Shane Desselle, David Zgarrick, Sujith Ramachandran
Perceptions of and Actions toward Unproductive and Deleterious Faculty
Innovations in pharmacy
overuse medical care pervasive problem studies using hypothetical scenarios suggest physicians risk literacy influences medical decisions realworld correlations however lacking sought determine association physicians risk literacy realworld prescriptions potentially hazardous drugs accounting conflicts interest perceptions benefitharm ratios lowvalue prescribing scenarios crosssectional studyconducted online june october 2023 via field panels sermo hamburg germanywith convenience sample 304 english general practitioners gps gps survey responses treatmentrelated risk literacy conflicts interest perceptions benefitharm ratio lowvalue prescribing scenarios matched uk national health service records prescribing volumes antibiotics opioids gabapentin benzodiazepines analysed differences 204 gps 671 worked practices 6 practising gps 226 760 reported 1039 years experience compared gps demonstrating low risk literacy gps high literacy prescribed fewer opioids mean 6060 vs 4388 prescribed volumes1000 patients6 months p0016 less gabapentin 2384 vs 1834 prescribed volumes1000 patients6 months p0023 fewer benzodiazepines 1723 vs 1358 prescribed volumes1000 patients6 months p0037 comparable volumes antibiotics 4884 vs 4061 prescribed volumes1000 patients6 months p0076 highrisk literacy associated lower conflicts interest 012 p0031 higher perception harms outweighing benefits lowvalue prescribing scenarios p0007 conflicts interest benefitharm perceptions independently associated prescribing behaviour ps 005 observed association gps higher risk literacy prescription fewer hazardous drugs suggests importance risk literacy enhancing patient safety quality care