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Using the perception-reality gap to alter prescribing patterns.

W W Rosser

    Journal of Medical Education
    |September 1, 1983
    PubMed
    Summary
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    Physicians inaccurately perceived their diazepam prescribing rates. Providing physicians with actual data on their prescribing behavior led to significant changes, improving patient care.

    Area of Science:

    • Medical Education
    • Pharmacology
    • Primary Care Medicine

    Background:

    • Physician prescribing habits are crucial for patient outcomes.
    • Accurate perception of prescribing patterns is essential for effective practice.
    • Continuing medical education (CME) can influence physician behavior.

    Purpose of the Study:

    • To assess physician perception of diazepam prescribing rates.
    • To compare perceived rates with actual prescribing data.
    • To evaluate the impact of awareness of prescribing discrepancies on physician behavior.

    Main Methods:

    • Thirty physicians in a university family medicine practice participated.
    • Physicians estimated their diazepam prescribing rates for six age/sex groups.

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  • Actual prescribing rates were obtained from a computerized data collection system.

    • Main Results:

    • Physicians' perceived prescribing rates did not accurately reflect actual rates.
    • Informing physicians about the perception-reality gap significantly altered prescribing behavior.
    • This intervention demonstrated a measurable change in prescribing patterns.

    Conclusions:

    • Awareness of a perception-reality gap in prescribing is a powerful educational tool.
    • Targeted feedback can effectively modify physician prescribing behavior in primary care.
    • This approach offers a novel method for CME to enhance patient care.