Using Drug Prescribing Patterns to Identify Stewards of Cost-Conscious Care

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To characterize family physicians (FPs) who are stewards of care by consistently prescribing omeprazole over esomeprazole.


Cross-sectional analysis of physicians prescribing omeprazole or esomeprazole under Medicare Part D in 2014.


There was a regional trend with 49% of Western FPs but only 6% of Southern FPs rarely prescribing esomeprazole. Physicians had increased odds of being a steward if they worked with a care coordinator (P< .001), at a patient-centered medical home (P< .001), or in a large practice (P< .001).


If these findings are replicated across multiple drugs, future outreach could be conducted based on provider prescribing patterns.

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