Rapid prescribing chance, how do patients respond?

被引:10
作者
Dowell, JS [1 ]
Snadden, D [1 ]
Dunbar, JA [1 ]
机构
[1] DOWNFIELD SURG,DUNDEE DD3 8NE,SCOTLAND
关键词
generic substitution; fundholding; prescribing costs; communication; doctor-patient relationship;
D O I
10.1016/S0277-9536(96)00050-0
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The cost of prescribed medication is an increasing burden on health care systems. British general practitioners have been encouraged to reduce their prescribing costs through financial incentives within the fundholding scheme. This study reports on one general practice which reduced prescribing expenditure as part of the move to fundholding. Interviews performed with practice staff and patients were analysed and combined with prescribing statistics and questionnaire data to give a picture of the balance between the experience of patients and practitioners. Fifty-three interviews with 17 patients revealed that most were willing to try cheaper treatments and that dissatisfaction was primarily with the communication they received lather than the change itself. Each patient had to decide how to respond to the change in their medication. The decision-making process and the main factors involved are described and discussed. The experience of having long-standing treatment. changed can have ail impact on the hector-patient relationship. This was not found to be a large problem and, it is suggested, can be guarded against. Large-scale economies in prescribing are feasible for some practices, and patients will tolerate such changes if attention is paid to sensitive communication. Copyright (C) 1996 Elsevier Science Ltd.
引用
收藏
页码:1543 / 1549
页数:7
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