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Medical decision making in antipsychotic drug choice for schizophrenia
Johannes Hamann1, Bernadette Langer, Stefan Leucht
1Psychiatric Department, Technical University of Munich, Möhlstrasse 26, 81675 Munich, Germany. j.hamann@lrz.tu-munchen.de
Objective:
The influence of patient and physician variables on antipsychotic drug choice for patients with schizophrenia was assessed.
Method:
Interviews with 100 psychiatrists on drug choice for 200 patients suffering from schizophrenia were conducted. Data were analyzed by using multiple logistic regression.
Results:
Older physicians were up to five times more likely to prescribe first-generation antipsychotics. Patient variables did not influence treatment decisions significantly.
Conclusions:
There is an urgent need for more research on clinical decision making and quality management.
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