To compare prescribing patterns in general practices before and after the introduction of fundholding in April 1993 to determine whether fundholding changed prescribing patterns among practices thatjoined the scheme.
Analysis of prescribing data from the Drug Utilisation Research Unit's database for all practices in Northern Ireland during April 1989 to March 1996.
23 first wave fundholders, 34 second wave fundholders, 9 third wave fundholders, and 268 non-fundholders.
Prescribing costs per 1000 patients, prescription items per 1000 patients, average cost per item, and rate of generic prescribing.
Prescribing costs and frequency increased in all groups throughout the study.
Among the fundholders the rate of increase in costs after fundholding was significantly lower than among non-fundholders.
The rate of increase in cost per item fell, coinciding with a significant increase in the rate of generic prescribing.
However, with regard to first wave fundholders, their yearly increase in costs in their third year as fundholders (1995-6) was similar to that of the non-fundholders.
The earlier practices that joined the scheme seemed to differ in some important respects from those thatjoined later. (...)
Mots-clés Pascal : Médecine générale, Etude longitudinale, Prescription, Coût, Etude comparative, Gestion fonds, Expérience professionnelle, Analyse risque, Relation générique, Evaluation, Irlande du Nord, Royaume Uni, Europe, Homme, Organisation santé, Politique sanitaire
Mots-clés Pascal anglais : Internal medicine, Follow up study, Prescription, Costs, Comparative study, Stock management, Professional experience, Risk analysis, Generic relation, Evaluation, Northern Ireland, United Kingdom, Europe, Human, Public health organization, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0388365
Code Inist : 002B30A04B. Création : 12/09/1997.