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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Rafferty, T. Wilson-davis, K. Mcgavock, H. |
| Spatial Coverage | Northern Ireland |
| Description | Author Affiliation: Rafferty T ( Department of Therapeutics and Pharmacology, Queen's University of Belfast.); |
| Abstract | OBJECTIVE: To compare prescribing patterns in general practices before and after the introduction of fundholding in April 1993 to determine whether fundholding changed prescribing patterns among practices that joined the scheme. DESIGN: Analysis of prescribing data from the Drug Utilisation Research Unit's database for all practices in Northern Ireland during April 1989 to March 1996. SETTING: Northern Ireland. SUBJECTS: 23-first wave fundholders, 34 second wave fundholders, 9 third wave fundholders, and 268 non-fundholders. MAIN OUTCOME MEASURES: Prescribing costs per 1000 patients, prescription items per 1000 patients, average cost per item, and rate of generic prescribing. RESULTS: Prescribing costs and frequency increased in all groups throughout the study. Among the fundholders the rate of increase in costs after fundholding was significantly lower than among non-fundholders. The rate of increase in cost per item fell, coinciding with a significant increase in the rate of generic prescribing. However, with regard to first wave fundholders, their yearly increase in costs in their third year as fundholders (1995-6) was similar to that of the non-fundholders. The earlier practices that joined the scheme seemed to differ in some important respects from those that joined later. CONCLUSIONS: After fundholders joined the fundholding scheme their patterns of prescribing changed compared with those of non-fundholders: the rate of increase in costs fell and there was a significant rise in the rate of generic prescribing. |
| ISSN | 09598138 |
| e-ISSN | 17561833 |
| Journal | BMJ (British Medical Journal) |
| Issue Number | 7101 |
| Volume Number | 315 |
| Language | English |
| Publisher | British Medical Journal Publishing Group |
| Publisher Date | 1997-08-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Drug Prescriptions Financial Management Physician's Practice Patterns Drug Costs Drugs, Generic Longitudinal Studies Northern Ireland Comparative Study Research Support, Non-U.S. Gov't Medicine |
| Content Type | Text |
| Resource Type | Article |
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