Cost effectiveness of two interventions for reducing outpatient prescribing costs

DICP : the Annals of Pharmacotherapy
M A SteeleS E Graber

Abstract

This prospective, randomized, controlled trial, based in a Veterans Administration Hospital general medicine clinic, compared the cost effectiveness of two behaviorally oriented interventions designed to reduce physicians' drug prescribing costs. Clinical pharmacists visited one group of 11 physicians during weekly clinic sessions to counterdetail the prescribing of certain targeted drugs. A second group of 10 physicians were given data each week comparing their individual prescribing costs to those of their colleagues (peer-comparison feedback). A control group of 10 physicians received neither intervention. Written patient-specific suggestions for cost-effective prescribing were employed in both intervention groups. Baseline prescribing costs were monitored through the hospital's computer during a three-month, preintervention period and a seven-month intervention period. The 2026 written suggestions made by the doctors of pharmacy resulted in 613 (30.3 percent) prescribing changes, including deletion, substitution, or change in dosage of targeted drugs. There were no intergroup differences in the response to written suggestions. However, the group receiving face-to-face visits from the clinical pharmacists achieved lower aver...Continue Reading

References

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Citations

Oct 19, 2007·The Cochrane Database of Systematic Reviews·M A O'BrienE L Harvey
Mar 20, 2013·Basic & Clinical Pharmacology & Toxicology·Trine Graabaek, Lene Juel Kjeldsen
Feb 28, 2007·Birth·Nils Chaillet, Alexandre Dumont
Apr 15, 2000·Annals of Internal Medicine·R J SherertzE F Haponik
May 8, 2009·Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan·Kenji Maeda
Mar 20, 2013·Canadian Pharmacists Journal : CPJ = Revue Des Pharmaciens Du Canada : RPC·Margaret JinLisa Dolovich
Jun 15, 2012·The Cochrane Database of Systematic Reviews·Noah IversAndrew D Oxman
Jul 9, 2010·The Cochrane Database of Systematic Reviews·Nancy NkansahLisa Bero

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