Unified budgets for primary care groups

Majeed, Azeem; Malcolm, Laurence

doi:10.1136/bmj.318.7186.772

Cited by 55 publications

(29 citation statements)

References 14 publications

(11 reference statements)

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“…The continuing development and mergers of PCGs and the opportunity to change to PCT status (Audit Commission, 2000) will emphasize the need for greater understanding of the potential and utility of information systems in order to manage prescribing expenditure most effectively (Majeed and Malcolm, 1999).…”

Section: Discussionmentioning

confidence: 99%

Monitoring prescribing: GPs' use of Prescribing Analysis and Cost (PACT) data

Jones

Greenfield

Jowett

et al. 2002

Primary Health Care Research and Development

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Prescribing Analysis and Cost (PACT) data are sent to all GPs to assist them in monitoring their prescribing. Although the quarterly Standard Reports contain a great deal of information it is not known how GPs make use of it. This paper reports on two linked studies which explore GPs' views on PACT Standard Reports and PACT catalogue data. In the rst study, interviews were carried out with 21 GPs in 16 practices selected according to criteria related to their prescribing budget. The interview schedule included questions on how the Standard Reports were used and the amount and ease of understanding of the information provided, and on use of PACT Catalogue data. The second study was a questionnaire survey of the 1047 practices in the West Midlands region in which GPs were asked how they used PACT data. Analysis of the interviews showed that GPs' views on the Standard Report varied widely although most found it helpful. Many GPs used the data in a limited way and only used a small part of them. Single-handed GPs and small practices were least likely to make use of PACT data and few practices analysed the data in any depth. Most respondents said that comparing their costs with health authority and national averages was useful for considering where to make changes in their prescribing. GPs indicated they would like the report to include some interpretation of the data with suggestions for changes which could be made. The regional survey con rmed that PACT Standard Reports are only used in a limited way and how they are used varies with practice size. We conclude that PACT Standard Reports were rarely used to analyse prescribing in any depth and GPs need more support in making better use of the data.

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Section: Discussionmentioning

confidence: 99%

Monitoring prescribing: GPs' use of Prescribing Analysis and Cost (PACT) data

Jones

Greenfield

Jowett

et al. 2002

Primary Health Care Research and Development

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show abstract

“…The results of some English studies analysing the influence of such variables on drug prescription in primary health care show that they influence prescription patterns [2][3][4][5][6][7] and cost [5][6][7]. GPs' prescribing decisions have come under increased scrutiny, above all in those Italian regions where health care deficits remain high, and there is considerable pressure to contain costs by prescribing cost-effectively [8][9][10][11]. Thus, knowledge of prescription patterns is important in order to improve, evaluate and make adjustments to the pharmaceutical formulary [12].…”

Section: Introductionmentioning

confidence: 99%

Physician and patient characteristics associated with prescriptions and costs of drugs in the Lazio region of Italy

et al. 2010

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“…With the move towards a primary care led NHS, it is inevitable that more chronic disease management will take place in primary care (Majeed and Malcolm, 1999). Rates of chronic illness, including mental health disorder, are highest among the elderly (Moser and Majeed, 1999).…”

Section: Introductionmentioning

confidence: 99%