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Related Experiment Videos

Explaining variations in prescribing costs across England

T Morton-Jones1, M Pringle

  • 1Department of General Practice, Queen's Medical Centre, Nottingham.

BMJ (Clinical Research Ed.)
|June 26, 1993
PubMed
Summary

Prescribing costs are driven by patient demand, with elderly patients requiring higher cost allocations. A new model accurately predicts these costs based on demographics and morbidity.

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Area of Science:

  • Health economics
  • Pharmaceutical policy
  • Public health

Background:

  • National prescribing behavior analysis is crucial for resource allocation.
  • Existing models may not accurately reflect the cost of prescribing for elderly populations.

Purpose of the Study:

  • To develop a predictive model for national prescribing behavior.
  • To incorporate demographic and morbidity factors into cost predictions.
  • To reassess the cost weighting for elderly patients.

Main Methods:

  • Multiple regression analysis was used.
  • Data from 90 English family health service authorities in 1989 were analyzed.
  • Twenty-four demographic, morbidity, and practice factors were considered.

Main Results:

  • A predictive model explained 81% of the variation in net ingredient cost per patient.
  • Key factors included pensioner numbers, population mobility, standardized mortality ratios, and prepayment certificates.
  • A new weighting factor of 4.6 was derived for elderly patients' prescribing costs.

Conclusions:

  • Prescribing cost variations primarily reflect patient demand.
  • The current prescribing unit value for elderly patients (aged 65+) is an underestimate.
  • The derived model offers a more accurate approach to resource allocation in prescribing.

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