RT Journal Article
SR Electronic
T1 Using Drug Prescribing Patterns to Identify Stewards of Cost-Conscious Care
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 824
OP 827
DO 10.3122/jabfm.2017.06.170019
VO 30
IS 6
A1 Nicole Michele Gastala
A1 Peter Wingrove
A1 Winston Liaw
A1 Stephen Petterson
A1 Andrew Bazemore
YR 2017
UL http://www.jabfm.org/content/30/6/824.abstract
AB Purpose: To characterize family physicians (FPs) who are stewards of care by consistently prescribing omeprazole over esomeprazole.Methods: Cross-sectional analysis of physicians prescribing omeprazole or esomeprazole under Medicare Part D in 2014.Results: There was a regional trend with 49% of Western FPs but only 6% of Southern FPs rarely prescribing esomeprazole. Physicians had increased odds of being a steward if they worked with a care coordinator (P < .001), at a patient-centered medical home (P < .001), or in a large practice (P < .001).Conclusions: If these findings are replicated across multiple drugs, future outreach could be conducted based on provider prescribing patterns.