We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Modifying Provider Behavior.
- Authors
Guterman, Jeffrey J.; Chernof, Bruce A.; Mares, Beatriz; Gross-Schulman, Sandra G.; Gan, Pramod G.; Thomas, Donald
- Abstract
OBJECTIVE: 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. DESIGN: Uncontrolled, nonrandomized, time series design. SETTING: The urgent care clinic of a university-affiliated, county-supported hospital that provides care for underserved, vulnerable populations. PATIENTS: Patients (N = 2,189) who had a prescription written at the intervention site during the study. INTERVENTION: 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. MEASUREMENTS AND MAIN RESULTS: 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). CONCLUSIONS: A structured, paper-based prescription order form can shift prescribing practices without inhibiting physicians' ordering freedom.
- Subjects
DRUG prescribing; PHARMACEUTICAL services
- Publication
JGIM: Journal of General Internal Medicine, 2002, Vol 17, Issue 10, p792
- ISSN
0884-8734
- Publication type
Article
- DOI
10.1046/j.1525-1497.2002.20144.x