies in primary care. Setting prescribing budgets in general practice. Effective prescribing at practice level should be identified and rewarded.BMJ (Clinical research ed.) · 1998Article
- Over-the-counter drugs and prescribing in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Article
- Home visiting by general practitioners in England and Wales.BMJ (Clinical research ed.) · 1996Article
- Using unemployment rates to predict prescribing trends in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 1994Article
- Dispensing by physicians and pharmacists: a UK perspective.PharmacoEconomics · 1994Article
- Dispensing physicians and prescribing pharmacists: economic considerations for the UK.PharmacoEconomics · 1994Review
- Effect of fundholding and indicative prescribing schemes on general practitioners' prescribing costs.BMJ (Clinical research ed.) · 1993Article
- Dispensing in general practice. Dispensing improves compliance.BMJ (Clinical research ed.) · 1993Article
- Dispensing in general practice. NHS regulations deny patients cheap drugs.BMJ (Clinical research ed.) · 1993Article
- Dispensing in general practice. Criticisms unfounded.BMJ (Clinical research ed.) · 1993Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine differences in prescribing between dispensing and non-dispensing practices.
settingThe 108 practices covered by Lincolnshire Family Health Services Authority.
designAnalysis of prescribing data for 1990-1 from PD2 reports from the Prescription Pricing Authority in relation to data on practice characteristics obtained from Lincolnshire Family Health Services Authority; and aggregated level 3 prescribing and cost information (PACT data) for 10 selected drugs from the Prescription Pricing Authority to examine amounts prescribed.
main outcome measuresPrescribing cost per patient, items per patient, and cost per item in dispensing and non-dispensing practices.
resultsDispensing practices had higher prescribing costs per patient than non-dispensing practices. This difference held for non-dispensing patients within dispensing practices. Structural features failed to explain the differences in prescribing cost, except for the higher numbers of elderly patients in dispensing practices (which explained 13% of the difference) and the number of partners (5%). The main determinant of the difference was the lower use of generic drugs in dispensing practices (84%). Dispensing patients were prescribed lower quantities of drugs on average for each item.
conclusionsDispensing practices could reduce their prescribing expenditure to that of non-dispensing practices by increasing their prescribing of generic drugs. The shorter prescribing intervals for dispensing patients may be due to dispensing fees being related to the number of prescribed items.
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