IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp15884.html
   My bibliography  Save this paper

Overseas GPs and Prescription Behaviour in England

Author

Listed:
  • Nicodemo, Catia

    (University of Oxford)

  • Orso, Cristina E.

    (University of Insubria)

  • Tealdi, Cristina

    (Heriot-Watt University, Edinburgh)

Abstract

The UK imports many doctors from abroad, where medical training and experience might be different. This study attempts to understand how drug prescription behaviour differs in English GP practices which have larger or smaller numbers of foreign-trained GPs. Results show that in general practices with a high share of GPs trained outside the UK, prescriptions for antibiotics, mental health medication, analgesics and antacids are higher, controlling for the characteristics of the patients and the practices. However, we find no evidence of any significant impact of such different prescribing behaviour neither on patients' satisfaction nor on unplanned hospitalisations, pointing to this behaviour being due to over-prescribing. Identifying differences in prescribing habits among GPs is paramount to identifying the policies best able to guarantee consistent services across GP practices and the consequent reduction of health inequalities.

Suggested Citation

  • Nicodemo, Catia & Orso, Cristina E. & Tealdi, Cristina, 2023. "Overseas GPs and Prescription Behaviour in England," IZA Discussion Papers 15884, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp15884
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp15884.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Weinhold, Ines & Gurtner, Sebastian, 2014. "Understanding shortages of sufficient health care in rural areas," Health Policy, Elsevier, vol. 118(2), pages 201-214.
    2. Radyowijati, Aryanti & Haak, Hilbrand, 2003. "Improving antibiotic use in low-income countries: an overview of evidence on determinants," Social Science & Medicine, Elsevier, vol. 57(4), pages 733-744, August.
    3. Unruh, Lynn & Allin, Sara & Marchildon, Greg & Burke, Sara & Barry, Sarah & Siersbaek, Rikke & Thomas, Steve & Rajan, Selina & Koval, Andriy & Alexander, Mathew & Merkur, Sherry & Webb, Erin & William, 2022. "A comparison of 2020 health policy responses to the COVID-19 pandemic in Canada, Ireland, the United Kingdom and the United States of America," Health Policy, Elsevier, vol. 126(5), pages 427-437.
    4. Orzella, Letizia & Chini, Francesco & Giorgi Rossi, Paolo & Borgia, Piero, 2010. "Physician and patient characteristics associated with prescriptions and costs of drugs in the Lazio region of Italy," Health Policy, Elsevier, vol. 95(2-3), pages 236-244, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ramalingam Shanmugam & Lawrence Fulton & Jose Betancourt & Gerardo J. Pacheco, 2022. "Indexing Inefficacy of Efforts to Stop Escalation of COVID Mortality," Mathematics, MDPI, vol. 10(24), pages 1-11, December.
    2. Chen, Chun & Dong, Weizhen & Shen, Jay J. & Cochran, Christopher & Wang, Ying & Hao, Mo, 2014. "Is the prescribing behavior of Chinese physicians driven by financial incentives?," Social Science & Medicine, Elsevier, vol. 120(C), pages 40-48.
    3. Byrne, John-Paul & Humphries, Niamh & McMurray, Robert & Scotter, Cris, 2023. "COVID-19 and healthcare worker mental well-being: Comparative case studies on interventions in six countries," Health Policy, Elsevier, vol. 135(C).
    4. Igor Francetic, 2019. "Governance to address health systems pitfalls of antibiotics overuse in low- and middle-income countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(8), pages 1127-1128, November.
    5. Weinhold, Ines & Wende, Danny & Schrey, Christopher & Militzer-Horstmann, Carsta & Schang, Laura & Sundmacher, Leonie, 2022. "Assessing patients’ acceptable and realised distances to determine accessibility standards for the size of catchment areas in outpatient care," Health Policy, Elsevier, vol. 126(11), pages 1180-1186.
    6. Pedro Gerber Machado & Arnaldo Walter & Michelle Cristina Picoli & Cristina Gerber João, 2017. "Potential impacts on local quality of life due to sugarcane expansion: a case study based on panel data analysis," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 19(5), pages 2069-2092, October.
    7. Donna L. Schminkey & Xiaoyue Liu & Sandra Annan & Erika Metzler Sawin, 2019. "Contributors to Health Inequities in Rural Latinas of Childbearing Age: An Integrative Review Using an Ecological Framework," SAGE Open, , vol. 9(1), pages 21582440188, January.
