Influence of prescription charges on repeat prescribing in primary care.

Influence of prescription charges on repeat prescribing in primary care. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Influence of prescription charges on repeat prescribing in primary care. Abstract Text:

BACKGROUND: Repeat dispensing by community pharmacists has now been rolled out nationally within England in order to improve patient convenience and reduce doctors' workload. Little is known about how the charge status of the patient may impact on the uptake and prescribing practices of this service. OBJECTIVE: To examine whether the charge status of the patient influences the length of the repeat prescribing cycle. METHOD: Thirty-six community pharmacies collected data on repeatable prescriptions dispensed over a 4-month period. A purposive sample of 13 general practices actively involved as pathfinder sites were selected for interview, to explore views on repeat prescriptions and influence of prescription charges. RESULTS: Completed audit forms were collected on 4029 repeatable prescriptions. Differences in the length of the prescribing interval between charge payers and exempt patients were found to be statistically significant (Mann-Whitney U-test, P < 0.001), indicating that prescribers were issuing prescriptions for longer interval periods for charge payers. Thirteen general practitioners (GPs) and three practice managers were interviewed across 13 practices. Some GPs varied their prescribing to minimize the cost to patients. Others were motivated to reduce waste and promoted 28-day prescribing for all patients. CONCLUSION: The study has shown that charge paying patients are more likely to have longer prescribing intervals and that cost to the patient is a consideration for GPs when making these decisions. Future work should explore the influence of other factors such as age, socio-economic status and patient morbidity on prescribing in primary care.

Influence of prescription charges on repeat prescribing in primary care. Publishing Authors By Initials

For similar natural sciences: time: time factors research abstracts see: natural sciences: time: time factors research

PUBMED ID PMID:

MEDLINE DATE:

Influence of prescription charges on repeat prescribing in primary care. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Journal of clinical pharmacy and therapeutics

VOLUME: 32

Page Numbers: 269-75

Journal Abbreviation: J Clin Pharm Ther

ISSN: 0269-4727

DAY: 28

MONTH: Jun

YEAR: 2007

Influence of prescription charges on repeat prescribing in primary care. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8704308

Influence of prescription charges on repeat prescribing in primary care. Keywords Mesh Terms:

KEYWORDS: Time Factors

MESH TERMS: trends

Chemical & Substance for Abstract: Influence of prescription charges on repeat prescribing in primary care. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Influence of prescription charges on repeat prescribing in primary care.

AFFILIATION: Centre for Innovation in Practice, School of Pharmacy and Pharmaceutical Sciences, University of Manchester, Manchester, UK. fay.bradley@manchester.ac.uk

Country: England

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: J Clin Pharm Ther

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Influence of prescription charges on repeat prescribing in primary care Related Publications

• A pharmacological study of slowly adapting mechanoreceptors responsive to cold thermal stimulation.
• Influence of prescription charges on repeat prescribing in primary care.
• Intramural and extramural health care in the United Kingdom.
• Personality and cognitive processes: Self-criticism and different types of rumination as predictors of suicidal ideation.
• The challenge of integrating community pharmacists into the primary health care team: A case study of local pharmaceutical services (LPS) pilots and interprofessional collaboration.