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June 1989 (Volume 67)
Stephen B. Soumerai
Thomas J. McLaughlin
Milbank Memorial Fund
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Seven percent of all health expenditures in the United States in 1987 was allocated for medications. Accurate prescribing decisions thus have crucial implications for both economic and clinical aspects of health care. A review of 44 empirical studies indicates that different strategies to improve the prescription practices of primary care physicians have proved effective to varying degrees; administrative reminders and feedback systems appear to be suitable for group practices, while one-on-one educational interventions may work well in less-structured office settings. Better-controlled trials and quasi-experimental designs, together with cost-benefit analyses, are still needed to enhance the efficacy and efficiency of prescribing practices.
Author(s): Stephen B. Soumerai; Thomas J. McLaughlin; Jerry Avorn
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Volume 67, Issue 2 (pages 268–317) Published in 1989
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.