Variation in cost of newly qualified doctors' prescriptions: a review of data from a hospital electronic prescribing system
| Autor: | David Westwood, Sarah K. Thomas, Jamie J Coleman, Charlotte Griffin, Ugochi Nwulu, James Hodson |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Total cost Decision Making Audit Health Services Misuse Drug Prescriptions Drug Costs law.invention Cohort Studies Electronic Prescribing law Electronic prescribing medicine Humans Practice Patterns Physicians' Medical prescription Hospitals Teaching Retrospective Studies Analysis of Variance Clinical pharmacology business.industry Retrospective cohort study General Medicine England Family medicine Cohort Education Medical Continuing Female business Cohort study |
| Zdroj: | Postgraduate Medical Journal. 89:316-322 |
| ISSN: | 1469-0756 0032-5473 |
| DOI: | 10.1136/postgradmedj-2012-131334 |
| Popis: | Purpose of the study To investigate the variation in the net ingredient cost (NIC) of the medications most commonly prescribed by Foundation Year 1 (F1) doctors in a teaching hospital and to compare the effects of working in different specialties and rotations on this cost. Design of the study Retrospective review of prescription data from 5 August 2010 to 3 August 2011 extracted from an electronic prescribing system. Results The F1 doctors generated 81 316 prescriptions with an estimated total cost of £579 398. The mean NIC per doctor was £7334 (SE=£430). Prescribing costs varied significantly across clinical departments and between drug classes considered in the analysis. Specifically, prescribing in the infection and respiratory drug categories and within the trauma and orthopaedics department was associated with higher prescribing costs. Significant variability was also attributable to the prescribing doctor (p Conclusions There is considerable variation in the total costs of medications prescribed by F1 doctors, even after considering a range of prescription factors. This variation may suggest that some doctors are prescribing uneconomically relative to the rest of the cohort. Knowledge of which clinical areas and drug classes have higher NICs may allow an alternative focus for medicine management teams and postgraduate education. |
| Databáze: | OpenAIRE |
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