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Related Experiment Videos

Prescribing: the power to set limits.

J M Harding, M Modell, S Freudenberg

    British Medical Journal (Clinical Research Ed.)
    |February 9, 1985
    PubMed
    Summary
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    A restricted drug list for a London practice may improve prescribing quality and curb costs. However, the list must be flexible, patient-focused, and regularly revised with consumer feedback.

    Area of Science:

    • Health Services Research
    • Pharmacoeconomics
    • Clinical Pharmacy Practice

    Background:

    • Prescribing patterns in inner London group practices were reviewed in November 1982.
    • Department of Health and Social Security proposals aimed to limit National Health Service (NHS) prescriptions.
    • The impact of these proposals on patient care and prescribing practices was considered.

    Purpose of the Study:

    • To develop a restricted drug list of 245 medications for an inner London group practice.
    • To evaluate the potential effects of proposed NHS drug limitations on the project and patient care.
    • To explore strategies for improving prescribing quality and controlling drug costs.

    Main Methods:

    • Review of prescribing patterns in November 1982.

    Related Experiment Videos

  • Development of a restricted drug list based on prescribing data.
  • Analysis of the implications of Department of Health and Social Security proposals.

    • Main Results:

    • A restricted list of 245 drugs was proposed for the group practice.
    • Generic prescribing and limited drug lists were identified as potential methods to improve prescribing quality and reduce costs.
    • The study highlighted the need for flexibility, patient responsiveness, and universal application of limited drug lists.

    Conclusions:

    • Generic prescribing and limited drug lists can enhance prescribing quality and control costs.
    • Limited drug lists should be flexible, patient-centered, and consistently applied across all prescribing.
    • Mechanisms for consumer feedback and periodic list revision are essential for effective drug management.