Factors affecting the prescribing of psychotropic drugs in general practice consultations

Raynes, Norma V.

doi:10.1017/s0033291700033985

Cited by 53 publications

(22 citation statements)

References 17 publications

(28 reference statements)

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“…Empathy is shown with a prescription. For the doctor, the act of prescribing may also help to maintain a sense of accomplishment [36]. BZDs provide the doctor with an opportunity to ''do something'' and to prescribe a ''rational treatment'' for non-specific psychosocial problems in a manner that complies with the expectations associated with the role of a doctor [36].…”

Section: Discussionmentioning

confidence: 99%

“…For the doctor, the act of prescribing may also help to maintain a sense of accomplishment [36]. BZDs provide the doctor with an opportunity to ''do something'' and to prescribe a ''rational treatment'' for non-specific psychosocial problems in a manner that complies with the expectations associated with the role of a doctor [36]. If patients present psychosocial symptoms, which are difficult to define, GPs may feel the need to prescribe simply in order to reduce their feelings of inadequacy in managing health problems in the community.…”

Section: Discussionmentioning

confidence: 99%

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The lesser evil? Initiating a benzodiazepine prescription in general practice

Anthierens

Habraken²,

Petrovic

et al. 2007

Scandinavian Journal of Primary Health Care

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Objective. Chronic benzodiazepine (BZD) use is widespread and linked with adverse effects. There is consensus concerning the importance of initiating BZD as a crucial moment. Nevertheless specific research in this field is lacking. This paper addresses the views of GPs on why they start prescribing BZDs to first-time users. Design. Qualitative study with five focus groups analysed using a systematic content analysis. Setting. Regions of Ghent and Brussels in Belgium. Subjects. A total of 35 general practitioners. Main outcome measure. The GPs' perspective on their initiating of BZD prescribing. Results. GPs reported that they are cautious in initiating BZD usage. At the same time, GPs feel overwhelmed by the psychosocial problems of their patients. They show empathy by prescribing. They feel in certain situations there are no other solutions and they experience BZDs as the lesser evil. They admit to resorting to BZDs because of time restraint and lack of alternatives. GPs do not perceive the addictive nature of BZD consumption as a problem with first-time users. GPs do not specifically mention patients' demand as an element for starting. Conclusion. The main concern of GPs is to help the patient. GPs should be aware of the addictive nature of BZD even in low doses and a non-pharmacological approach should be seen as the best first approach. If GPs decide to prescribe a BZD they should make plain to the patient that the medication is only a ''temporary'' solution with clear agreements with regard to medication withdrawal.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The lesser evil? Initiating a benzodiazepine prescription in general practice

Anthierens

Habraken²,

Petrovic

et al. 2007

Scandinavian Journal of Primary Health Care

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“…9 Earlier studies found hospital doctors rely on pharmacological rather than the psychological treatments. [10][11][12] Data on consultation-liaison psychiatry remains limited in northern Nigeria. A previous study in the region found the highest rate of referral came from the internal medicine department.…”

Section: Introductionmentioning

confidence: 99%

Attitude towards psychiatric treatment and referral pattern in the University of Maiduguri Teaching Hospital- A preliminary report

Wakil¹,

Abdul²,

Jidda³

et al. 2013

Afr. J. Psych

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Objective: There is a paucity of literature on consultation-liaison psychiatry, in northern Nigeria. This study aimed to determine both the pattern of psychiatric referrals, and the attitudes of doctors toward the treatment of mental disorders in a teaching hospital, in northeast Nigeria. Method: In this cross-sectional survey, we used a modified version of the self-rated Kumar 12-item questionnaire and a basic socio-demographic questionnaire to assess a non-random convenient sample of 100 postgraduate resident doctors (with a response rate of 70%) from the University of Maiduguri Teaching Hospital (UMTH). We subjected the data obtained to descriptive statistical analysis, using EPI info (2003), to report averages. Results: A relatively low percentage (57.1%) of doctors acknowledged treating patients with mental disorders in their practice, with a higher proportion acknowledging referral (75%). Nearly one in five (17.6%) of the respondents were unaware that patients with functional illness could have psychological disorders. We found more awareness for psychotherapy (44.1%) than other non-pharmacological treatment interventions, while 10.3% were ignorant of non-pharmacological forms of treatment for psychological problems. Conclusion: Although this is a preliminary report, the research reported here demonstrated that doctors in the teaching hospital concerned recognized the need for psychiatric consultation and referral. It is difficult to draw further conclusions because of the limitations of this study.

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“…La prévalence de cette consommation excède systémati-quement la prévalence des troubles mentaux pour lesquels ils sont indiqués. En fait, les psychotropes sont souvent prescrits dans des situations où il n'y a pas de problème de santé mentale défini (Ashton, 1991 ;Broadhead et al, 1991 ;Cafferata et Meyers, 1990 ;Goldberg et al, 1970 ;Hadsall et al, 1982 ;Hohmann et al, 1991 ;Rawson et D'Arcy, 1991 ;Raynes, 1979 ;Roberge et al, 1995 ;Westerling, 1988 ;Weyerer et Dilling, 1991).…”

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“…Pourtant, ce dernier constitue une partie importante de l'équation. On a démontré que le taux de prescription des psychotropes varie de façon importante chez les médecins (Lennard et Cooperstock, 1978Raynes, 1979Raynes, , 1980Westerling, 1988), mais on connaît peu de chose sur les caractéristiques des professionnels qui sont plus enclins à prescrire ces substances aux femmes qu'aux hommes (Marinier et al, 1985 ;Morabia et al, 1992). Une étude suisse de 24 médecins ré-sidents rapporte l'existence d'une interaction entre le sexe du médecin et de son patient d'une part, et la prescription de psychotropes d'autre part (Morabia et al, 1992).…”

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Caractéristiques des médecins prescrivant des psychotropes davantage aux femmes qu’aux hommes

Tamblyn

Laprise

Schnarch

et al. 2008

smq

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Les différences observées dans l'état de santé et l'utilisation des services médicaux, selon le sexe, se sont avérées insuffisantes pour expliquer une plus grande consommation de psychotropes chez les femmes que chez les hommes dans les pays industrialisés. Nous avons testé l'hypothèse selon laquelle les habitudes de prescription des médecins expliquent une partie importante de cette observation. Nous démontrons, à l'aide des données de la Régie de l'assurance-maladie du Québec pour les personnes âgées de 65 ans et plus, que le profil socio-démographique et le style de gestion des médecins prescripteurs sont associés de façon significative au pourcentage d'hommes et de femmes ayant obtenu une ordonnance de psychotrope dans leurs pratiques.In industrialized countries, gender differences observed in health condition and the use of medical services appear insufficient to explain a greater consumption of psychotropic drugs in women than men. The authors have tested the hypothesis that physician prescribing patterns largely explains this observation. They demonstrate, using data from the Régie de l'assurance maladie du Québec for people aged 65 and over, that physicians' sociodemographic and practice characteristics are significantly associated with the percentage of men and women who receive a psychotropic drug prescription in their practice

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Factors affecting the prescribing of psychotropic drugs in general practice consultations

Cited by 53 publications

References 17 publications

The lesser evil? Initiating a benzodiazepine prescription in general practice

The lesser evil? Initiating a benzodiazepine prescription in general practice

Attitude towards psychiatric treatment and referral pattern in the University of Maiduguri Teaching Hospital- A preliminary report

Caractéristiques des médecins prescrivant des psychotropes davantage aux femmes qu’aux hommes

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