Psychiatrists' self-reported adherence to evidence-based prescribing practices in the treatment of schizophrenia

Psychiatr Serv. 2006 Jan;57(1):130-2. doi: 10.1176/appi.ps.57.1.130.

Abstract

Objective: This study sought to identify relationships between psychiatrists' characteristics and their self-reported adherence to evidence-based recommendations regarding antipsychotic use in the treatment of schizophrenia.

Methods: Surveys were sent to 1,757 psychiatrists affiliated with the Veterans Health Administration. Respondents (N=696) reported their own adherence to two recommended prescribing practices for using antipsychotics.

Results: Several psychiatrists' characteristics were associated with greater adherence, including midcareer status, male sex, a caseload with a larger proportion of patients with schizophrenia, and use of current information from scientific literature or from drug company detailing.

Conclusions: This study identified several characteristics of psychiatrists that may affect their adherence to evidence-based prescribing practices for patients with schizophrenia.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Antipsychotic Agents / therapeutic use*
  • Drug Prescriptions / statistics & numerical data*
  • Drug Utilization / statistics & numerical data*
  • Evidence-Based Medicine / methods*
  • Evidence-Based Medicine / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Patient Compliance / statistics & numerical data*
  • Psychiatry / statistics & numerical data*
  • Schizophrenia / drug therapy*
  • Self Disclosure*
  • Surveys and Questionnaires
  • United States / epidemiology

Substances

  • Antipsychotic Agents