Determinants of the range of drugs prescribed in general practice: a cross-sectional analysis

Author:

de Bakker Dinny H,Coffie Dayline SV,Heerdink Eibert R,van Dijk Liset,Groenewegen Peter P

Abstract

Abstract Background Current health policies assume that prescribing is more efficient and rational when general practitioners (GPs) work with a formulary or restricted drugs lists and thus with a limited range of drugs. Therefore we studied determinants of the range of drugs prescribed by general practitioners, distinguishing general GP-characteristics, characteristics of the practice setting, characteristics of the patient population and information sources used by GPs. Methods Secondary analysis was carried out on data from the Second Dutch Survey in General Practice. Data were available for 138 GPs working in 93 practices. ATC-coded prescription data from electronic medical records, census data and data from GP/practice questionnaires were analyzed with multilevel techniques. Results The average GP writes prescriptions for 233 different drugs, i.e. 30% of the available drugs on the market within one year. There is considerable variation between ATC main groups and subgroups and between GPs. GPs with larger patient lists, GPs with higher prescribing volumes and GPs who frequently receive representatives from the pharmaceutical industry have a broader range when controlled for other variables. Conclusion The range of drugs prescribed is a useful instrument for analysing GPs' prescribing behaviour. It shows both variation between GPs and between therapeutic groups. Statistically significant relationships found were in line with the hypotheses formulated, like the one concerning the influence of the industry. Further research should be done into the relationship between the range and quality of prescribing and the reasons why some GPs prescribe a greater number of different drugs than others.

Publisher

Springer Science and Business Media LLC

Subject

Health Policy

Reference37 articles.

1. Coffie D, Van Dijk L, De Bakker DH, Dijkers F: "Mag blijvend herhaald worden": een voorstudie naar herhaalreceptuur in Nederland [An explorative study of repeat-prescribing in the Netherlands]. 2000, Utrecht, NIVEL

2. Westert GP, Verkleij H, (eds): Dutch Health Care Performance Report 2006. 2006, Bilthoven, RIVM

3. De Laat E, Windmeijer F, Douven R: How does pharmaceutical marketing influence doctors' prescribing behaviour?. 2002, The Hague, CPB Netherlands' Bureau for Economic Policy Analysis

4. Kamps G, Stewart R, Van der Werf G, Schuling J, Jong BM: Adherence to guidelines of regional formulary. Fam Pract. 2000, 17: 254-260. 10.1093/fampra/17.3.254.

5. Avery AJ, Walker B, Heron T, Teasdale SJ: Do prescribing formularies help GPs prescribe from a narrower range of drugs? A controlled trial of the introduction of prescribing formularies for NSAIDs. Br J Gen Pract. 1997, 47: 810-814.

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