Why most interventions to improve physician prescribing do not seem to work.

It is well established that the quality of physician prescribing is suboptimal.[1][1] , [2][2] , [3][3] , [4][4] , [5][5] Elderly patients are at risk of potentially inappropriate prescribing because of their need for polypharmacy, increased susceptibility to adverse reactions, greater comorbidity

[1]  Jeremy M. Grimshaw,et al.  Changing Provider Behavior: An Overview of Systematic Reviews of Interventions , 2001, Medical care.

[2]  C. Hepler,et al.  Opportunities and responsibilities in pharmaceutical care. , 1990, American journal of hospital pharmacy.

[3]  Paula Rochon,et al.  Improving the quality of medication use in elderly patients: a not-so-simple prescription. , 2002, Archives of internal medicine.

[4]  David Parkin,et al.  Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial , 2002, BMJ : British Medical Journal.

[5]  S. Majumdar,et al.  Evaluating and Improving Physician Prescribing , 2002 .

[6]  R. Goeree,et al.  A randomized controlled trial of a pharmacist consultation program for family physicians and their elderly patients. , 2003, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[7]  M. Rioux,et al.  Efficacy of a clinical medication review on the number of potentially inappropriate prescriptions prescribed for community-dwelling elderly people. , 2001, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[8]  D. Raisch,et al.  The Impact of Pharmaceutical Services in Community and Ambulatory Care Settings: Evidence and Recommendations for Future Research , 1999, The Annals of pharmacotherapy.

[9]  S B Soumerai,et al.  Pharmacists as Agents of Change for Rational Drug Therapy , 1995, International Journal of Technology Assessment in Health Care.

[10]  G S Meyer,et al.  Potentially inappropriate medication use in the community-dwelling elderly: findings from the 1996 Medical Expenditure Panel Survey. , 2001, JAMA.

[11]  J. Krska,et al.  Pharmacist-led medication review in patients over 65: a randomized, controlled trial in primary care. , 2001, Age and ageing.