Lessons from international experience in controlling pharmaceutical expenditure .2. Influencing doctors

Lessons from international experience in controlling pharmaceutical expenditure .2. Influencing doctors
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DOI:
10.1136/bmj.312.7045.1525
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发表时间:
1996-06-15
影响因子:
--
通讯作者:
Freemantle, N
Freemantle, N
中科院分区:
医学1区
文献类型:
--
作者:
Bloor, K;Freemantle, N

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这是回顾控制毒品支出和提高毒品使用效率的国际政策的三篇论文中的第二篇。本文回顾了影响医生开药的政策,特别是预算限制、信息和反馈以及指南的使用,并评估了这些政策的影响。评估激励制度的研究有限,但证据表明,提供信息本身不会导致实践发生实质性变化,应该评估更积极的策略。
This is the second of three papers that review international policies to control spending on drugs and to improve the efficiency of drug use. This paper reviews policies influencing doctors' prescribing of drugs-particularly the use of budgetary restrictions, information and feedback, and guidelines-and evaluates the impact of these policies. Studies evaluating incentive systems are Limited, but evidence suggests that providing information on its own will not lead to substantial changes in practice and that more active strategies should be evaluated.