Association Between Licensing Examination Scores and Resource Use and Quality of Care in Primary Care Practice

Article Abstract:

Family physicians who score high on their licensing exams may be more likely to use resources wisely and appropriately. Researchers compared the scores of 614 family physicians in Quebec who had passed the licensing exam with their clinical competence in their first 18 months of practice. Those who scored high were more likely to refer patients for consultation, less likely to prescribe inappropriate medications to aged patients, more likely to prescribe disease-specific medications rather than symptom-specific medications and more likely to refer women for mammography.

Physicians, Medical professions, Licensing agreements

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Unnecessary prescribing of NSAIDs and the management of NSAID-related gastropathy in medical practice

Article Abstract:

Nonsteroidal anti-inflammatory drugs (NSAIDS) may be overprescribed, especially for elderly patients. Treatment with NSAIDS can cause stomach pain and bleeding. One hundred twelve participating physicians examined anonymous patients trained to exhibit one of two case histories. More than one third of the elderly patients complaining of hip pain were unnecessarily treated with NSAIDS. The patients having symptoms of stomach pain while on NSAIDS were treated correctly only 11.7% of the time. The shorter the office visit, the worse the doctors performed.

Care and treatment, Drugs, Complications and side effects, Gastrointestinal bleeding, Gastrointestinal hemorrhage, Nonsteroidal anti-inflammatory drugs, Nonsteroidal anti-inflammatory agents, Prescriptions (Drugs)

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Adverse Events Associated With Prescription Drug Cost-Sharing Among Poor and Elderly Persons

Article Abstract:

Poor people who must make a co-payment for their medications may stop using the drugs and incur greater costs in the future from increased use of hospital emergency departments. This was the conclusion of a study of 93,950 elderly persons and 55,333 adult welfare recipients.

Evaluation, Medical care, Medical care utilization, Prescription drug plans

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