Does indirect consultation lead to overprescribing in general practice?
Abstract
Indirect consultations (by telephone or receptionist) are of increasing importance in general practice and may result in more prescribing than during direct (face to face)-consultations. We analysed prescribing data for 14,660 disorders, presented in one week in 52 general practices. In general, a significant, but hardly relevant increase in prescribing during indirect consultations was observed. The effect varies strongly for different disorders and was especially relevant for repeat-prescriptions for the following conditions: musculoskeletal- and connective tissue diseases, endocrine, nutritional and metabolic disorders and disorders of the female genital tract.
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Primary care professionals are more likely to prescribe medications in remote consultations than in face-to-face settings.
“For example, PCPs are more likely to prescribe medications in remote consultations than in face-to-face settings [6,7].”
From Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review (2020) · cites this paper as [6]
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References 22 · Cited by 12
- Authors
- Haaijer-Ruskamp, F. M., Stewart, R., & Wesseling, H.
- Affiliations
- University of Groningen (NL)
- ORCID
- Stewart, Roy
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 1987-01
- Volume
- 25
- Issue
- 1
- Pages
- 43-46
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2072356200
- Cited by
- 12
- References
- 22
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2014: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
- Keywords
- telephone consultation, overprescribing, prescribing patterns, general practice, repeat prescriptions, musculoskeletal disorders, connective tissue diseases, endocrine disorders
- MeSH terms
- Drug Therapy, Drug Utilization, Family Practice, Humans, Drug Prescriptions, Referral and Consultation, Telephone
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