How Quickly Do Physicians Adopt New Drugs? The Case of Second-Generation Antipsychotics
Objective The authors examined physician adoption of second-generation antipsychotic medications and identified physician-level factors associated with early adoption. Methods The authors estimated Cox proportional-hazards models of time to adoption of nine second-generation antipsychotics by 3...
| Main Authors: | , , , , , |
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| Other Authors: | |
| Format: | Article |
| Language: | en_US |
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American Psychiatric Association
2014
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| Online Access: | http://hdl.handle.net/1721.1/87618 https://orcid.org/0000-0002-6388-0768 |
| _version_ | 1826202629568462848 |
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| author | Huskamp, Haiden A. O'Malley, A. James Horvitz-Lennon, Marcela Taub, Anna Levine Berndt, Ernst R. Donohue, Julie M. |
| author2 | Sloan School of Management |
| author_facet | Sloan School of Management Huskamp, Haiden A. O'Malley, A. James Horvitz-Lennon, Marcela Taub, Anna Levine Berndt, Ernst R. Donohue, Julie M. |
| author_sort | Huskamp, Haiden A. |
| collection | MIT |
| description | Objective The authors examined physician adoption of second-generation antipsychotic medications and identified physician-level factors associated with early adoption.
Methods The authors estimated Cox proportional-hazards models of time to adoption of nine second-generation antipsychotics by 30,369 physicians who prescribed antipsychotics between 1996 and 2008, when the drugs were first introduced, and analyzed the total number of agents prescribed during that time. The models were adjusted for physicians’ specialty, demographic characteristics, education and training, practice setting, and prescribing volume. Data were from IMS Xponent, which captures over 70% of all prescriptions filled in the United States, and the American Medical Association Physician Masterfile.
Results On average, physicians waited two or more years before prescribing new second-generation antipsychotics, but there was substantial heterogeneity across products in time to adoption. General practitioners were much slower than psychiatrists to adopt second-generation antipsychotics (hazard ratios (HRs) range .10−.35), and solo practitioners were slower than group practitioners to adopt most products (HR range .77−.89). Physicians with the highest antipsychotic-prescribing volume adopted second-generation antipsychotics much faster than physicians with the lowest volume (HR range .15−.39). Psychiatrists tended to prescribe a broader set of antipsychotics (median=6) than general practitioners and neurologists (median=2) and pediatricians (median=1).
Conclusions As policy makers search for ways to control rapid health spending growth, understanding the factors that influence physician adoption of new medications will be crucial in the efforts to maximize the value of care received by individuals with mental disorders as well as to improve medication safety. |
| first_indexed | 2024-09-23T12:12:02Z |
| format | Article |
| id | mit-1721.1/87618 |
| institution | Massachusetts Institute of Technology |
| language | en_US |
| last_indexed | 2024-09-23T12:12:02Z |
| publishDate | 2014 |
| publisher | American Psychiatric Association |
| record_format | dspace |
| spelling | mit-1721.1/876182022-10-01T08:38:06Z How Quickly Do Physicians Adopt New Drugs? The Case of Second-Generation Antipsychotics Huskamp, Haiden A. O'Malley, A. James Horvitz-Lennon, Marcela Taub, Anna Levine Berndt, Ernst R. Donohue, Julie M. Sloan School of Management Berndt, Ernst R. Objective The authors examined physician adoption of second-generation antipsychotic medications and identified physician-level factors associated with early adoption. Methods The authors estimated Cox proportional-hazards models of time to adoption of nine second-generation antipsychotics by 30,369 physicians who prescribed antipsychotics between 1996 and 2008, when the drugs were first introduced, and analyzed the total number of agents prescribed during that time. The models were adjusted for physicians’ specialty, demographic characteristics, education and training, practice setting, and prescribing volume. Data were from IMS Xponent, which captures over 70% of all prescriptions filled in the United States, and the American Medical Association Physician Masterfile. Results On average, physicians waited two or more years before prescribing new second-generation antipsychotics, but there was substantial heterogeneity across products in time to adoption. General practitioners were much slower than psychiatrists to adopt second-generation antipsychotics (hazard ratios (HRs) range .10−.35), and solo practitioners were slower than group practitioners to adopt most products (HR range .77−.89). Physicians with the highest antipsychotic-prescribing volume adopted second-generation antipsychotics much faster than physicians with the lowest volume (HR range .15−.39). Psychiatrists tended to prescribe a broader set of antipsychotics (median=6) than general practitioners and neurologists (median=2) and pediatricians (median=1). Conclusions As policy makers search for ways to control rapid health spending growth, understanding the factors that influence physician adoption of new medications will be crucial in the efforts to maximize the value of care received by individuals with mental disorders as well as to improve medication safety. National Institute of Mental Health (U.S.) (R01 MH093359) Robert Wood Johnson Foundation (Investigator Award in Health Policy Research) Agency for Healthcare Research and Quality (R01HS017695) National Institute of Mental Health (U.S.) ((NIMH) R34 MH082682) National Institute of Mental Health (U.S.) ((NIMH) P30 MH090333) National Institute of Mental Health (U.S.) ((NIMH) R01 MH087488) National Science Foundation (U.S.) (0915674) 2014-06-04T14:03:50Z 2014-06-04T14:03:50Z 2013-04 Article http://purl.org/eprint/type/JournalArticle 1075-2730 http://hdl.handle.net/1721.1/87618 Huskamp, Haiden A., A. James O’Malley, Marcela Horvitz-Lennon, Anna Levine Taub, Ernst R. Berndt, and Julie M. Donohue. “How Quickly Do Physicians Adopt New Drugs? The Case of Second-Generation Antipsychotics.” Psychiatric Services 64, no. 4 (April 1, 2013): 324. https://orcid.org/0000-0002-6388-0768 en_US http://dx.doi.org/10.1176/appi.ps.201200186 Psychiatric Services Creative Commons Attribution-Noncommercial-Share Alike http://creativecommons.org/licenses/by-nc-sa/4.0/ application/pdf American Psychiatric Association PMC |
| spellingShingle | Huskamp, Haiden A. O'Malley, A. James Horvitz-Lennon, Marcela Taub, Anna Levine Berndt, Ernst R. Donohue, Julie M. How Quickly Do Physicians Adopt New Drugs? The Case of Second-Generation Antipsychotics |
| title | How Quickly Do Physicians Adopt New Drugs? The Case of Second-Generation Antipsychotics |
| title_full | How Quickly Do Physicians Adopt New Drugs? The Case of Second-Generation Antipsychotics |
| title_fullStr | How Quickly Do Physicians Adopt New Drugs? The Case of Second-Generation Antipsychotics |
| title_full_unstemmed | How Quickly Do Physicians Adopt New Drugs? The Case of Second-Generation Antipsychotics |
| title_short | How Quickly Do Physicians Adopt New Drugs? The Case of Second-Generation Antipsychotics |
| title_sort | how quickly do physicians adopt new drugs the case of second generation antipsychotics |
| url | http://hdl.handle.net/1721.1/87618 https://orcid.org/0000-0002-6388-0768 |
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