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Primary Care Physicians', Psychiatrists', and Oncologists' Coordination While Prescribing Medications for Patients With Multiple Chronic Conditions.

Publication ,  Journal Article
McDaniel, CC; Chou, C; Camp, C; Hohmann, NS; Hastings, TJ; Maciejewski, ML; Farley, JF; Domino, ME; Hansen, RA
Published in: J Patient Saf
March 1, 2022

OBJECTIVES: Coordination of medication prescribing is important in the care of patients with multiple chronic conditions (MCC) given the involvement of multiple providers and multiple medications used to manage MCC. The objective of this study was to identify physician and practice factors associated with physicians' coordination of prescribing for complex patients with MCC. METHODS: Our cross-sectional study used a 33-item anonymous, online survey to assess physicians' coordination practices while prescribing for patients with MCC. We sampled primary care physicians (PCPs), psychiatrists, and oncologists across the United States. Coordination of medication prescribing was measured on a 7-point Likert-type scale. χ2, Fisher exact test, and binomial logistic regression, adjusted for factors and covariates, were used to determine differences in coordination of prescribing. Average marginal effects were calculated for factors. RESULTS: A total of 50 PCPs, 50 psychiatrists, and 50 oncologists participated. Most psychiatrists (56%) and oncologists (52%) reported frequently coordinating prescribing with other physicians, whereas less than half of the PCPs (42%) reported frequently coordinating prescribing. Female physicians were 25% points more likely to report coordinating prescribing than male physicians (P = 0.0186), and physicians not using electronic medical records were 30% points more likely to report coordinating prescribing than physicians using electronic medical records (P = 0.0230). Four additional factors were associated with lower likelihood of coordinating prescribing. CONCLUSIONS: Physician and practice factors may influence differences in coordination of medication prescribing, despite physician specialty. These factors can provide a foundation for developing interventions to improve coordination of prescribing practices for MCC.

Duke Scholars

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Published In

J Patient Saf

DOI

EISSN

1549-8425

Publication Date

March 1, 2022

Volume

18

Issue

2

Start / End Page

e424 / e430

Location

United States

Related Subject Headings

  • United States
  • Psychiatry
  • Practice Patterns, Physicians'
  • Physicians, Primary Care
  • Oncologists
  • Multiple Chronic Conditions
  • Male
  • Humans
  • Health Policy & Services
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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McDaniel, C. C., Chou, C., Camp, C., Hohmann, N. S., Hastings, T. J., Maciejewski, M. L., … Hansen, R. A. (2022). Primary Care Physicians', Psychiatrists', and Oncologists' Coordination While Prescribing Medications for Patients With Multiple Chronic Conditions. J Patient Saf, 18(2), e424–e430. https://doi.org/10.1097/PTS.0000000000000838
McDaniel, Cassidi C., Chiahung Chou, Christina Camp, Natalie S. Hohmann, Tessa J. Hastings, Matthew L. Maciejewski, Joel F. Farley, Marisa Elena Domino, and Richard A. Hansen. “Primary Care Physicians', Psychiatrists', and Oncologists' Coordination While Prescribing Medications for Patients With Multiple Chronic Conditions.J Patient Saf 18, no. 2 (March 1, 2022): e424–30. https://doi.org/10.1097/PTS.0000000000000838.
McDaniel CC, Chou C, Camp C, Hohmann NS, Hastings TJ, Maciejewski ML, et al. Primary Care Physicians', Psychiatrists', and Oncologists' Coordination While Prescribing Medications for Patients With Multiple Chronic Conditions. J Patient Saf. 2022 Mar 1;18(2):e424–30.
McDaniel, Cassidi C., et al. “Primary Care Physicians', Psychiatrists', and Oncologists' Coordination While Prescribing Medications for Patients With Multiple Chronic Conditions.J Patient Saf, vol. 18, no. 2, Mar. 2022, pp. e424–30. Pubmed, doi:10.1097/PTS.0000000000000838.
McDaniel CC, Chou C, Camp C, Hohmann NS, Hastings TJ, Maciejewski ML, Farley JF, Domino ME, Hansen RA. Primary Care Physicians', Psychiatrists', and Oncologists' Coordination While Prescribing Medications for Patients With Multiple Chronic Conditions. J Patient Saf. 2022 Mar 1;18(2):e424–e430.

Published In

J Patient Saf

DOI

EISSN

1549-8425

Publication Date

March 1, 2022

Volume

18

Issue

2

Start / End Page

e424 / e430

Location

United States

Related Subject Headings

  • United States
  • Psychiatry
  • Practice Patterns, Physicians'
  • Physicians, Primary Care
  • Oncologists
  • Multiple Chronic Conditions
  • Male
  • Humans
  • Health Policy & Services
  • Female