Picture of two heads

Open Access research that challenges the mind...

The Strathprints institutional repository is a digital archive of University of Strathclyde research outputs. Strathprints provides access to thousands of Open Access research papers by University of Strathclyde researchers, including those from the School of Psychological Sciences & Health - but also papers by researchers based within the Faculties of Science, Engineering, Humanities & Social Sciences, and from the Strathclyde Business School.

Discover more...

Prescribing restrictions - a necessary strategy among some European countries to enhance future prescribing efficiency?

Godman, Brian and Malmstrom, Rickard and Bennie, Marion (2012) Prescribing restrictions - a necessary strategy among some European countries to enhance future prescribing efficiency? Reviews in Health Care, 3 (1). pp. 5-16.

Full text not available in this repository. (Request a copy from the Strathclyde author)

Abstract

The unsustainable growth in pharmaceutical expenditure has resulted in multiple initiatives across Europe to lower prices of generics and enhance their utilisation. These include prescribing restrictions. However, there have been concerns with their impact on subsequent quality of care as well as their influence in reality. Aims to review the influence of prescribing restrictions and whether there are any differences depending on their nature and drug classes; ascertain whether prescribing restrictions can be added to existing demand-side measures to further enhance prescribing efficiency; discover whether they compromise subsequent quality of care. Prescribing restrictions have a variable impact on subsequent utilisation of patented protected products versus generics in a class, with their influence depending on the nature and follow-up of the restrictions rather than the class of drug. This is seen among the proton pump inhibitors, statins, and renin-angiotensin drugs. Prescribing restrictions can be successfully added to existing measures to further enhance prescribing efficiency, and do not appear to compromise subsequent quality of care. Prescribing restrictions can be a successful strategy as countries strive to maintain the European ideals for healthcare. However, care is needed when planning these programmes: else health authorities could be disappointed with their outcome.