ArticleBMJ (Clinical research ed.)1996
Influences of practice characteristics on prescribing in fundholding and non-fundholding general practices: an observational study.
Article in BMJ (Clinical research ed.), 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 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
- Determinants of Medical Practice Variation Among Primary Care Physicians: Protocol for a Three Phase Study.JMIR research protocols · 2020Article
- Primary care physicians report high trust in and usefulness of the Stockholm drug and therapeutic committee's list of recommended essential medicines (the 'Wise List').European journal of clinical pharmacology · 2018Article
- Determinants of the range of drugs prescribed in general practice: a cross-sectional analysis.BMC health services research · 2007Article
- Impact of pharmaceutical promotion on prescribing decisions of general practitioners in Eastern Turkey.BMC public health · 2007Article
- 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
- 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
- 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
- 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
- Strategies to improve the cost effectiveness of general practitioner prescribing. An international perspective.PharmacoEconomics · 1997Review
- 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 · 1997Article
- Influences of practice characteristics on prescribing in practices. Multiple regression models depend on explanatory variables included.BMJ (Clinical research ed.) · 1996Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the variation in prescribing among general practices by examining the contribution to this variation of fundholding, training status, partnership status, and the level of deprivation in the practice population and to investigate the extent to which fundholding has been responsible for any changes in prescribing.
designAnalysis of prescribing data (PACT) for the years 1990-1 (before fundholding) and 1993-4 (after fundholding), Use of multiple linear regressions to investigate the variation among practices in total prescribing costs (net ingredient cost per prescribing units), and mean cost per item in each of the two years and also the change in these variables between years.
settingFormer Mersey region. SUBJECTS: 384 practices.
resultsThe models developed explained the variation in cost per item (43% of variation explained for 1990-1, 38% for 1993-4) and prescribing volume (34% for 1990-1, 38% for 1993-4) better than the variation in total prescribing costs (3% for 1990-1, 7% for 1993-4). The models developed to explain the change in these variables between years did not explain more than 10% of the variation. Most of the explained variation in the change in total prescribing costs was accounted for by fundholding. Of the pounds 3.71 saved by first wave fundholders compared with non-fundholders pounds 3.57 was attributable to fundholding alone.
conclusionIn neither year did fundholding make a major contribution to the variation in prescribing behaviour among practices, which was better explained by deprivation, training status, and partnership status, but it did seem largely responsible for differences in the rise of total prescribing costs between fundholders and non fundholders.
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