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Prominent GP and former member of parliament Kerryn Phelps has entered the turf war between doctors and pharmacists over who gets to prescribe.Pharmacy groups have long called for changes to allow pharmacists to prescribe specified medications, such as the oral contraceptive pill and antibiotics for urinary tract infections.But Phelps argues allowing pharmacists to prescribe will lead to perverse incentives – where pharmacists prescribe inappropriately – because they have a financial interest in the sale of medicines.Phelps has a point. Studies in countries where doctors have dispensing roles have found evidence of financial profits influencing prescribing behaviour.A Swiss study, for instance, found physician dispensing leads to a 34% increase in drug costs per patient, as doctors overprescribe and prescribe more expensive medications.

Prominent GP and former member of parliament Kerryn Phelps has entered the turf war between doctors and pharmacists over who gets to prescribe.Pharmacy groups have long called for changes to allow pharmacists to prescribe specified medications, such as the oral contraceptive pill and antibiotics for urinary tract infections.But Phelps argues allowing pharmacists to prescribe will lead to perverse incentives – where pharmacists prescribe inappropriately – because they have a financial interest in the sale of medicines.Phelps has a point. Studies in countries where doctors have dispensing roles have found evidence of financial profits influencing prescribing behaviour.A Swiss study, for instance, found physician dispensing leads to a 34% increase in drug costs per patient, as doctors overprescribe and prescribe more expensive medications.

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Upcoming Healthed Webcast

Tune in for "Facial rashes case studies - Practical guide to assessment and management" lecture

Tuesday 9th June, 7pm - 9pm AEST

Speaker

Dr Philip Tong

Consultant Dermatologist; Founder, DermScreen, Dermatology Junction; Visiting Medical Officer, St Vincent’s Hospital Sydney

What does it mean when a facial red rash does not respond to topical steroids and gets worse with the treatment? Dermatologist Dr Philip Tong presents a series of cases with this scenario.