Morbidity, deprivation, and antidepressant prescribing in general practice.
BACKGROUND
Although the link between depression, unemployment, and measures of deprivation and morbidity has been previously documented, the relationship between general practice prescribing of antidepressants, morbidity, and the social demography of general practice populations is poorly understood.


OBJECTIVE
To consider whether morbidity and the social demography of general practice populations influence the prescribing costs of individual practices.


METHODS
Data were analysed, using a forward stepwise regression procedure, of all 78 practices served by the Cornwall and Isles of Scilly Health Authority. Data on prescribing for antidepressants were provided by the Prescription Pricing Authority for the period from July to December 1995 and converted into defined daily doses (DDDs) to standardize for the variation in prescribing practice between general practitioners.


RESULTS
A significant positive correlation exists between the rates of prescribing DDDs of antidepressants by general practices and the prevalence of permanent sickness in the areas in which these practices serve.


CONCLUSIONS
Demonstrating an association between morbidity and prescribing rates for depression may prove helpful in setting prescribing budgets.
Mackenzie
I F
IF
Cornwall and Isles of Scilly Health Authority.
Buckingham
K
K
Wankowski
J M
JM
Wilcock
M
M
D000928:Antidepressive Agents / Q000191:economics / Q000627:therapeutic use*; D016527:Drug Costs; D005194:Family Practice / Q000706:statistics & numerical data; D006801:Humans; D001523:Mental Disorders / Q000188:drug therapy*; D009017:Morbidity; D011610:Psychosocial Deprivation; D012959:Socioeconomic Factors
D000928:Antidepressive Agents