Effects of a behaviour independent financial incentive on prescribing behaviour of general practitioners
Rationale and objectives It is difficult to keep control over prescribing behaviour in general practice. The purpose of this study was to assess the initial effects of a behaviour independent financial incentive on the volume of drug prescribing of general practitioners (GPs). Design 2‐Year Contro...
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| Veröffentlicht in: | Journal of evaluation in clinical practice 2007-06, Vol.13 (3), p.369-373 |
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| container_title | Journal of evaluation in clinical practice |
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| creator | Martens, Jody D. Werkhoven, Mirjam J. Severens, Johan L. Winkens, Ron A. G. |
| description | Rationale and objectives It is difficult to keep control over prescribing behaviour in general practice. The purpose of this study was to assess the initial effects of a behaviour independent financial incentive on the volume of drug prescribing of general practitioners (GPs).
Design 2‐Year Controlled Before After study with an intervention region and a concurrent control region.
Setting and participants GPs in two regions in the Netherlands (n = 119 and n = 118).
Intervention A financial incentive for prescribing according to local guidelines on specific drugs or drug categories. The financial incentive consisted of a non‐recurrent, behaviour‐independent allowance.
Main outcome measure Change in the number of prescriptions for 10 targeted drugs or drug groups.
Results Significant changes were seen only in three types of antibiotics and in recommended gastric medicines. In almost all cases, effects were temporary.
Conclusion Behaviour independent financial incentives can be a help in changing prescription behaviour of GPs, but effects are small‐scale and temporary. |
| doi_str_mv | 10.1111/j.1365-2753.2006.00707.x |
| format | Article |
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Design 2‐Year Controlled Before After study with an intervention region and a concurrent control region.
Setting and participants GPs in two regions in the Netherlands (n = 119 and n = 118).
Intervention A financial incentive for prescribing according to local guidelines on specific drugs or drug categories. The financial incentive consisted of a non‐recurrent, behaviour‐independent allowance.
Main outcome measure Change in the number of prescriptions for 10 targeted drugs or drug groups.
Results Significant changes were seen only in three types of antibiotics and in recommended gastric medicines. In almost all cases, effects were temporary.
Conclusion Behaviour independent financial incentives can be a help in changing prescription behaviour of GPs, but effects are small‐scale and temporary.</description><identifier>ISSN: 1356-1294</identifier><identifier>EISSN: 1365-2753</identifier><identifier>DOI: 10.1111/j.1365-2753.2006.00707.x</identifier><identifier>PMID: 17518801</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>drug ; Drug Prescriptions ; Humans ; incentive ; Insurance Claim Review ; National Health Programs ; Netherlands ; Physicians, Family ; practice guideline ; Practice Patterns, Physicians ; prescriptions ; primary health care ; Reimbursement, Incentive ; Retrospective Studies</subject><ispartof>Journal of evaluation in clinical practice, 2007-06, Vol.13 (3), p.369-373</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4047-5c7a980578780fef9b18440929fec15a6e8b2af8543500887bdd0d6d9c4805103</citedby><cites>FETCH-LOGICAL-c4047-5c7a980578780fef9b18440929fec15a6e8b2af8543500887bdd0d6d9c4805103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2753.2006.00707.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2753.2006.00707.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17518801$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martens, Jody D.</creatorcontrib><creatorcontrib>Werkhoven, Mirjam J.</creatorcontrib><creatorcontrib>Severens, Johan L.</creatorcontrib><creatorcontrib>Winkens, Ron A. G.</creatorcontrib><title>Effects of a behaviour independent financial incentive on prescribing behaviour of general practitioners</title><title>Journal of evaluation in clinical practice</title><addtitle>J Eval Clin Pract</addtitle><description>Rationale and objectives It is difficult to keep control over prescribing behaviour in general practice. The purpose of this study was to assess the initial effects of a behaviour independent financial incentive on the volume of drug prescribing of general practitioners (GPs).
Design 2‐Year Controlled Before After study with an intervention region and a concurrent control region.
Setting and participants GPs in two regions in the Netherlands (n = 119 and n = 118).
Intervention A financial incentive for prescribing according to local guidelines on specific drugs or drug categories. The financial incentive consisted of a non‐recurrent, behaviour‐independent allowance.
Main outcome measure Change in the number of prescriptions for 10 targeted drugs or drug groups.
Results Significant changes were seen only in three types of antibiotics and in recommended gastric medicines. In almost all cases, effects were temporary.
