title: Australian dispensing doctors' prescribing: quantitative and qualitative analysis.
abstract: OBJECTIVE
  To evaluate the prescribing practices of Australian dispensing doctors (DDs) and to explore their interpretations of the findings.
  
  
  METHODS
  Sequential explanatory mixed methods. The quantitative phase comprised analysis of Pharmaceutical Benefits Scheme (PBS) claims data of DDs and non-DDs, 1 July 2005-30 June 2007. The qualitative phase involved semi-structured interviews with DDs in rural and remote general practice across Australian states, August 2009-February 2010.
  
  
  METHODS
  The number of PBS prescriptions per 1000 patients and use of Regulation 24 of the National Health (Pharmaceutical Benefits) Regulations 1960 (r. 24); DDs' interpretation of the findings.
  
  
  RESULTS
  72 DDs' and 1080 non-DDs' PBS claims data were analysed quantitatively. DDs issued fewer prescriptions per 1000 patients (9452 v 15 057; P = 0.003), even with a similar proportion of concessional patients and patients aged > 65 years in their populations. DDs issued significantly more r. 24 prescriptions per 1000 prescriptions than non-DDs (314 v 67; P = 0.008). Interviews with 22 DDs explained that the fewer prescriptions were due to perceived expectation from their peers regarding prescribing norms and the need to generate less administrative paperwork in small practices.
  
  
  CONCLUSIONS
  Contrary to overseas findings, we found no evidence that Australian DDs overprescribed because of their additional dispensing role.
authors.affiliation: School of Public Health, Curtin University, Perth, WA. david.limATcurtin.edu.au
authors.forename: David
authors.initials: D
authors.lastname: Lim
authors.forename: Jon D
authors.initials: JD
authors.lastname: Emery
authors.forename: Janice
authors.initials: J
authors.lastname: Lewis
authors.forename: V Bruce
authors.initials: VB
authors.lastname: Sunderland
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D001315:Australia; D003625:Data Collection; D004363:Drug Utilization / Q000706:statistics & numerical data; D019983:Guideline Adherence / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D006801:Humans; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D007356:Insurance, Pharmaceutical Services / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D012423:Rural Health / Q000706:statistics & numerical data*