Pressure on doctors to prescribe needs measuring directly

BMJ 1998; 317 doi: 10.1136/bmj.317.7161.818 (Published 19 September 1998)
Cite this as: BMJ 1998;317:818.1

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  1. O C Ukoumunne, Medical statistician (o.ukoumunne@rpms.ac.uk) (o.ukoumunne@ic.ac.uk),
  2. N Britten, Senior lecturer in medical sociology
  1. Department of Medical Statistics and Evaluation, Imperial College School of Medicine, Hammersmith Hospital, London W12 0NN
  2. Department of General Practice, United Medical and Dental Schools of Guy's and St Thomas's Hospitals, London SE11 6SP

    EDITOR—Ramsden et al found that there was no relation between general practitioners' confidence in the pharmacological efficacy of their prescriptions and the patients' expectations for prescriptions.1 They concluded that doctors are not pressurised into giving prescriptions they do not believe are of benefit. This contradicts our results, which were based …

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