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Related Experiment Videos

Prescribing patterns in general practice. A comparison of two data sources.

J Robertson1, D Henry, T Dobbins

  • 1Faculty of Medicine and Health Sciences, University of Newcastle, New South Wales.

Australian Family Physician
|January 1, 2000
PubMed
Summary

Electronic prescribing packages offer more detailed patient data than Health Insurance Commission (HIC) records for assessing general practitioner (GP) prescribing quality. Comprehensive review requires integrating electronic prescribing data with HIC data.

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Area of Science:

  • General Practice
  • Health Informatics
  • Pharmacoeconomics

Background:

  • The Health Insurance Commission (HIC) provides prescribing data for Australian general practitioners (GPs).
  • Electronic prescribing packages offer an alternative data capture method in general practice.

Purpose of the Study:

  • To compare the prescribing data captured by an electronic general practice prescribing package with data from the Health Insurance Commission (HIC).

Main Methods:

  • Twenty GPs from the Hunter Urban Division of General Practice (HUDGP) utilized an electronic prescribing package.
  • Prescribing data from June-July 1996 were analyzed.
  • HIC prescribing data for all 369 GPs in the HUDGP were extracted for comparison.

Main Results:

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  • HIC data enabled calculation of prescribing rates but lacked patient and indication details for certain drug classes.
  • The electronic prescribing package provided patient characteristics, indications, and other medications, allowing assessment of therapy appropriateness.
  • Both data sources offered different yet complementary information.

Conclusions:

  • HIC data is suitable for assessing overall divisional prescribing activities.
  • Assessing individual GP prescribing quality requires patient-related information typically captured by electronic prescribing packages.
  • Wider adoption of electronic prescribing systems is necessary for comprehensive quality assessment of treatment decisions.