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A 'compass' for general practitioner prescribers
H McGavock1, K Wilson-Davis, T Rafferty
1Department of Therapeutics and Pharmacology, The Queen's University of Belfast, Northern Ireland.
Abstract:
This paper records the result of research and development in interrogating a general practitioner prescription pricing database to provide customised analysis for every practice. The system 'COMPASS' (Computerised On-line Monthly Prescribing Analysed for Science and Stewardship) is described, and identifies instances where each practice might improve cost-effectiveness and scientific rationality in prescribing. One hundred and two such instances are interrogated. This initial COMPASS report is then supplemented by screening the database to show a practice's: 1. range of drugs used--an excessive range should be discouraged. 2. use of drugs often used imprecisely--eg, antibiotics. 3. predicted prescribing cost--based on practice demography. 4. use of drugs with very limited GP value--eg, peripheral vasodilators. Northern Irish fundholding general practitioners are finding COMPASS valuable in planning improvement in cost-effectiveness and quality.
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