TY - JOUR
KW - General Practice/statistics & numerical data
KW - Humans
KW - Mental Disorders/drug therapy
KW - Practice Patterns, Physicians'/statistics & numerical data
KW - Primary Health Care/statistics & numerical data
KW - Psychotropic Drugs/therapeutic use
KW - United Kingdom
KW - mental illness
KW - prescribing rates
KW - primary care
KW - psychotropic medications
KW - social deprivation
AU - H. Tobin
AU - G. Bury
AU - W. Cullen
A1 - 
AB - BACKGROUND: Mental illness poses a large and growing disease burden worldwide. Its management is increasingly provided by primary care. The prescribing of psychotropic drugs in general practice has risen in recent decades, and variation in prescribing rates has been identified by a number of studies. It is unclear which factors lead to this variation. AIM: To describe the variables that cause variation in prescribing rates for psychotropic drugs between general practices. METHODS: A narrative review was conducted in January 2018 by searching electronic databases using the PRISMA statement. Studies investigating causal factors for variation in psychotropic prescribing between at least two general practice sites were eligible for inclusion. RESULTS: Ten studies met the inclusion criteria. Prescribing rates varied considerably between practices. Positive associations were found for many variables, including social deprivation, ethnicity, patient age and gender, urban location, co-morbidities, chronic diseases and GP demographics. However studies show conflicting findings, and no single regression model explained more than 57% of the variation in prescribing rates. DISCUSSION: There is no consensus on the factors that most predict prescribing rates. Most research was conducted in countries with central electronic databases, such as the United Kingdom; it is unclear whether these findings apply in other healthcare systems. More research is needed to determine the variables that explain prescribing rates for psychotropic medications.
AD - School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin, Ireland.; School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin, Ireland.; School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin, Ireland.
BT - Irish journal of psychological medicine
C5 - Education & Workforce; Healthcare Disparities
CP - 1
CY - England
DO - 10.1017/ipm.2018.35
IS - 1
JF - Irish journal of psychological medicine
LA - eng
M1 - Journal Article
N2 - BACKGROUND: Mental illness poses a large and growing disease burden worldwide. Its management is increasingly provided by primary care. The prescribing of psychotropic drugs in general practice has risen in recent decades, and variation in prescribing rates has been identified by a number of studies. It is unclear which factors lead to this variation. AIM: To describe the variables that cause variation in prescribing rates for psychotropic drugs between general practices. METHODS: A narrative review was conducted in January 2018 by searching electronic databases using the PRISMA statement. Studies investigating causal factors for variation in psychotropic prescribing between at least two general practice sites were eligible for inclusion. RESULTS: Ten studies met the inclusion criteria. Prescribing rates varied considerably between practices. Positive associations were found for many variables, including social deprivation, ethnicity, patient age and gender, urban location, co-morbidities, chronic diseases and GP demographics. However studies show conflicting findings, and no single regression model explained more than 57% of the variation in prescribing rates. DISCUSSION: There is no consensus on the factors that most predict prescribing rates. Most research was conducted in countries with central electronic databases, such as the United Kingdom; it is unclear whether these findings apply in other healthcare systems. More research is needed to determine the variables that explain prescribing rates for psychotropic medications.
PP - England
PY - 2020
SN - 2051-6967; 0790-9667
SP - 59
EP - 66
EP - 
T1 - Mental illness in primary care: a narrative review of patient, GP and population factors that affect prescribing rates
T2 - Irish journal of psychological medicine
TI - Mental illness in primary care: a narrative review of patient, GP and population factors that affect prescribing rates
U1 - Education & Workforce; Healthcare Disparities
U2 - 30274566
U3 - 10.1017/ipm.2018.35
VL - 37
VO - 2051-6967; 0790-9667
Y1 - 2020
Y2 - Mar
ER -