Article

Factors associated with high prescribing of benzodiazepines and minor opiates. A survey among general practitioners in Norway.

Department of General Practice, University of Oslo, Oslo, Norway.
Scandinavian Journal of Primary Health Care (impact factor: 2.05). 07/2003; 21(2):115-20. pp.115-20
Source: PubMed

ABSTRACT To determine the factors associated with high-volume prescribing of benzodiazepines and minor opiates--background characteristics, personal prescribing habits and general attitudes to prescribing.
A questionnaire survey. Descriptive statistics, bivariate analysis and multiple logistic regression.
General practitioners in Norway.
Every third general practitioner from the list of members of the Norwegian Medical Association.
Odds ratios for being a high prescriber.
The main predictors of high-volume prescribing were: patients allowed to influence prescribing decisions, benzodiazepines and minor opiates prescribed without consultation, prescribing perceived as difficult and the doctor being male.
Emotional and relational aspects play an important part in decisions on prescribing benzodiazepine and minor opiates. Our findings indicate that there is potential for improvement in prescribing practice; for instance, by investigating how and to what extent prescribing decisions are influenced by patients and how the difficulties experienced influence the decision process. Better practice routines could be considered such as not prescribing these drugs without consultation.

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    Roy Stewart, Wim J M Niessen, Jan Broer, Tom A B Snijders, Floor M Haaijer-Ruskamp, Betty Meyboom-De Jong
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Keywords

benzodiazepines
 
bivariate analysis
 
decision process
 
decisions
 
difficulties
 
drugs
 
extent prescribing decisions
 
general attitudes
 
General practitioners
 
influence prescribing decisions
 
minor opiates
 
multiple logistic regression
 
Norwegian Medical Association
 
Odds ratios
 
personal prescribing habits
 
prescribing benzodiazepine
 
questionnaire survey
 
relational aspects
 
third general practitioner
 

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