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Low-value pharmaceutical care among Dutch GPs: a retrospective cohort study
Joris Ljm Müskens1, Simone A van Dulmen1, Tjerk Wiersma2
1Radboud Institute for Health Sciences, IQ healthcare, Radboud University Medical Centre, Nijmegen.
Summary
Low-value pharmaceutical care is common among Dutch GPs, with significant variation observed. Inappropriate prescriptions for antibiotics, benzodiazepines, and acid-reducing medication highlight the need for improved prescribing practices.
Area of Science:
- General Practice
- Pharmaceutical Care
- Health Services Research
Background:
- Low-value pharmaceutical care is a recognized issue in general practice.
- The prevalence of such care among general practitioners (GPs) in the Netherlands was previously unknown.
Purpose of the Study:
- To determine the prevalence of low-value pharmaceutical care provided by Dutch GPs.
- To investigate variations in prescribing patterns for specific medications.
Main Methods:
- A retrospective cohort study analyzed patient records from Dutch GPs between 2016 and 2019.
- Prevalence of inappropriate prescriptions for topical antibiotics, benzodiazepines, and chronic acid-reducing medication (ARM) was assessed.
- Multilevel logistic regression identified factors influencing prescribing variation.
Main Results:
- High prevalence of inappropriate prescriptions: 53-61% for conjunctivitis antibiotics, 3% for lower back pain benzodiazepines, and 88% for chronic ARM.
- Prescribing variations were noted across different pharmaceutical care types and GP practices.
- Age, sex, socioeconomic status, and practice size influenced the odds of receiving inappropriate prescriptions.
Conclusions:
- The study confirms significant prevalence and practice variation in low-value pharmaceutical care among Dutch GPs.
- Findings underscore the need for targeted interventions to reduce inappropriate prescribing for common conditions.
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