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Improving drug prescribing in a primary care practice.

Publication ,  Journal Article
Gehlbach, SH; Wilkinson, WE; Hammond, WE; Clapp, NE; Finn, AL; Taylor, WJ; Rodell, MS
Published in: Med Care
March 1984

A model for improving physician prescribing that utilizes computerized feedback was studied in a family medicine residency practice. Resident and faculty physicians were stratified by level of experience and randomized into two groups. For 9 months the experimental group received monthly printouts identifying drugs they had prescribed by brand name with estimates of cost savings that might have been realized by prescribing generic drugs. The control group received no feedback. Prescription monitoring of both groups continued for 12 months after all feedback had ceased. Median weighted rates of generic prescribing for the experimental physicians were 14% for the baseline, 67% for the feedback, and 54% for the follow-up periods. Rates for the control physicians for the three periods were 32%, 37% and 31%, respectively. The increase in generic prescribing by physicians in the experimental group was significantly greater than for control physicians (P = 0.01). The feedback model improved rates of generic prescribing but should be evaluated for broader areas of physician prescribing.

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Published In

Med Care

DOI

ISSN

0025-7079

Publication Date

March 1984

Volume

22

Issue

3

Start / End Page

193 / 201

Location

United States

Related Subject Headings

  • Therapeutic Equivalency
  • Random Allocation
  • Physicians
  • North Carolina
  • Internship and Residency
  • Humans
  • Health Policy & Services
  • Family Practice
  • Drug Utilization
  • Drug Prescriptions
 

Citation

APA
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ICMJE
MLA
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Gehlbach, S. H., Wilkinson, W. E., Hammond, W. E., Clapp, N. E., Finn, A. L., Taylor, W. J., & Rodell, M. S. (1984). Improving drug prescribing in a primary care practice. Med Care, 22(3), 193–201. https://doi.org/10.1097/00005650-198403000-00002
Gehlbach, S. H., W. E. Wilkinson, W. E. Hammond, N. E. Clapp, A. L. Finn, W. J. Taylor, and M. S. Rodell. “Improving drug prescribing in a primary care practice.Med Care 22, no. 3 (March 1984): 193–201. https://doi.org/10.1097/00005650-198403000-00002.
Gehlbach SH, Wilkinson WE, Hammond WE, Clapp NE, Finn AL, Taylor WJ, et al. Improving drug prescribing in a primary care practice. Med Care. 1984 Mar;22(3):193–201.
Gehlbach, S. H., et al. “Improving drug prescribing in a primary care practice.Med Care, vol. 22, no. 3, Mar. 1984, pp. 193–201. Pubmed, doi:10.1097/00005650-198403000-00002.
Gehlbach SH, Wilkinson WE, Hammond WE, Clapp NE, Finn AL, Taylor WJ, Rodell MS. Improving drug prescribing in a primary care practice. Med Care. 1984 Mar;22(3):193–201.

Published In

Med Care

DOI

ISSN

0025-7079

Publication Date

March 1984

Volume

22

Issue

3

Start / End Page

193 / 201

Location

United States

Related Subject Headings

  • Therapeutic Equivalency
  • Random Allocation
  • Physicians
  • North Carolina
  • Internship and Residency
  • Humans
  • Health Policy & Services
  • Family Practice
  • Drug Utilization
  • Drug Prescriptions