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Finally, although this study has quantified variation in high-risk prescribing between practices and between GPs, the data available do not allow much exploration of factors explaining such variation.
There is a visual impression of substantial variation between practices and between GPs in the same practice, although it is noteworthy that 133 (33.4%) GPs had no high-risk NSAID prescribing in the year examined.
In their follow up study they observed an increase of the recording quality of the electronic patient records and less variation between practices and between EHR software packages [ 29].
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There may be variation in extent of symptom coding between practices and also between databases of healthcare information depending on coding system used (eg, Read codes or International Classification of Diseases codes) and guidance given on recording.
This was done by using the 'xtreg' procedure in Stata [ 37] to fit a mixed effects model; the respondent's TCI score was included as the dependent variable, the individual or practice level characteristic was included as a fixed effect and variation between practices and variation between respondents within practices were modelled as random effects.
There was much more variation in high-risk prescribing between GPs than between practices, and only targeting practices with higher than average rates will miss most high-risk NSAID prescribing.
Furthermore, the ability of indicators to discriminate between practices and the relation between their prevalence and patient and/or practice characteristics needs to be understood; identifying groups of patients at increased risk of indicators will enable a targeted approach to reducing their occurrence.
One of the great tragedies of life is that men seldom bridge the gulf between practice and profession, between doing and saying.
Furthermore, differences in SOM and aggregate stability between MP and DP practices and between CP and RP practices were not statistically significant.
However, previous reviews of LUP implementation showed large discrepancies between policies and practices and between the intended goals and actual outcomes.
In considering African health care practice, it is usual to draw strong distinctions between biomedical and traditional practices, and between public and private health institutions.
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