Related Experiment Video
Updated: Feb 18, 2026
Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
Using Drug Prescribing Patterns to Identify Stewards of Cost-Conscious Care
Nicole Michele Gastala1, Peter Wingrove2, Winston Liaw2
1From Primary Health Care, Inc., Marshalltown, IA (NMG); Robert Graham Center for Policy Studies, Washington, DC (PW, WL, SP, AB). reizinee@gmail.com.
Purpose:
To characterize family physicians (FPs) who are stewards of care by consistently prescribing omeprazole over esomeprazole.
Methods:
Cross-sectional analysis of physicians prescribing omeprazole or esomeprazole under Medicare Part D in 2014.
Results:
There was a regional trend with 49% of Western FPs but only 6% of Southern FPs rarely prescribing esomeprazole. Physicians had increased odds of being a steward if they worked with a care coordinator (P < .001), at a patient-centered medical home (P < .001), or in a large practice (P < .001).
Conclusions:
If these findings are replicated across multiple drugs, future outreach could be conducted based on provider prescribing patterns.
More Related Videos
Related Concept Videos
01:15Drug Dosing: Geriatric Patients
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
01:02Prescription, Nonprescription and Orphan Drugs
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
01:29Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:30Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include: