A Study of Prescribing Patterns

Maronde, Robert F.; Lee, Peter V.; McCarron, Margaret M.; Seibert, Stanley

doi:10.1097/00005650-197109000-00002

Cited by 70 publications

(8 citation statements)

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“…Similar data were reported by Blackwell (1975; Figure 2 indicates results of prescription audits for the years National Prescription Audit, 1978;HEW, 1980). Prescriptions for anxiolytics levelled off after 1973, and, in Maronde et al (1971) have reported that 50% of what they called 'inappropriate prescriptions', were written by only 3.4% of all physicians participating in their survey. In other words, it is clear that in any system there will be some who abuse or misuse the system, and there will also be physicians who either over-or underuse any drug, including psychotherapeutics.…”

Section: Prescription Auditsmentioning

confidence: 99%

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Are benzodiazepines overused and abused?

Rickels¹

1981

Brit J Clinical Pharma

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1 Drug use has to be viewed in the context of symptoms or illnesses for which they are prescribed. It is concluded that overall psychotropic drugs are used conservatively. 2 The benzodiazepines are safe drugs and in contrast with other centrally acting agents overuse will rarely have severe consequences. 3 Abrupt discontinuation may lead to temporary withdrawal reactions in patients who have been taking benzodiazepines regularly for 4 months or longer. Such reactions may occur more frequently in patients taking high doses.

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Section: Prescription Auditsmentioning

confidence: 99%

“…This concern is usually expressed as a belief that these drugs are overused and abused (Muller, 1972;Waldron, 1977; Maronde, Lee, McCarron & Seibert, 1971;Silverman & Lee, 1974; US Senate, 1979). Benzodiazepines and primarily diazepam, the most widely prescribed anti-anxiety agent, have been blamed for nearly everything.…”

Section: Introductionmentioning

confidence: 99%

Are benzodiazepines overused and abused?

Rickels¹

1981

Brit J Clinical Pharma

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“…In Scandinavia, the majority of prescriptions, regardless of medical specialty, are issued by general practitioners (GPs) (1,2). Significant variations in prescribing habits among GPs have been shown (3,4), which to a certain extent may be explained by variations in demographic factors, including patient age, sex, and diagnostic panorama (‘case mix’). There may, however, be as yet unidentified additional reasons for these variations, such as the prescribing habits of individual GPs.…”

Section: Introductionmentioning

confidence: 99%

Effect of mailed feedback on drug prescribing profiles in general practice: a seven-year longitudinal study in Storstrøm County, Denmark

Vægter

Wahlström

Wedel

et al. 2010

Upsala Journal of Medical Sciences

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BackgroundWhether written feedback on drug prescribing in general practice affects prescribing habits is controversial. Most short-term studies showed no effect. However, the issue has not been tested in long-term studies involving the local general practitioner community.Aims of the studyTo assess whether prescribing levels in general practice are affected by long-term, unsolicited, systematically repeated, mailed feedback.MethodsEach of the 94 general practices in Storstrøm County, Denmark, received semi-annual, mailed feedback about their prescribing volumes and costs within 13 major drug groups, in relation to the levels for all the other 93 practices over a 7-year period in a project initiated by the local general practitioner association. Data on the number of defined daily doses (DDDs) prescribed per 1000 listed patients in each practice per 6-months, and practice characteristics, were obtained from the Pharmaceutical Database at the County Health Department.ResultsThere was a large variation in drug prescribing volume between practices, but little within-practice variation over time. After adjustments for the influence of practice size and other potential outcome-affecting variables, there was no evidence of a general change of prescribing volume over time, no change among practices with a high or a low prescribing level, and no significant change within the various drug groups.ConclusionsWe found no significant effects on prescribing levels of mailed feedback, even when repeated semi-annually during 7 years and initiated by the local general practitioner community.

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“…For example, a study in California found that an ephedrine drug was among the most heavily overprescribed drugs with some prescriptions written for as many as 1000 pills [33]. It is not clear whether pills were diverted for recreational use, but patterns were beginning to appear problematic.…”

Section: Modern Illicit Drug Regulation Beginsmentioning

confidence: 99%

How ephedrine escaped regulation in the United States: A historical review of misuse and associated policy

Palamar

2011

Health Policy

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A Study of Prescribing Patterns

Cited by 70 publications

References 0 publications

Are benzodiazepines overused and abused?

Are benzodiazepines overused and abused?

Effect of mailed feedback on drug prescribing profiles in general practice: a seven-year longitudinal study in Storstrøm County, Denmark

How ephedrine escaped regulation in the United States: A historical review of misuse and associated policy

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