Value-Based Medicine: Dollars and Sense

Critical Care Medicine
Brian L Erstad

Abstract

With ever-increasing total healthcare expenditures and expenditures on new pharmaceuticals, there is a temptation to enact relatively simple silo-based, cost-control measures such as attempts to control a burgeoning health-system medication budget by limiting physician and ultimately patient access to medications without considering cost-effectiveness or overall value. Such an approach with a singular focus on dollars does not make sense. The challenge is to think beyond a pure dollars approach in a specialty of health care where the high cost of care is acknowledged but the dynamics are not always understood. This will take a thoughtful, coordinated effort by a team of dedicated health professionals that includes a clinical pharmacist with expertise in optimal and comprehensive medication management.

References

Oct 9, 2013·Health Affairs·Francis MegerlinJean-Hugues Trouvin
Nov 15, 2013·The New England Journal of Medicine·Rachel E ShermanJanet Woodcock
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May 16, 2014·The New England Journal of Medicine·Atul GroverPeters Willson

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Citations

Dec 21, 2016·Pharmacotherapy·Alexander H FlanneryJeremy D Flynn
Feb 23, 2018·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·William R VincentDavid Twitchell
Feb 21, 2019·Journal of Veterinary Internal Medicine·Lucas Pantaleon
Nov 1, 2017·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Christopher P PriceAndrew St John
Jul 1, 2020·Journal of Graduate Medical Education·Matthew S DurstenfeldAndrew Dikman

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