Prescribing by general practitioner fundholders

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7034.848c (Published 30 March 1996) Cite this as: BMJ 1996;312:848

Longer study shows that costs rise again after initial savings

  1. Ian Trimble,
  2. Doug Black
  1. Liaison officer Chairman Sherwood Health Centre, Nottingham NG5 4AD

    EDITOR,—Two interesting papers have examined the effects of general practitioner fundholding on prescribing costs.1 2 Robert P H Wilson and colleagues conclude that fundholding affects prescribing costs,1 but they examined only the first year after practices joined the scheme. Bradlow and Coulter, in their study of general practitioners' prescribing in Oxford, also found that fundholders' costs initially rose less steeply than non-fundholders',3 but further follow up of the practices showed that the fundholders were unable to sustain this …

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