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Related Experiment Videos

Modifying provider behavior: a low-tech approach to pharmaceutical ordering.

Jeffrey J Guterman1, Bruce A Chernof, Beatriz Mares

  • 1Departments of Medicine and Emergency Medicine (JJG), University of California-Los Angeles, Los Angeles, Calif, USA. jguteman@pol.net

Journal of General Internal Medicine
|October 23, 2002
PubMed
Summary

A structured prescription form can influence physician prescribing habits. Adding cost information and removing specific drugs altered medication choices without limiting physician autonomy.

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Area of Science:

  • Health Services Research
  • Clinical Pharmacy
  • Health Economics

Background:

  • Physician prescribing behavior significantly impacts healthcare costs and patient outcomes.
  • Traditional prescription methods may not adequately guide cost-effective medication selection.
  • Interventions are needed to promote evidence-based and economical prescribing.

Purpose of the Study:

  • To evaluate if a structured, paper-based prescription form can modify pharmaceutical prescribing behavior.
  • To assess if this modification restricts physician freedom in selecting patient-appropriate medications.

Main Methods:

  • An uncontrolled, nonrandomized, time series design was employed at an urban urgent care clinic.
  • Data were collected from 2189 patients over a four-phase intervention period.

Related Experiment Videos

  • Interventions included a pre-formatted prescription form, with and without cost information, and removal of a target drug (ranitidine).

    • Main Results:

    • Physicians prescribed ranitidine less frequently than cimetidine after cost information was introduced (P <.01).
    • Prescribing of ranitidine further decreased when it was removed from the form (P <.001).
    • The structured form influenced prescribing patterns without restricting physician choice.

    Conclusions:

    • A structured prescription form can effectively shift prescribing practices.
    • This intervention can guide physicians toward more cost-conscious prescribing.
    • Physician autonomy in medication selection is maintained with structured forms.