Conclusion Behaviour independent financial incentives can be a help in changing prescription behaviour of GPs, but effects are small‐scale and temporary.</description><subject>drug</subject><subject>Drug Prescriptions</subject><subject>Humans</subject><subject>incentive</subject><subject>Insurance Claim Review</subject><subject>National Health Programs</subject><subject>Netherlands</subject><subject>Physicians, Family</subject><subject>practice guideline</subject><subject>Practice Patterns, Physicians</subject><subject>prescriptions</subject><subject>primary health care</subject><subject>Reimbursement, Incentive</subject><subject>Retrospective Studies</subject><issn>1356-1294</issn><issn>1365-2753</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE9P3DAQxa2qiD9bvkKVU28J4ySOHakXinYXEFraqhUSF8txxuBtNgl2FpZvj8OuoEd8sMfj93sePUIiCgkN62SZ0KxgccpZlqQARQLAgSebT-Tw7eHzWLMipmmZH5Aj75cANAPG98kB5YwKAfSQ3E-NQT34qDORiiq8V4-2W7vItjX2GLZ2iIxtVautakJXh4Z9xKhro96h185Wtr37Dww-d9iiC-reKT3YwXbh6r-QPaMaj8e7c0L-zqZ_zs7jq-v5xdnpVaxzyHnMNFelCFMKLsCgKSsq8hzKtAxjUqYKFFWqjGB5xgCE4FVdQ13Upc4DRSGbkG9b3951D2v0g1xZr7FpVIvd2ksOLE1TyoNQbIXadd47NLJ3dqXcs6Qgx5TlUo5hyjFMOaYsX1OWm4B-3f2xrlZYv4O7WIPg-1bwZBt8_rCxvJz-DEXA4y1u_YCbN1y5f7LgGWfyZjGXP37dLn7DbC5n2QsezZs6</recordid><startdate>200706</startdate><enddate>200706</enddate><creator>Martens, Jody D.</creator><creator>Werkhoven, Mirjam J.</creator><creator>Severens, Johan L.</creator><creator>Winkens, Ron A. G.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200706</creationdate><title>Effects of a behaviour independent financial incentive on prescribing behaviour of general practitioners</title><author>Martens, Jody D. ; Werkhoven, Mirjam J. ; Severens, Johan L. ; Winkens, Ron A. G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4047-5c7a980578780fef9b18440929fec15a6e8b2af8543500887bdd0d6d9c4805103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>drug</topic><topic>Drug Prescriptions</topic><topic>Humans</topic><topic>incentive</topic><topic>Insurance Claim Review</topic><topic>National Health Programs</topic><topic>Netherlands</topic><topic>Physicians, Family</topic><topic>practice guideline</topic><topic>Practice Patterns, Physicians</topic><topic>prescriptions</topic><topic>primary health care</topic><topic>Reimbursement, Incentive</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martens, Jody D.</creatorcontrib><creatorcontrib>Werkhoven, Mirjam J.</creatorcontrib><creatorcontrib>Severens, Johan L.</creatorcontrib><creatorcontrib>Winkens, Ron A. G.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of evaluation in clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martens, Jody D.</au><au>Werkhoven, Mirjam J.</au><au>Severens, Johan L.</au><au>Winkens, Ron A. G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of a behaviour independent financial incentive on prescribing behaviour of general practitioners</atitle><jtitle>Journal of evaluation in clinical practice</jtitle><addtitle>J Eval Clin Pract</addtitle><date>2007-06</date><risdate>2007</risdate><volume>13</volume><issue>3</issue><spage>369</spage><epage>373</epage><pages>369-373</pages><issn>1356-1294</issn><eissn>1365-2753</eissn><abstract>Rationale and objectives It is difficult to keep control over prescribing behaviour in general practice. The purpose of this study was to assess the initial effects of a behaviour independent financial incentive on the volume of drug prescribing of general practitioners (GPs).
Design 2‐Year Controlled Before After study with an intervention region and a concurrent control region.
Setting and participants GPs in two regions in the Netherlands (n = 119 and n = 118).
Intervention A financial incentive for prescribing according to local guidelines on specific drugs or drug categories. The financial incentive consisted of a non‐recurrent, behaviour‐independent allowance.
Main outcome measure Change in the number of prescriptions for 10 targeted drugs or drug groups.
Results Significant changes were seen only in three types of antibiotics and in recommended gastric medicines. In almost all cases, effects were temporary.
Conclusion Behaviour independent financial incentives can be a help in changing prescription behaviour of GPs, but effects are small‐scale and temporary.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17518801</pmid><doi>10.1111/j.1365-2753.2006.00707.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of evaluation in clinical practice, 2007-06, Vol.13 (3), p.369-373 |
| issn | 1356-1294 1365-2753 |
| language | eng |
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| source | MEDLINE; Wiley Journals |
| subjects | drug Drug Prescriptions Humans incentive Insurance Claim Review National Health Programs Netherlands Physicians, Family practice guideline Practice Patterns, Physicians prescriptions primary health care Reimbursement, Incentive Retrospective Studies |
| title | Effects of a behaviour independent financial incentive on prescribing behaviour of general practitioners |
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