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dc.contributor.authorRobertson Jen
dc.contributor.authorFryer JLen
dc.contributor.authorO'Connell DLen
dc.contributor.authorSprogis Aen
dc.contributor.authorHenry DAen
dc.date.accessioned2015-02-17T09:10:56Zen
dc.date.available2015-02-17T09:10:56Zen
dc.date.issued2000en
dc.identifier.govdoc325en
dc.identifier.urihttp://researchpubs.cancercouncil.com.au/cancercounciljspui/handle/1/1381en
dc.description.abstractOBJECTIVE: To investigate the direct impact of specialists on prescribing by general practitioners. DESIGN: Cross-sectional, prescription-based study. SUBJECTS AND SETTING: 88 GPs in the Hunter Urban Division of General Practice, Hunter Valley, NSW. MAIN OUTCOME MEASURE: Proportions of specialist-initiated prescriptions for eight commonly prescribed drug classes. RESULTS: The proportion of specialist-initiated prescriptions was greatest for proton pump inhibitors (85%), and lowest for diuretics (8%), newer antidepressants (10%) and H2-receptor antagonists (13%). Specialists initiated 29% of prescriptions for beta-blockers, 26% for calcium-channel blockers, 20% for statins and 19% for angiotensin-converting enzyme inhibitors or angiotensin II antagonists. Specialists were more likely to have been involved in starting therapy with metoprolol than other beta-blockers (51% v 23%) and diltiazem than other calcium-channel blockers (48% v 19%), and this was related to indication for treatment. In contrast, prescriptions for the more recently introduced drugs (angiotensin II antagonists and atorvastatin) were not more likely to have been specialist-initiated than prescriptions for established angiotensin-converting enzyme inhibitors and statins. CONCLUSIONS: The direct impact of specialists on prescribing in the Hunter Urban Division of General Practice is substantial and varies with the drug class. This highlights the need to engage both GPs and specialists in efforts to improve prescribing practicesen
dc.language.isoenen
dc.titleThe impact of specialists on prescribing by general practitionersen
dc.typePeer Reviewed Journal Articleen
dc.subject.keywordsAdulten
dc.subject.keywordsHumansen
dc.subject.keywordsInterprofessional Relationsen
dc.subject.keywordsMaleen
dc.subject.keywordsMiddle Ageden
dc.subject.keywordsNew South Walesen
dc.subject.keywordsOtheren
dc.subject.keywordspharmacologyen
dc.subject.keywordsPhysician's Practice Patternsen
dc.subject.keywordsPrescriptionsen
dc.subject.keywordsPrescriptions,Drugen
dc.subject.keywordsAgeden
dc.subject.keywordsReferral and Consultationen
dc.subject.keywordsResearch Support,Non-U.S.Gov'ten
dc.subject.keywordsSpecialties,Medicalen
dc.subject.keywordsstatistics & numerical dataen
dc.subject.keywordstherapyen
dc.subject.keywordsAged,80 and overen
dc.subject.keywordsCross-Sectional Studiesen
dc.subject.keywordsData Collectionen
dc.subject.keywordsDesignen
dc.subject.keywordsDrug Utilizationen
dc.subject.keywordsFamily Practiceen
dc.subject.keywordsFemaleen
dc.identifier.journaltitleMedical Journal of Australiaen
dc.identifier.volume175en
dc.identifier.issue8en
dc.identifier.pagestart407en
dc.identifier.pageend411en
dc.identifier.programmeOtheren
dc.identifier.divisionCancer Research Division
Appears in Collections:Research Articles

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