Bloor K, Freemantle N
Department of Health Sciences and Clinical Evaluation, University of York.
BMJ. 1996 Jun 15;312(7045):1525-7. doi: 10.1136/bmj.312.7045.1525.
This is the second of three papers that review international policies to control spending on drugs and to improve the efficiency of drug use. This paper reviews policies influencing doctors' prescribing of drugs--particularly the use of budgetary restrictions, information and feedback, and guidelines--and evaluates the impact of these policies. Studies evaluating incentive systems are limited, but evidence suggests that providing information on its own will not lead to substantial changes in practice and that more active strategies should be evaluated.
这是三篇综述控制药品支出及提高药品使用效率的国际政策的论文中的第二篇。本文综述了影响医生开药的政策——尤其是预算限制、信息与反馈以及指南的使用——并评估了这些政策的影响。评估激励机制的研究有限，但有证据表明，仅提供信息不会导致实际行为发生重大改变，因此应评估更积极的策略。
