Langley, Tessa, Lacey, Julia, Johnson, Anthony, Newman, Clive, Khare, Milind, Skelly, Rob, Subramanian, Deepak, Norwood, Mark, Sturrock, Nigel and Fogarty, Andrew W.
(2018)
An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study.
Future Hospital Journal
.
ISSN 2055-3331
(In Press)
Abstract
Importance: Providing cost feedback has been demonstrated to decrease demand from clinicians.
Objective: We tested the hypothesis that providing the cost of drugs to clinicians would modify total expenditure.
Design: A prospective study design with a step-wise intervention.
Setting/Participants: Individuals who were admitted to the XXX from November 2013 to November 2015 under the physicians.
Intervention: The cost of all antibiotics and inhaled corticosteroids was added to the electronic prescribing system.
Main outcomes: The weekly cost for antibiotics and inhaled corticosteroids in the intervention period compared to baseline.
Results: Mean weekly expenditure on antibiotics per patient decreased by £3.75 (95% confidence intervals CI: -6.52 to -0.98) after the intervention from a pre-intervention mean of £26.44, and then slowly increased subsequently by £0.10/week (95%CI: +0.02 to +0.18). Mean weekly expenditure on inhaled corticosteroids per patient did not substantially change after the intervention (-£0.03, 95%CI: -0.06 to -0.01 after the intervention from a pre-intervention mean of £5.29 per person).
New clinical guidelines for inhaled corticosteroids were associated with a decrease in weekly expenditure.
Conclusions and relevance: Provision of cost feedback resulted in no sustained change in institutional expenditure. However, clinical guidelines have potential for modifying clinical prescribing behaviour.
| Item Type: |
Article
|
| Additional Information: |
This paper has been accepted for publication by the Future Hospital journal and is due for publication in October 2018.
Copyright is retained by the Royal College of Physicians |
| Keywords: |
cost feedback, antibiotics, inhaled corticosteroids |
| Schools/Departments: |
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Epidemiology and Public Health |
| Depositing User: |
Claringburn, Tara
|
| Date Deposited: |
25 May 2018 08:21 |
| Last Modified: |
25 May 2018 08:25 |
| URI: |
https://eprints.nottingham.ac.uk/id/eprint/52016 |
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