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Brief ReportBrief Report

Using Drug Prescribing Patterns to Identify Stewards of Cost-Conscious Care

Nicole Michele Gastala, Peter Wingrove, Winston Liaw, Stephen Petterson and Andrew Bazemore
The Journal of the American Board of Family Medicine November 2017, 30 (6) 824-827; DOI: https://doi.org/10.3122/jabfm.2017.06.170019
Nicole Michele Gastala
From Primary Health Care, Inc., Marshalltown, IA (NMG); Robert Graham Center for Policy Studies, Washington, DC (PW, WL, SP, AB).
MD
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Peter Wingrove
From Primary Health Care, Inc., Marshalltown, IA (NMG); Robert Graham Center for Policy Studies, Washington, DC (PW, WL, SP, AB).
BS
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Winston Liaw
From Primary Health Care, Inc., Marshalltown, IA (NMG); Robert Graham Center for Policy Studies, Washington, DC (PW, WL, SP, AB).
MD, MPH
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Stephen Petterson
From Primary Health Care, Inc., Marshalltown, IA (NMG); Robert Graham Center for Policy Studies, Washington, DC (PW, WL, SP, AB).
PhD
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Andrew Bazemore
From Primary Health Care, Inc., Marshalltown, IA (NMG); Robert Graham Center for Policy Studies, Washington, DC (PW, WL, SP, AB).
MD, MPH
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Article Figures & Data

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    Figure 1.

    Distribution of physician prescribing behavior for choosing esomeprazole over omeprazole.

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    Figure 2.

    Practice characteristics and other factors that increase likelihood of being a steward of health care expenditure as defined as prescribing generic omeprazole over esomeprazole (Nexium).

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    Appendix:

    Demographics and Practice Characteristics

    Bivariate Table: Demographics
    Column (%)Steward (%)
    Sex*
        Female32.927.3
        Male67.120.2
    Race*
        Asian11.628.9
        Black or African American5.218.2
        Other1.436.5
        White81.721.7
    Graduation Year*
        Pre-198012.317
        1980s33.822.8
        1990s33.722.5
        After 200020.225.7
    Degree Type
        Allopath9122.8
        Osteopath920.2
    International Medical Graduate (Non-US or Canada)
        No94.822.5
        Yes5.223
    Bivariate Table: Practice Characteristics
    Column (%)Steward (%)
    Practice Region*
        Midwest28.825.8
        Northeast15.317.2
        South35.26.6
        West20.749.1
    Practice Location*
        Rural19.713.9
        Urban80.324.7
    Practice Size*
        Large (>20 providers)13.841.2
        Medium (6 to 20 providers)30.227.3
        Small (2 to 5 providers)39.916.3
        Solo practice1613.2
    PCMH*
        Autofill for skipped question0.115.4
        No64.519
        Yes35.329.1
    Works w/ Care Coordinator*
        No11.715.4
    Not asked75.122.5
        13.229.4
    • ↵Asterisk signifies chi-2 * (P < .001).

    • PCMH, patient centered medical home.

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The Journal of the American Board of Family     Medicine: 30 (6)
The Journal of the American Board of Family Medicine
Vol. 30, Issue 6
November-December 2017
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Using Drug Prescribing Patterns to Identify Stewards of Cost-Conscious Care
Nicole Michele Gastala, Peter Wingrove, Winston Liaw, Stephen Petterson, Andrew Bazemore
The Journal of the American Board of Family Medicine Nov 2017, 30 (6) 824-827; DOI: 10.3122/jabfm.2017.06.170019

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Using Drug Prescribing Patterns to Identify Stewards of Cost-Conscious Care
Nicole Michele Gastala, Peter Wingrove, Winston Liaw, Stephen Petterson, Andrew Bazemore
The Journal of the American Board of Family Medicine Nov 2017, 30 (6) 824-827; DOI: 10.3122/jabfm.2017.06.170019
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