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- Title
Modifying provider behavior: a low-tech approach to pharmaceutical ordering.
- Authors
Guterman, Jeffrey J; Chernof, Bruce A; Mares, Beatriz; Gross-Schulman, Sandra G; Gan, Pramod G; Thomas, Donald
- Abstract
<bold>Objective: </bold>To determine if a clinically structured, paper-based prescription form can modify pharmaceutical prescribing behavior without restricting physician freedom to select the most appropriate medication for an individual patient.<bold>Design: </bold>Uncontrolled, nonrandomized, time series design.<bold>Setting: </bold>The urgent care clinic of a university-affiliated, county-supported hospital that provides care for underserved, vulnerable populations.<bold>Patients: </bold>Patients (N = 2189) who had a prescription written at the intervention site during the study.<bold>Intervention: </bold>Four-phase interventions lasting 2 weeks each, with a washout period between each phase, consisting of: (1). collection of baseline data utilizing the traditional prescription blank, (2). introduction of the pre-formatted prescription form, (3). use of the pre-formatted prescription form with medication cost added, and (4). pre-formatted prescription form with target drug (ranitidine) removed.<bold>Measurements and Main Results: </bold>Physicians were less likely to prescribe ranitidine compared to cimetidine after the introduction of the cost information (P <.01) and again after the removal of ranitidine from the pre-formatted prescription form (P <.001).<bold>Conclusions: </bold>A structured, paper-based prescription order form can shift prescribing practices without inhibiting physicians' ordering freedom.
- Subjects
MEDICAL prescriptions; DRUG utilization statistics; ATTITUDE (Psychology); DRUGS; HEALTH attitudes; MEDICAL care costs; MEDICAL personnel; ECONOMICS
- Publication
JGIM: Journal of General Internal Medicine, 2002, Vol 17, Issue 10, p792
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1046/j.1525-1497.2002.20144.x