Modifying physician prescribing patterns of H2 receptor antagonists in an ambulatory setting

Numerous studies have documented that primary care physicians prescribe H2 receptor antagonist medications for conditions other than those with approved indications. The Division of Ambulatory Care of the Maricopa County Department of Health Services used a three-physician review panel to confirm a similar prescribing pattern for these agents by physicians in its large ambulatory care system. Using current standards of practice as a guide, the panel determined that a change in physician prescribing patterns was necessary. Such modification was achieved through a comprehensive educational program. The new prescribing pattern resulted in a 10% reduction in the number of patients treated with H2 blockers and a 30% reduction in dosage and duration, for an estimated cost savings of $40,000 per year.