CAN PHYSICIAN EDUCATION LOWER THE COST OF PRESCRIPTION DRUGS - A PROSPECTIVE, CONTROLLED TRIAL

被引：59

作者：

FRAZIER, LM ^{[1
]}

BROWN, JT ^{[1
]}

DIVINE, GW ^{[1
]}

FLEMING, GR ^{[1
]}

PHILIPS, NM ^{[1
]}

SIEGAL, WC ^{[1
]}

KHAYRALLAH, MA ^{[1
]}

机构：

[1] UNIV N CAROLINA, SCH EDUC, CHAPEL HILL, NC 27514 USA

来源：

ANNALS OF INTERNAL MEDICINE | 1991年 / 115卷 / 02期

关键词：

D O I：

10.7326/0003-4819-115-2-116

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To determine whether an educational program featuring a drug cost manual can assist physicians in reducing their patients' out-of-pocket prescription drug expenses. Design: Prospective controlled trial. Setting: A general internal medicine-teaching clinic in a university hospital. Participants: Fifty-one medical interns. Intervention: Thirty-one interns received a manual of comparative drug prices annotated with prescribing advice, two feedback reports, and weekly cost-oriented prescribing reminders. A control group concurrently participated in a manual-based educational program on cholesterol management. Measurements: Copies of 3012 prescriptions written over 8 months were analyzed. Main Results: Intervention group physicians prescribed less expensive drugs within classes of drugs. The change in drug price score per prescription was -0.15 (95% Cl, - 0.27 to - 0.04; P = 0.01). A score of 3 was assigned to the most expensive, 2 was assigned to intermediate-priced, and 1 was assigned to the least expensive drug or drugs in the class. An increase of 0.74 months' (Cl, 0.49 to 0.98; P < 0.001) supply of medication was dispensed per prescription, reducing dispensing fees. The program was well accepted by the physicians. Conclusion: This relatively simple educational intervention can help physicians to reduce their patients' drug expenses and may serve as a model for incorporating cost information into the routine practice of medicine.

引用

页码：116 / 121

页数：6

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[21] DO BETA-BLOCKERS ALTER LIPIDS AND WHAT ARE THE CONSEQUENCES [J].