    8. Claudia T. Matthaeus-Kraemer & Norman Rose & Melissa Spoden & Mathias W. Pletz & Konrad Reinhart & Carolin Fleischmann-Struzek, 2023. "Urban–Rural Disparities in Case Fatality of Community-Acquired Sepsis in Germany: A Retrospective Cohort Study," IJERPH, MDPI, vol. 20(10), pages 1-12, May.
    9. Breno S Kliemann & Anna S Levin & M Luísa Moura & Icaro Boszczowski & James J Lewis, 2016. "Socioeconomic Determinants of Antibiotic Consumption in the State of São Paulo, Brazil: The Effect of Restricting Over-The-Counter Sales," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-14, December.
    10. Takahara, Tsuyoshi, 2022. "Quality competition, location choice, and ownership conversion in the healthcare market," Economic Modelling, Elsevier, vol. 115(C).
    11. Haylee Fox & Stephanie M. Topp & Daniel Lindsay & Emily Callander, 2021. "Ethnic, socio‐economic and geographic inequities in maternal health service coverage in Australia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(6), pages 2182-2198, November.
    12. Oliver Hirsch & Norbert Donner-Banzhoff & Maike Schulz & Michael Erhart, 2018. "Detecting and Visualizing Outliers in Provider Profiling Using Funnel Plots and Mixed Effects Models—An Example from Prescription Claims Data," IJERPH, MDPI, vol. 15(9), pages 1-11, September.
    13. Liaqat Ali & Salim Khan & Syed Jamal Shah & Aman Ullah & Hina Ashraf & Mushtaq Ahmad & Abida Begum & Heesup Han & Antonio Ariza-Montes & Luis Araya-Castillo & Afed Ullah Khan & Muhammad Anas & Abdul M, 2021. "Road and Transportation Lead to Better Health and Sustainable Destination Development in Host Community: A Case of China Pakistan Economic Corridor (CPEC)," IJERPH, MDPI, vol. 18(23), pages 1-16, December.
    14. Mengyue Zhang & Janet W. H. Sit & Dorothy Ngo Sheung Chan & Oluwadamilare Akingbade & Carmen W. H. Chan, 2022. "Educational Interventions to Promote Cervical Cancer Screening among Rural Populations: A Systematic Review," IJERPH, MDPI, vol. 19(11), pages 1-18, June.
    15. Feder-Bubis, Paula & Bin-Nun, Gabi & Zarhin, Dana & Sherf, Michael & Heiman-Neuman, Nitza, 2023. "Residents' choice of a placement in periphery hospitals in Israel: The significance of personal/family and professional considerations," Health Policy, Elsevier, vol. 132(C).
    16. Siegel, Martin & Koller, Daniela & Vogt, Verena & Sundmacher, Leonie, 2016. "Developing a composite index of spatial accessibility across different health care sectors: A German example," Health Policy, Elsevier, vol. 120(2), pages 205-212.
    17. Matthew McGrail & Belinda O’Sullivan & Tiana Gurney & Diann Eley & Srinivas Kondalsamy-Chennakesavan, 2021. "Exploring Doctors’ Emerging Commitment to Rural and General Practice Roles over Their Early Career," IJERPH, MDPI, vol. 18(22), pages 1-13, November.
    18. Federica Leone & Ala Hasan & Francesco Reda & Hassam ur Rehman & Fausto Carmelo Nigrelli & Francesco Nocera & Vincenzo Costanzo, 2023. "Supporting Cities towards Carbon Neutral Transition through Territorial Acupuncture," Sustainability, MDPI, vol. 15(5), pages 1-31, February.
    19. Taylor, Jennifer & Goletz, Sarah, 2021. "From pipeline to practice: Utilizing tracking mechanisms for longitudinal evaluation of physician recruitment across the health workforce continuum," Evaluation and Program Planning, Elsevier, vol. 89(C).
    20. Dorota Rdzanek & Marek Bulsa, 2021. "The Choice between Publicly and Privately Financed Health Care Systems in the Context of Access to Health Care Services in Rural Areas of West Pomerania Voivodship," European Research Studies Journal, European Research Studies Journal, vol. 0(2B), pages 363-370.

    More about this item

    Keywords

    GPs; immigration; prescriptions; NHS England;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • C01 - Mathematical and Quantitative Methods - - General - - - Econometrics
    • C55 - Mathematical and Quantitative Methods - - Econometric Modeling - - - Large Data Sets: Modeling and Analysis
    • C8 - Mathematical and Quantitative Methods - - Data Collection and Data Estimation Methodology; Computer Programs

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:iza:izadps:dp15884. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Holger Hinte (email available below). General contact details of provider: https://edirc.repec.org/data/izaaade.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.