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Therapeutic traditions, patient socioeconomic characteristics and physicians' early new drug prescribing-a multilevel analysis of rosuvastatin prescription in south Sweden.

Ohlsson, Henrik LU ; Chaix, Basile LU and Merlo, Juan LU (2009) In European Journal of Clinical Pharmacology Oct 4.. p.141-150
Abstract
PURPOSE: To investigate the role that both patient and outpatient factors related to health care practice (HCP) play in physicians' early adoption of rosuvastatin. MATERIALS AND METHODS: Generalized estimation equations (GEEs) and alternating logistic regression (ALR) with pair-wise odds ratios (PWORs) were used to measure similarities in rosuvastatin prescription within HCPs for all individuals with statin prescriptions in Skåne region, Sweden. RESULTS: After 12 months, 53% of the HCPs had adopted the new statin. Rosuvastatin prescriptions co-occured within certain HCPs 3.56 times more often than one would have expected based on a random distribution. Private HCPs had four times higher probability of prescribing rosuvastatin than public... (More)
PURPOSE: To investigate the role that both patient and outpatient factors related to health care practice (HCP) play in physicians' early adoption of rosuvastatin. MATERIALS AND METHODS: Generalized estimation equations (GEEs) and alternating logistic regression (ALR) with pair-wise odds ratios (PWORs) were used to measure similarities in rosuvastatin prescription within HCPs for all individuals with statin prescriptions in Skåne region, Sweden. RESULTS: After 12 months, 53% of the HCPs had adopted the new statin. Rosuvastatin prescriptions co-occured within certain HCPs 3.56 times more often than one would have expected based on a random distribution. Private HCPs had four times higher probability of prescribing rosuvastatin than public HCPs. CONCLUSION: Contextual characteristics of the HCP seem to be relevant for understanding physicians' motivation to adopt rosuvastatin. Moreover, our study reveals inequity in health care as the socioeconomic status of the patients appears to influence the prescribing behavior of the physicians irrespective of medical reasons. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Clinical Pharmacology
volume
Oct 4.
pages
141 - 150
publisher
Springer
external identifiers
  • WOS:000262785000003
  • PMID:18836707
  • Scopus:58849085896
ISSN
1432-1041
DOI
10.1007/s00228-008-0569-4
language
English
LU publication?
yes
id
812bb565-ffac-4aa6-85b5-74ebda6b73bf (old id 1262564)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18836707?dopt=Abstract
date added to LUP
2008-11-06 15:34:46
date last changed
2016-10-13 04:31:15
@misc{812bb565-ffac-4aa6-85b5-74ebda6b73bf,
  abstract     = {PURPOSE: To investigate the role that both patient and outpatient factors related to health care practice (HCP) play in physicians' early adoption of rosuvastatin. MATERIALS AND METHODS: Generalized estimation equations (GEEs) and alternating logistic regression (ALR) with pair-wise odds ratios (PWORs) were used to measure similarities in rosuvastatin prescription within HCPs for all individuals with statin prescriptions in Skåne region, Sweden. RESULTS: After 12 months, 53% of the HCPs had adopted the new statin. Rosuvastatin prescriptions co-occured within certain HCPs 3.56 times more often than one would have expected based on a random distribution. Private HCPs had four times higher probability of prescribing rosuvastatin than public HCPs. CONCLUSION: Contextual characteristics of the HCP seem to be relevant for understanding physicians' motivation to adopt rosuvastatin. Moreover, our study reveals inequity in health care as the socioeconomic status of the patients appears to influence the prescribing behavior of the physicians irrespective of medical reasons.},
  author       = {Ohlsson, Henrik and Chaix, Basile and Merlo, Juan},
  issn         = {1432-1041},
  language     = {eng},
  pages        = {141--150},
  publisher    = {ARRAY(0xdf36da8)},
  series       = {European Journal of Clinical Pharmacology},
  title        = {Therapeutic traditions, patient socioeconomic characteristics and physicians' early new drug prescribing-a multilevel analysis of rosuvastatin prescription in south Sweden.},
  url          = {http://dx.doi.org/10.1007/s00228-008-0569-4},
  volume       = {Oct 4.},
  year         = {2009},
}