Association of arbitrary prescribing behavior to costly drug expenditures: A pharmacoeconomic study in primary care

Basit Öğe Kaydı
dc.authorid0000-0001-8294-0802
dc.authorid0000-0001-8984-9673
dc.contributor.authorKırmızı Sönmez, Neriman İpek
dc.contributor.authorAydın, Volkan
dc.contributor.authorAtaç, Ömer
dc.contributor.authorAkıcı, Ahmet
dc.date.accessioned2024-01-16T07:56:47Z
dc.date.available2024-01-16T07:56:47Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Tıbbi Farmakoloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Halk Sağlığı Ana Bilim Dalı
dc.description.abstractBackground: We aimed to examine the cost-related prescribing performance of primary care physicians who had a higher versus lower tendency of arbitrary prescribing. Methods: In this cross-sectional study, we evaluated the prescriptions of primary care physicians in Istanbul, collected with 3:1 systematic sampling. We determined higher versus lower arbitrary prescribing by the physician’s degree of writing the solo diagnosis of “Z00- General examination without diagnosis/complaint”: those for whom such prescriptions constituted >5% were classified as Group A and those with them at <0.5% as Group B. We compared these two groups by the total and disease-specific drug costs per prescription they produced for 10 frequently encountered indications. Results: The median cost of disease-specific medication for all diagnoses in Group A and Group B, except anemia, was equal. In upper respiratory tract infections (URTIs), hypertension, anemia, diabetes, and conjunctivitis, the mean prescription costs of Group A were significantly higher than those of Group B (P < .001, P < .001, P = .009, P = .007, and P < .001, respectively), whereas disease-specific drug costs per prescription were similar (P > .05 in all diagnoses). In myalgia, Group A had lower cost per prescription (P < .001) and higher analgesic costs per prescription (P < .001) compared to those in Group B. We found significantly higher disease-specific drug cost share in Group B for URTIs (antibiotic), gastroesophageal ref lux disease (gastric acid–suppressant), hypertension (antihypertensive), anemia (iron preparations), diabetes (antidiabetic), depression (antidepressant), and conjunctivitis (corticosteroid) than those in Group A (P < .001 for each). Conclusions: Our study showed that physicians who had a higher tendency of prescribing for no clear indication are also more likely to produce costly prescriptions.
dc.identifier.citationKırmızı Sönmez, N. İ., Aydın, V., Ataç, Ö. ve Akıcı, A. (2024). Association of arbitrary prescribing behavior to costly drug expenditures: A pharmacoeconomic study in primary care. Postgraduate Medical Journal, 100(1179), 36-41. https://dx.doi.org/10.1093/postmj/qgad092
dc.identifier.doi10.1093/postmj/qgad092
dc.identifier.endpage41
dc.identifier.issn0032-5473
dc.identifier.issn1469-0756
dc.identifier.issue1179
dc.identifier.pmid37827534
dc.identifier.scopus2-s2.0-85181176613
dc.identifier.scopusqualityQ1
dc.identifier.startpage36
dc.identifier.urihttps://dx.doi.org/10.1093/postmj/qgad092
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12146
dc.identifier.volume100
dc.identifier.wos001084485600001en_US
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKırmızı Sönmez, Neriman İpek
dc.institutionauthorAtaç, Ömer
dc.language.isoen
dc.publisherOxford University Press
dc.relation.ispartofPostgraduate Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAccurate Diagnosis
dc.subjectArbitrary Prescribing
dc.subjectHealth Policy
dc.subjectPharmacoeconomics
dc.subjectPrimary Care
dc.subjectRational Drug Use
dc.titleAssociation of arbitrary prescribing behavior to costly drug expenditures: A pharmacoeconomic study in primary care
dc.typeArticle

Dosyalar

Lisans paketi
Listeleniyor 1 - 1 / 1
Küçük Resim Yok
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama:
İndir

Koleksiyon

Makale Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu