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.