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  1. Changing to generic formulary : how one fundholding practice reduced prescribing costs.

    Article - En anglais

    Objectives-To observe one general practice's attempt to reduce prescribing costs on becoming third wave fundholders through the introduction of a generic formulary applied to all new and repeat prescribing.

    To assess the impact on patients and prescribing patterns.

    Design-An observational study using interviews with patients and practitioners ; questionnaires for patients and prescribing data.

    Setting-One urban general practice with five partners in Scotland.

    It became fundholding in April 1993.

    Subjects-71 searches of the register of repeat prescriptions identified 1274 potential changes in drugs.

    Questionnaires were sent to a stratified random sample of 280 patients four months after the changes were made ; 33 interviews were conducted with 17 patients selected by local pharmacists to represent a wide range of opinion.

    Main outcome measures-Changes in prescribing and response and satisfaction of patients.


    Of intended changes, 129 (70%) were inplace after four months.

    Thirty three (20%) of the 167 patients who returned questionnaires were « very unhappy, » though interviews suggested that this was primarily with the communication they received rather than the change itself.

    Generic prescribing rose from one in three (37%) to over a half (58%).

    Mots-clés Pascal : Economie santé, Angleterre, Prescription médicale, Médecin généraliste, Coût, Homme, Chimiothérapie, Médicament générique, Grande Bretagne, Royaume Uni, Europe

    Mots-clés Pascal anglais : Health economy, England, Medical prescription, General practitioner, Costs, Human, Chemotherapy, Great Britain, United Kingdom, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0191675

    Code Inist : 002B30A01C. Création : 09/06/1995.