| The prescribing of specialist medicines: what factors influence GPs' decision making? | |
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MedLine Citation:
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PMID: 19505976 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: As Governments worldwide strive to integrate efficient health care delivery across the primary-secondary care divide, particular significance has been placed on the need to understand GPs' prescribing of specialist drugs. OBJECTIVE: To explore the factors which influence GPs' decision-making process when requested to prescribe specialist drugs. METHODS: A qualitative approach was used to explore the perspectives of a wide range of practice-, primary care trust-, strategic health authority-level staff and other relevant stakeholders in the North-West of England. All semi-structured interviews (n = 47) were analysed comprehensively using the five-stage 'framework' approach. RESULTS: Six diverse factors were identified as having a crucial bearing on how GPs evaluate initial requests and subsequently decide whether or not to prescribe. These include GPs' lack of knowledge and expertise in using specialist drugs, the shared care arrangement, the influence of a locally agreed advisory list, financial and resource considerations, patient convenience and understanding and GPs' specific areas of interest. CONCLUSION: This exploration of GPs' decision-making process is needed to support future integrated health care delivery. |
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Authors:
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Sarah Crowe; Mary P Tully; Judith A Cantrill |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-06-08 |
Journal Detail:
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Title: Family practice Volume: 26 ISSN: 1460-2229 ISO Abbreviation: Fam Pract Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-07-17 Completed Date: 2009-11-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8500875 Medline TA: Fam Pract Country: England |
Other Details:
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Languages: eng Pagination: 301-8 Citation Subset: IM |
Affiliation:
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Division of Primary Care, School of Community Health Sciences, University of Nottingham, University Park, Nottingham NG7 2RD, UK. sarah.crowe@nottingham.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Decision Making* Family Practice / methods* Great Britain Humans Interprofessional Relations Medical Staff, Hospital Medication Therapy Management / organization & administration Physician's Practice Patterns Physicians, Family* Prescription Drugs / administration & dosage* Prescriptions* State Medicine |
| Chemical | |
Reg. No./Substance:
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0/Prescription Drugs |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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