Pressures on the general practitioner and decisions to prescribe

Family Practice

Volumn 13, Issue 5, 1996, Pages 432-438

  Weiss, M C ^a   Fitzpatrick, R ^b   Scott, D K ^c   Goldacre, M J ^d  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

^b UNIVERSITY OF OXFORD   (United Kingdom)

^c JOHN RADCLIFFE HOSPITAL   (United Kingdom)

^d UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

Fundholding; General practice; Patient demand; Prescribing influences; Prescribing variation

Indexed keywords

ARTICLE; DECISION MAKING; FACTORIAL ANALYSIS; GENERAL PRACTITIONER; HEALTH CARE COST; HEALTH CARE DELIVERY; NONHUMAN; NORMAL HUMAN; PERCEPTION; PRESCRIPTION; QUESTIONNAIRE; STRESS; WORKLOAD;

ADULT; AGED; ANTI-BACTERIAL AGENTS; ATTITUDE TO HEALTH; DECISION MAKING; DRUG COSTS; DRUG THERAPY; FACTOR ANALYSIS, STATISTICAL; FAMILY PRACTICE; FEMALE; HUMANS; LIKELIHOOD FUNCTIONS; MALE; MIDDLE AGED; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIAN-PATIENT RELATIONS; PRESCRIPTIONS, DRUG; SOCIOECONOMIC FACTORS; STATISTICS, NONPARAMETRIC;

EID: 0029994240     PISSN: 02632136     EISSN: None     Source Type: Journal    
DOI: 10.1093/fampra/13.5.432     Document Type: Article

References (29)

1. Stolley PD, Lasagna L. Prescribing patterns of physicians. J Chron Dis 1969; 22: 395-405.
2. Morton-Jones T, Pringle M. Explaining variations in prescribing costs across England. Br Med J 1993; 306: 1731-1734.
3. Howie JGR. Clinical judgment and antibiotic use in general practice. Br Med J 1976; 2: 1061-1064.
4. Stephenson MJ, Henry N. Factors influencing antibiotic use in acute respiratory tract infections in family practice. Can Fam Phys 1988; 34: 2149-2152.
5. Naish J, Sturdy P, Toon P. Appropriate prescribing in asthma and its related cost in east London. Br Med J 1995; 310: 97-100.
6. Bradley C. Uncomfortable prescribing decisions: a critical incident study. Br Med J 1992; 304: 294-296.
7. Allen I. Doctors and their careers. London: Policy Studies Institute, 1988.
8. Sutherland VJ, Cooper CL. Job stress, satisfaction, and mental health among general practitioners before and after introduction of new contract. Br Med J 1992; 304: 1545-1548.
9. Dillner L. Doctors are more miserable than ever, says report. Br Med J 1994; 309: 1529.
10. Cronbach L. Coefficient alpha and the internal structure of tests. Psychometrika 1951; 16: 297-334.
11. Bland JM, Altman DG. Multiple significance tests: the Bonferroni method. Br Med J 1995; 310: 170.
12. Priestman S. Burnout. Br J Gen Pract 1994; 44: 187.
13. Beecham L. Review body agrees with comments on low morale. Br Med J 1994; 308: 661.
14. Beecham L. Powerlessness in general practice is causing low morale. Br Med J 1993; 307: 806.
15. Chaggar JS. Citizens' advice in general practice - a burden general practitioners could do without. Br Med J 1993; 307: 261.
16. Bandyopadhyay D, Boothby H. Rational prescribing. Br Med J 1994; 308: 977.
17. Audit Commission. A prescription for improvement: towards more rational prescribing in general practice. London: HMSO, 1994.
18. Iliffe S, Munro J. General practitioners and incentives. Br Med J 1993; 307: 1156-1157.
19. Keeley D. The fundholding debate: should practices reconsider the decision not to fundhold? Br Med J 1993; 306: 697-698.
20. Hope T, Sprigings D, Crisp R. 'Not clinically indicated': patients' interests or resource allocation? Br Med J 1993; 306: 379-381.
21. Gilley J. Towards rational prescribing. Br Med J 1994; 308: 731-732.
22. Howie JGR, Porter AMD, Forbes JF. Quality and the use of time in general practice: widening the discussion. Br Med J 1989; 298: 1008-1010.
23. Review body on doctors' and dentists' remuneration. General medical practitioners' workload survey 1992-93. Interim report. London: HMSO, 1994.
24. Bradley C. Factors which influence the decision whether or not to prescribe: the dilemma facing general practitioners. Br J Gen Pract 1992; 42: 454-458.
25. Lloyd DHO. Patient care and the general practitioner. Br Med J 1994; 309: 1144-1147.
26. Handysides S. Morale in general practice: is change the problem or the solution? Br Med J 1994; 308: 32-34.
27. Strickland-Hodge B, Blenkinsopp A, Blenkinsopp J. Limitations of PACT data. Prescriber 1990; 2: 53-54.
28. Maxwell M, Heaney D, Howie JGR, Noble S. General practice fundholding: observations on prescribing patterns and costs using the defined daily dose method. Br Med J 1993; 307: 1190-1194.
29. Bradlow J, Coulter A. Effect of fundholding and indicative prescribing schemes on general practitioners' prescribing costs. Br Med J 1993; 307: 1186-1189.