| Administrative prescription review procedures and use of atypical antipsychotic medications in the Department of Veterans Affairs. | |
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MedLine Citation:
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PMID: 15224448 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Atypical antipsychotic medications vary in cost with limited evidence of differences in effectiveness. Administrative prescription review has been proposed as a way of encouraging use of less expensive medication when there is no specific clinical justification for using more expensive medication. This study examined data from a national GAO survey of 876 veterans affairs (VA) psychiatrists, and national administrative data on the proportion of veterans actually receiving atypical antipsychotic medications. The proportion of psychiatrists in each region reporting that they did not feel free to prescribe expensive drugs when indicated was negatively correlated with the proportion of patients who filled prescriptions for clozapine, the most expensive atypical. The proportion reporting review procedures for prescribing olanzapine was significantly and negatively correlated with the proportion of veterans actually receiving prescriptions for olanzapine and, positively associated with the proportion prescribed risperidone. Nondirective administrative review procedures in VA are significantly associated with actual prescribing patterns and may generate modest cost savings in the prescription of atypical antipsychotic medication. |
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Authors:
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Robert Rosenheck; Douglas Leslie |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Mental health services research Volume: 5 ISSN: 1522-3434 ISO Abbreviation: Ment Health Serv Res Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2004-06-30 Completed Date: 2004-07-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9815815 Medline TA: Ment Health Serv Res Country: United States |
Other Details:
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Languages: eng Pagination: 149-53 Citation Subset: IM |
Affiliation:
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Yale Departments of Psychiatry and Epidemiology and Public Health, New Haven, Connecticut, USA. robert.rosenheck@yale.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Antipsychotic Agents
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economics,
therapeutic use* Cost Control Data Collection Decision Making Drug Utilization Review* Female Humans Male Psychopharmacology Schizophrenia / drug therapy* United States United States Department of Veterans Affairs* |
| Chemical | |
Reg. No./Substance:
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0/Antipsychotic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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