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Do resident and staff physicians differ in the types and costs of antihypertensive drugs they select?

Abstract：

OBJECTIVE:To compare the types and costs of drugs prescribed by resident and staff physicians treating patients with uncomplicated essential hypertension. DESIGN:Cross-sectional study, using a computer-based medical record database. SETTING:Primary care internal medicine clinic in a large teaching hospital. PATIENTS/PARTICIPANTS:Hypertensive patients seen by ten postgraduate year-1 (PGY-1) and PGY-2 primary care internal medicine residents and four staff physicians practicing in the same clinic. MEASUREMENTS AND MAIN RESULTS:The types and costs of antihypertensive drugs prescribed for the patients treated by resident and staff physicians were compared. A larger proportion of patients of resident physicians than of staff physicians were treated with calcium channel blockers [19(15%) vs. 40(4%), p less than 0.001]; residents prescribed thiazide diuretics less frequently and beta-blockers more frequently than did staff physicians, although these differences were not significant. The estimated average wholesale price of antihypertensive drugs for patients cared for by residents was 35% higher than that for patients cared for by staff physicians ($0.73 vs. $0.54, p = 0.048). This difference was not fully explained by differences in practice composition. CONCLUSIONS:Resident physicians in this study selected more expensive medications to treat hypertension than did their faculty preceptors, even when differences in practice composition were considered.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Payne TH,Goodson JD,Morgan MM,Barnett GO

doi

10.1007/BF02598167

subject

Has Abstract

pub_date

1991-09-01 00:00:00

pages

439-44

issue

5

eissn

0884-8734

issn

1525-1497

journal_volume

6

pub_type

杂志文章

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