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[Private Prescriptions In East And West Germany - A Secondary Data Analysis].
Thomas Grimmsmann1, Wolfgang Himmel2
1Referat Arzneimittel und Methoden, Medizinischer Dienst Mecklenburg-Vorpommern, Schwerin, Deutschland.
Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|December 11, 2023
Summary
Despite convergence in health, East Germany still has significantly more private prescriptions for benzodiazepines and Z-drugs than West Germany. Physician specialty also impacts prescription rates.
Area of Science:
- Pharmacology and Public Health
- Health Services Research
Context:
- Benzodiazepines and Z-drugs are widely prescribed, with historical East-West German disparities in private prescription rates.
- Understanding current prescription patterns is crucial for equitable healthcare access.
Purpose:
- To investigate if significant differences in private prescription rates for benzodiazepines and Z-drugs persist between East and West Germany.
- To identify factors influencing these prescription patterns, including physician specialty.
Summary:
- Analysis of 2.2 million prescriptions (2014-2020) revealed over 38% were private. East Germany showed higher rates (53.6%) than West Germany (34.8%), particularly for Z-drugs.
- General practitioners (GPs) issued private prescriptions more frequently than neurologists/psychiatrists. Both region and specialty were significant predictors.
- Private prescription rates increased overall, with a notable rise in western states.
Impact:
- Significant regional disparities in private prescriptions for these psychotropic medications persist, challenging the notion of a fully converged healthcare landscape.
- Physician prescribing behavior varies by specialty and region, highlighting the need for targeted interventions to ensure equitable access to medication.
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