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Related Experiment Videos

The UK indicative prescribing scheme: background and operation.

J Bligh1, T Walley

  • 1Departments of General Practice and Pharmacology and Therapeutics, University of Liverpool, England.

Pharmacoeconomics
|July 7, 1992
PubMed
Summary

The UK

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Physicians medication prescribing in primary care in Riyadh City, Saudi Arabia. Literature review, part 1: variations in drug prescribing.

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Physicians' medication prescribing in primary care in Riyadh City, Saudi Arabia. Literature review, part 2: rational prescribing.

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit·2011

Area of Science:

  • Health Economics
  • Pharmaceutical Policy
  • General Practice Management

Background:

  • Rising drug costs in UK general practice (4% above inflation annually).
  • Prescribing in general practice constitutes 80% of the total drug expenditure.
  • Variations in prescribing influenced by patient demographics, morbidity, and professional factors.

Purpose of the Study:

  • To describe the background, implementation, and initial outcomes of the Indicative Prescribing Scheme (IPS).
  • To introduce greater accountability and control over general practice prescribing costs.
  • To reduce wasteful prescribing and improve the quality of drug prescribing in primary care.

Main Methods:

  • Introduction of the Indicative Prescribing Scheme (IPS) by the Department of Health.
  • Setting 'indicative prescribing amounts' as guidelines for general practices.
  • Provision of regular financial summaries and support from medical/pharmaceutical advisers.

Main Results:

  • The first year focused on scheme establishment and consolidation.
  • Initial resistance from practitioners has lessened, with many adopting scheme principles.
  • Increased awareness of prescribing influences and resource implications among healthcare professionals.

Conclusions:

  • It is premature to definitively assess the long-term success of the IPS.
  • The scheme aims to foster critical review of prescribing practices.
  • Enhanced dialogue between general practitioners, hospital clinicians, and managers regarding rational prescribing.

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