Changes in drug prescribing under the Public Health Reform Law : a survey of general practitioners'attitudes in East and West Germany.
The aim of the study was to examine general practitioners'attitudes towards drug prescribing in times of economic pressure, and to determine the relevance of different factors for changed prescribing behavior.
A random sample of general practitioners in Eastern Germany and in Western Germany was surveyed, after the Public Health Reform Law, a budgetary initiative to reduce prescribing costs in Germany, had come into effect.
Multiple logistic regression was performed to analyze the association between self-reported prescribing behavior and covariates (such as sex and age, level of certification, doctors'prescribing costs, criteria of prescribing, sources of drug information).
Response rates had been 53.4% (n=550) in Eastern Germany and 56.8% (n=579) in Western Germany respectively.
About two thirds of the doctors (East : 60.4%, West : 73%) believed that they had changed their prescribing behavior under the new law.
They used generic drugs more often (East : 29.5%, West : 52.3%) and often used more generic drugs (East : 29.5%, West : 52.3%) and were less liberal in meeting patients'wishes (61.0% and 72.8%, respectively).
Doctors whose total prescribing costs were above the average of their colleagues, more frequently reported change in prescribing behavior in response to the new law (OR : 3.11,95% CI : 1.63,5.91 for Eastern doctors and OR : 5.90,95% CI : 2.49,13.98 for Western doctors). (...)
Mots-clés Pascal : Médecin généraliste, Prescription médicale, Economie santé, Contrôle coût, Allemagne, Europe, Attitude, Comportement, Médicament
Mots-clés Pascal anglais : General practitioner, Medical prescription, Health economy, Cost control, Germany, Europe, Attitude, Behavior, Drug
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0262448
Code Inist : 002B30A01B. Création : 11/06/1997.