Evidence map›Paper›PMID 8762741›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners1996

Sharing resources to create a district drug formulary: a countywide controlled trial.

I Hill-Smith

Abstract readClinical TrialControlled Clinical Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. 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 · 1997
    Trial
  3. Review
  4. Canadian list of essential medications: Potential and uncertainties.Canadian family physician Medecin de famille canadien · 2017
    Article
  5. Article
  6. 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 · 2002
    Article
  7. 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 · 2000
    Article
  8. Article
  9. Poles apart? The views of general practitioners and family health services authority advisers on prescribing cost issues.The British journal of general practice : the journal of the Royal College of General Practitioners · 1997
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

I Hill-SmithWigmore Lane Health Centre, Luton.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCreating a drug formulary takes considerable time, but merely adopting one lacks local perspective and ownership. Sharing resources between several practices treads a middle path between these extremes, but is it effective?

aimThe aim of the study was to audit the influence of a district primary care drug formulary on prescribing by general practitioners.

methodA controlled trial was carried out to compare prescribing by 50 general practitioners from 11 urban and semirural practices in south Bedfordshire that participated in creating a district drug formulary with prescribing by all other general practitioners in the county.

resultsThe proportion of prescription items that were for drugs listed in the formulary rose significantly in three therapeutics groups: cardiovascular (by 7-12% above control practice values); musculoskeletal (by 1-11% above control practice values); and obstetrics and gynaecology (by 6-9% above control practice values). The number of items prescribed per prescribing unit fell significantly in three therapeutic groups: musculoskeletal (by 1-7% below control practice values); nervous (by 7-12% below control practice values); and nutrition and blood (by 15-21% below control practice values). The estimated saving resulting from the creation of the formulary was 150,000 pounds (3000 pounds per doctor) per year.

conclusionsSharing resources between practices to create a district-wide primary care drug formulary can lead to changes in prescribing and reduce costs sustained over 3 years.

Indexed as

Drug Utilization ReviewFormularies as TopicPractice Patterns, Physicians'Cost SavingsDrug CostsDrug PrescriptionsEnglandFamily PracticeHealth Care RationingHumans

Identifiers

PMID8762741
PMCPMC1239633

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.