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Affecting physician prescribing beha...

DeVries, Andrea Ruth.

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Affecting physician prescribing behavior: Factors influencing the success of a pharmacy intervention.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Affecting physician prescribing behavior: Factors influencing the success of a pharmacy intervention./
作者:	DeVries, Andrea Ruth.
面頁冊數:	203 p.
附註:	Source: Dissertation Abstracts International, Volume: 62-03, Section: B, page: 1299.
Contained By:	Dissertation Abstracts International62-03B.
標題:	Health Sciences, Health Care Management. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3010547
ISBN:	0493199349

Affecting physician prescribing behavior: Factors influencing the success of a pharmacy intervention.
DeVries, Andrea Ruth.

Affecting physician prescribing behavior: Factors influencing the success of a pharmacy intervention. - 203 p.

Source: Dissertation Abstracts International, Volume: 62-03, Section: B, page: 1299.

Thesis (Ph.D.)--University of Minnesota, 2001.

Prescription drugs represent one of the fastest growing component of healthcare spending. Typically, health plans have worked to control prescription costs through benefit design and formulary systems. A less restrictive alternative is to establish informational programs where pharmacists representing the plan present cost effectiveness data to physician groups. Health plan sponsored "detailing" programs have been implemented successfully in a number of small scale demonstrations. This study represents a large scale effort to rigorously determine the relationship between program success and: (A) The intensity of the program; (B) The degree to which the ratio of health plan patients to physician influence prescribing behavior; (C) The degree to which the ratio of managed care members to physician influence prescribing behavior; (D) The degree to which clinic characteristics influence prescribing behavior.

ISBN: 0493199349Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

Affecting physician prescribing behavior: Factors influencing the success of a pharmacy intervention.
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245 1 0 $a Affecting physician prescribing behavior: Factors influencing the success of a pharmacy intervention.
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500 $a Source: Dissertation Abstracts International, Volume: 62-03, Section: B, page: 1299.
500 $a Advisers: John A. Nyman; John E. Kralewski.
502 $a Thesis (Ph.D.)--University of Minnesota, 2001.
520 $a Prescription drugs represent one of the fastest growing component of healthcare spending. Typically, health plans have worked to control prescription costs through benefit design and formulary systems. A less restrictive alternative is to establish informational programs where pharmacists representing the plan present cost effectiveness data to physician groups. Health plan sponsored "detailing" programs have been implemented successfully in a number of small scale demonstrations. This study represents a large scale effort to rigorously determine the relationship between program success and: (A) The intensity of the program; (B) The degree to which the ratio of health plan patients to physician influence prescribing behavior; (C) The degree to which the ratio of managed care members to physician influence prescribing behavior; (D) The degree to which clinic characteristics influence prescribing behavior.
520 $a The detailing program designated preferred and non-preferred drugs in each of three classes. The effect of the program was measured using a pre- and post-intervention study design with a control group and a staggered implementation period. Claims data for three drug classes targeted by the plan, enrollment and encounter data from the health plan, and data from a survey of clinic directors and administrators were used in the analysis. Claims were extracted for a 3-year period, covering 9 months before and 9 months after the intervention for each clinic. A multinomial logit model for group data is used to measure change in market share for each drug. Explanatory variables include intensity of intervention, the ratio of patients to physician, and clinic characteristics.
520 $a The intensity of intervention was associated with an increase in prescribing for "preferred" agents and a decrease in prescribing of "non-preferred" agents. The number of managed care contracts and several other clinic characteristics moderated the effect of the intervention.
520 $a The findings suggest that providing cost-effectiveness information to physicians can have an effect on prescribing behavior. However, the relationship between the clinic and the health plan may amplify or dampen the effect of such an intervention. These programs must be viewed in the context of ongoing contractual relationships, benefit structures, and clinic policies rather than as a singular effort.
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