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Related Experiment Videos

Does indirect consultation lead to overprescribing in general practice?

F M Haaijer-Ruskamp, R Stewart, H Wesseling

    Social Science & Medicine (1982)
    |January 1, 1987
    PubMed
    Summary

    Indirect consultations in general practice lead to a slight increase in prescribing. This effect is more pronounced for repeat prescriptions of musculoskeletal, endocrine, and female genital tract disorders.

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    Area of Science:

    • General Practice
    • Health Services Research
    • Pharmacoeconomics

    Background:

    • Indirect consultations, including telephone and receptionist-led interactions, are increasingly utilized in primary care settings.
    • Existing literature suggests a potential for differential prescribing patterns between indirect and direct patient consultations.

    Purpose of the Study:

    • To quantify the difference in prescribing rates between indirect and direct consultations in general practice.
    • To identify specific patient groups or conditions where indirect consultations may significantly influence prescribing behavior.

    Main Methods:

    • Analysis of prescribing data encompassing 14,660 distinct disorders.
    • Data collected over a one-week period from 52 general practices.
    • Comparison of prescribing frequency during indirect versus direct patient consultations.

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    Main Results:

    • A statistically significant, albeit minor, overall increase in prescribing was observed during indirect consultations compared to direct ones.
    • The impact of consultation type on prescribing varied considerably across different diagnostic categories.
    • Repeat prescriptions for musculoskeletal and connective tissue diseases, endocrine, nutritional and metabolic disorders, and disorders of the female genital tract showed a particularly relevant increase during indirect consultations.

    Conclusions:

    • While indirect consultations show a small overall increase in prescribing, their impact is condition-specific.
    • The findings highlight the need for careful consideration of prescribing practices in indirect consultation models, particularly for chronic or recurrent conditions.
    • Further research into optimizing prescribing strategies within various general practice consultation formats is warranted.