Attitudes to regulatory guidelines among clinicians in three countries

Attitudes to regulatory guidelines among clinicians in three countries: the UK dimension

The study explored whether, how and why attitudes to economic considerations in clinical decision making vary between different groups of medical doctors in different healthcare systems. The research comprised of a discrete choice experiment to elicit preferences on prescribing behaviour of GPs in Norway, Denmark, England and Scotland.

Outcome and Translation

This cross-country study of stated prescription behaviour allowed researchers to examine the influence of different organisational cultures on individual prescribing behaviour across the four countries surveyed. The influence of the institutional framework in GP decision making is an importance area to understand, where drug expenditures continue to be a significant component of health budgets. We find that GPs in different countries respond differently to information about societal costs, benefits and effectiveness.

HERU researchers involved in this research project: Diane Skåtun

External collaborators: B Carlsen, JR Kolstad (University of Bergen); B Bringedal (Research Institute of the Norwegian Medical Association); DG Hansen, PK Kjellberg (Danish Institute for Health Services Research); AR Hole (University of Sheffield) and S Holm (University of Oslo and University of Manchester)

Publications

Riise, J., Hole, A. R., Gyrd-Hansen, D. and Skåtun, D. (2015) 'GPs’ implicit prioritization through clinical choices – evidence from three national health services', Working Paper in Economics, No. 2/15, Beregn, Norway: University of Bergen. [pdf]

Riise, J., Hole, A. R., Gyrd-Hansen, D. and Skåtun, D. (2016) 'GPs' implicit prioritization through clinical choices: evidence from three national health services', Journal of Health Economics, 49, 169-183.

Presentations

Hole, A. R., Gyrd-Hansen, D., Riise, J. and Skåtun, D. (2013) 'Medical doctors' priorities in complex choice situations: a cross country comparison', Third Applied Health Econometrics Symposium, University of Leeds, 18 October 2013.

Kolstad, J., Gyrd-Hansen, D., Hole, A. R. and Skåtun, D. (2012) 'Implicit prioritisation through prescription choices among GPs: evidence from Great Britain, Denmark and Norway', European Conference on Health Economics (ECHE), Zurich, July 2012.

Kolstad, J., Gyrd-Hansen, D., Hole, A. R. and Skåtun, D. (2012) 'GPs' prescription patterns in four countries; implicit prioritizations and shifting agencies', Dilemmas in the doctor's role: findings, methods and future challenges, Legeforeningens Forskningsinstitutt, Oslo, December 2012.