Modifying provider behavior View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2002-10

AUTHORS

Jeffrey J. Guterman, Bruce A. Chernof, Beatriz Mares, Sandra G. Gross-Schulman, Pramod G. Gan, Donald Thomas

ABSTRACT

OBJECTIVE: To determine if a clinically structured, paper-based prescription form can modify pharmaceutical prescribing behavior without restricting physician freedom to select the most appropriate medication for an individual patient. DESIGN: Uncontrolled, nonrandomized, time series design. SETTING: The urgent care clinic of a university-affiliated, county-supported hospital that provides care for underserved, vulnerable populations. PATIENTS: Patients (N = 2189) who had a prescription written at the intervention site during the study. INTERVENTION: Four-phase interventions lasting 2 weeks each, with a washout period between each phase, consisting of: (1). collection of baseline data utilizing the traditional prescription blank, (2). introduction of the pre-formatted prescription form, (3). use of the pre-formatted prescription form with medication cost added, and (4). pre-formatted prescription form with target drug (ranitidine) removed. MEASUREMENTS AND MAIN RESULTS: Physicians were less likely to prescribe ranitidine compared to cimetidine after the introduction of the cost information (P <.01) and again after the removal of ranitidine from the pre-formatted prescription form (P <.001). CONCLUSIONS: A structured, paper-based prescription order form can shift prescribing practices without inhibiting physicians' ordering freedom. More... »

PAGES

792-796

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1046/j.1525-1497.2002.20144.x

DOI

http://dx.doi.org/10.1046/j.1525-1497.2002.20144.x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1038987858

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12390556


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