Table 1.
Univariable model*
|
Adjusted multivariable model†
|
||||
---|---|---|---|---|---|
Variable | Response category | Odds ratio (95% CI) | P value | Odds ratio (95% CI) | P value |
Process of consultation | |||||
When faced with a patient who expects a prescription (which is not clinically indicated) my usual response is to:
|
Agree readily or reluctantly
|
1.00
|
|
1.00
|
0.012
|
Discuss, but not prescribe
|
0.63 (0.49 to 0.82)
|
<0.001
|
0.63 (0.44 to 0.90)
|
|
|
I feel that a patient consultation that ends with me giving advice only is:
|
Very satisfactory
|
0.51 (0.39 to 0.66)
|
|
0.56 (0.38 to 0.82)
|
0.003
|
Unsatisfactory or satisfactory
|
1.00
|
<0.001
|
1.00
|
|
|
When a new drug becomes available what I do most commonly is:
|
Seek published findings of effectiveness
|
0.38 (0.25 to 0.57)
|
<0.001
|
0.54 (0.36 to 0.82)
|
<0.001
|
Wait and see what colleagues do
|
0.33 (0.22 to 0.48)
|
|
0.39 (0.24 to 0.65)
|
|
|
Use on a few patients and monitor
|
1.00
|
|
1.00
|
|
|
In what proportion of your consultations do you feel frustrated by having too little time | (Odds ratio per 10 unit increase) | 1.05 (1.00 to 1.14) | 0.074 | 1.05 (0.97 to 1.13) | 0.212 |
Sources of information about prescribed drugs | |||||
When I receive written promotional material from drug companies I usually:
|
Never read it
|
0.28 (0.20 to 0.38)
|
<0.001
|
0.44 (0.27 to 0.72)
|
0.001
|
Read some or all of it
|
1.00
|
|
1.00
|
|
|
I find myself reading drug adverts in journals: | Rarely or never | 0.33 (0.25 to 0.42) | <0.001 | 0.41 (0.28 to 0.59) | <0.001 |
Sometimes or often
|
1.00
|
|
1.00
|
|
|
When I am uncertain about an aspect of drug treatment, my first action, before I write the prescription is to:
|
Check in BNF
|
0.06 (0.46 to 0.77)
|
<0.001
|
0.88 (0.59 to 1.31)
|
0.535
|
Other
|
1.00
|
|
1.00
|
|
|
I follow the advice of hospital consultants in deciding which drugs to use for my patients:
|
Very often or often
|
1.00
|
|
1.00
|
|
Sometimes, rarely, or never
|
0.80 (0.62 to 1.03)
|
0.078
|
0.84 (0.57 to 1.23)
|
0.357
|
|
Attitudes towards criticism of prescribing practices
|
|
|
|
|
|
I avoid questioning colleagues who appear to be prescribing inappropriately:
|
Strongly disagree or disagree
|
0.67 (0.51 to 0.87)
|
0.003
|
0.77 (0.52 to 1.14)
|
0.191
|
Strongly agree, agree, or neutral
|
1.00
|
-
|
-
|
-
|
|
Singlehanded general practitioner
|
2.33 (1.46 to 3.70)
|
<0.001
|
|
|
|
I find criticism of my prescribing habits by my colleagues:
|
Very useful or useful
|
0.62 (0.46 to 0.84)
|
0.002
|
1.05 (0.67 to 1.63)
|
0.842
|
Very unhelpful, unhelpful, or neutral
|
1.00
|
|
1.00
|
|
|
General practitioner and practice factors | |||||
Sex
|
Male
|
|
|
1.00
|
|
Female
|
|
|
0.58 (0.39 to 0.87)
|
0.009
|
|
Log low income scheme index‡ | 1.55 (1.06 to 2.28) | 0.026 | |||
No of general practitioners in practice
|
1
|
|
|
1.00
|
|
2-4
|
|
|
0.96 (0.48 to 1.93)
|
0.007
|
|
≥5
|
|
|
0.49 (0.24 to 1.00)
|
|
|
Are you a general practitioner trainer?
|
No
|
|
|
1.00
|
|
Yes
|
|
|
0.34 (0.20 to 0.59)
|
<0.001
|
|
Age group (in years) | (<31, 31-35, 36-40, 41-45, 46-50, 51-55, 56- 60, 61-65, >65: odds ratio per age group step) | 1.14 (0.97 to 1.34) | 0.101 | ||
Dispensing status
|
No
|
|
|
1.00
|
|
Yes
|
|
|
0.31 (0.11 to 0.87)
|
0.026
|
|
Occupational commitment
|
Full time
|
|
|
1.00
|
|
Part time
|
|
|
0.56 (0.33 to 0.96)
|
0.034
|
|
Length of service
|
<5 years
|
|
|
1.00
|
|
5-10 years
|
|
|
1.04 (0.50 to 2.14)
|
0.548
|
|
11-20 years
|
|
|
0.87 (0.51 to 1.48)
|
|
|
>20 years
|
|
|
1.36 (0.56 to 3.30)
|
|
|
Funholding status
|
No
|
|
|
1.00
|
|
Yes | 1.01 (0.65 to 1.56) | 0.982 |
Univariable model for “When a new drug becomes available...” based on 916 responses. All other univariable models based on about 1090 responses with some variability (1069-1095) due to item non-response.
Adjusted multivariable model based on 768 responses. Adjustment was made for all variables in the model.
A measure of deprivation based on the proportion of prescribed items that are exempt from prescription charges under the low income scheme.3