2023
DOI: 10.1071/py23168
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Lessons from the Netherlands for Australia: cross-country comparison of trends in antidepressant dispensing 2013–2021 and contextual factors influencing prescribing

Katharine A. Wallis,
Pieter J. S. Dikken,
Piumika Sooriyaarachchi
et al.

Abstract: Background There is concern internationally about increasing antidepressant use. Most antidepressants are prescribed in general practice. The aim of this study was to compare trends in antidepressant dispensing in Australia and the Netherlands over the 9 years from 2013 to 2021, and to explore reasons for differences. Methods A convergent mixed methods study including analysis of publicly available antidepressant dispensing data obtained from Australia’s Pharmaceutical Benefits Scheme and Repatriation … Show more

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“…Some countries have also integrated specialised mental health practices into their clinics. For example, the Netherlands have a nurse practitioner model where nurses provide mental health care including antidepressant deprescribing support (Wallis et al 2023b), potentially resulting in lower prescribing rates and higher patient satisfaction. However, participant views in the current study remained largely similar, regardless of their country of origin, suggesting that the lack of antidepressant deprescribing knowledge by clinicians is a global issue.…”
Section: Discussionmentioning
confidence: 99%
“…Some countries have also integrated specialised mental health practices into their clinics. For example, the Netherlands have a nurse practitioner model where nurses provide mental health care including antidepressant deprescribing support (Wallis et al 2023b), potentially resulting in lower prescribing rates and higher patient satisfaction. However, participant views in the current study remained largely similar, regardless of their country of origin, suggesting that the lack of antidepressant deprescribing knowledge by clinicians is a global issue.…”
Section: Discussionmentioning
confidence: 99%