ArticleBMJ (Clinical research ed.)1995
The effects of fundholding in general practice on prescribing habits three years after introduction of the scheme.
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 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pharmaceutical policies: effects of financial incentives for prescribers.The Cochrane database of systematic reviews · 2015Pooled it
- The impact of physician-level drug budgets on prescribing behavior.The European journal of health economics : HEPAC : health economics in prevention and care · 2018Article
- Selecting the Acceptance Criteria of Medicines in the Reimbursement List of Public Health Insurance of Iran, Using the "Borda" Method: a Pilot Study.Iranian journal of pharmaceutical research : IJPR · 2015Article
- Changes in drug utilization during a gap in insurance coverage: an examination of the medicare Part D coverage gap.PLoS medicine · 2011Article
- Do clinical guidelines reduce clinician dependent costs?Health research policy and systems · 2011Article
- European healthcare policies for controlling drug expenditure.PharmacoEconomics · 2003Article
- Prescribing incentive schemes in two NHS regions: cross sectional survey.BMJ (Clinical research ed.) · 2002Article
- The impact of a general practice group intervention on prescribing costs and patterns.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Article
- The abolition of the GP fundholding scheme: a lesson in evidence-based policy making.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Article
- [Impact and applicability of the system of reference prices].Atencion primaria · 2001Article
- 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
- 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
- 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
- Drug rationing in the UK National Health Service. Current status and future prospects.PharmacoEconomics · 1997Review
- Fundholding in the south Thames Region.The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Article
- Prescribing behaviour in general practice: the impact of promoting therapeutically equivalent cheaper medicines.The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Article
- Fundholders' prescribing costs: the first five years.BMJ (Clinical research ed.) · 1996Article
- Influences of practice characteristics on prescribing in fundholding and non-fundholding general practices: an observational study.BMJ (Clinical research ed.) · 1996Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo observe changes in prescribing practice that occurred after the introduction of fundholding in first wave practices and to contrast these with changes occurring in similar non-fundholding practices.
designProspective observational study.
settingOxford region fundholding study. SUBJECTS: Eight first wave fundholding practices and five practices that were not interested in fundholding in 1990-1, which were similar in terms of practice size, training status, locality, and urban rural mix. Three of the fundholding and none of the non-fundholding practices were dispensing practices.
main outcome measuresChanges in prescribing practice as measured by net cost per prescribing unit, cost per item, number of items prescribed, and substitution rates for generic drugs three years after the introduction of fundholding. Data for fundholding practices were analysed separately according to whether they were dispensing or non-dispensing practices.
resultsPrescribing costs rose by a third or more in all types of practice. The patterns of change observed in this cohort after one year of fundholding were reversed. No evidence existed that fundholding had controlled prescribing costs among non-dispensing fundholders; costs among dispensing fundholders rose least, but the differences were small compared with the overall increase in costs.
conclusionsEarly reports of the effectiveness of fundholding in curbing prescribing costs have not been confirmed in this longer term study.
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