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The Strathprints institutional repository is a digital archive of University of Strathclyde research outputs.

Strathprints serves world leading Open Access research by the University of Strathclyde, including research by the Strathclyde Institute of Pharmacy and Biomedical Sciences (SIPBS), where research centres such as the Industrial Biotechnology Innovation Centre (IBioIC), the Cancer Research UK Formulation Unit, SeaBioTech and the Centre for Biophotonics are based.

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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.

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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.