Development and implementation of a comprehensive, criteria-based drug-use review program

Todd, Mark W.; Keith, Thomas D.

doi:10.1093/ajhp/44.3.529

Cited by 6 publications

(5 citation statements)

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“…Publication of the results of establishing DTC's and of the success of specific approaches may help other committees to get started. The increasing concern with controlling health care costs will support the continued expansion of DTCs, formularies and the formulary system (Abramowitz 1984;Summers and Szeinbach 1993;Todd et al 1987). Some practical information in this regard may help policy managers who wish to provide equitable access to medicines to benefit their population even with limited resources through good governance, careful selection of essential medicines, good procurement and supply management and functioning DTCs.…”

Section: Journal Of Healthmentioning

confidence: 99%

“…Primarily, this committee acts in an advisory capacity as a policy-recommending body within health care systems, for the specific purpose of promoting a rational drug therapy (Summers and Szeinbach 1993;Wade et al 1996). Management, 15, 4 (2013): 525-534 Beneficial effects of DTCs in monitoring and promoting quality use of medicines and containing costs in hospitals has been generally well accepted in developed countries (Abramowitz 1984;Todd et al 1987;Weekes and Brooks 1996) with only a few from developing countries (Shankar et al 2008). One problem in developing countries with DTCs is that these committees though exist but are nonfunctional in most health set-ups and also whenever functioning, there has been little critical evaluation of the clinical and economic impact of this committee.…”

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confidence: 99%

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Drug Cost Containment

Sharma¹,

Gupta²

2013

Journal of Health Management

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In the absence of a well implemented Drug Policy, paucities in access, affordability, efficiency, quality and effectiveness of health services and limited resources continue to handicap the functioning of the health system. Higher accessibility and quality is taken to be synonymous with higher costs. The main objective of the study was to study the impact of a drug policy on availability of essential drugs and cost containment in a tertiary care hospital from 1996 through 2007. The interventions consisted of selection of list of essential drugs and procurement through centralized pooled system in 1996–1997, followed by setting up of Drugs & Therapeutic Committee (1997). Average drug expenditure increased slightly from 3.63 per cent to 5.16 per cent while there was 6-fold rise in hospital patient attendance. Drug expenditure reduced by 47 per cent, without any compromise on key drug availability which increased to 94.6 per cent. Despite high expenditure on key drugs (75.89 per cent) mean availability was 67.48 per cent but after intervention with the same expenditure (77.68 per cent) it increased to 95.28 per cent. Number of drugs out-of-stock decreased from 27.57 per cent to 19.57 per cent of minor duration only and no stock out of vital drugs. ABC analysis revealed 3.33 drugs only in category A consuming 74 per cent budget which increased markedly to 9.63 drugs consuming 79.53 per cent budget after intervention along with reversal of previous trend of non-essential among top 10 drugs where only vital drugs represented top 10 drugs. The present study showed cost-containment accompanied by increased availability of essential drugs is possible and optimizes the value of limited government funds and thereby empower and support government in making basic medicines available to all. Managerial interventions such as limited list of essential drugs, efficient procurement, through Drugs and Therapeutic Committee (DTCs) have a vital role in improving day-to-day care of patients and can serve as an effective strategy in curtailing inappropriate drug use, reducing drug expenditures and serve to increased availability and accessibility to essential medicines thus optimizing the value of limited government funds.

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Section: Journal Of Healthmentioning

confidence: 99%

mentioning

confidence: 99%

Drug Cost Containment

Sharma¹,

Gupta²

2013

Journal of Health Management

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“…[5][6][7] In an effort to reduce the burdens caused by ADRs, drug use review (DUR) programs have been implemented in the US since the early 1970s. [8][9][10][11] Federal regulation of the Medicaid program and developments in computer science and information technology have significantly advanced DUR programs in the US. [12][13][14][15][16][17][18][19][20][21] Although a more recent report has questioned the effectiveness of some retrospective DUR programs, 22 the value of a prospective DUR program in preventing potentially inappropriate drug prescribing is obvious and thus has been further emphasized by the newly formulated accreditation standards of the Joint Commission on Accreditation of Healthcare Organizations on medication safety.…”

Section: Wwwtheannalscommentioning

confidence: 99%

Identification of Inappropriate Drug Prescribing by Computerized, Retrospective DUR Screening in Korea

Yeom

Park

Oh³

et al. 2005

Ann Pharmacother

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“…Integrating the available drug names with centralized computer programs on drug-use review (DUR) (20) shall ensure the safety and efficacy of the therapeutic use of prescribed drugs, Tab 8 illustrates that 98% of the pharmacists participating in the pharmaceutical survey (II) endorsed the importance and the need of having a satellite link between pharmaceutical supply departments and hospital pharmacies (II-Q.4).…”

Section: Linking Pharmaceutical Supply Departments and Hospital Pharmmentioning

confidence: 99%

Telemedicine and telepharmaceutical services: A model to improve maldistribution of medical resources between regions & urban/rural sectors in the kingdom of Saudi Arabia

Rafiq

Esmail

1991

GeoJournal

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A national satelite telecommunication model, which can be started by using Arabsat, was proposed to overcome the self-limiting geographical barrier and the maldistribution of clinical resources in the Kingdom. A national medical and phrmaceutical survey performed by the King Saud University showed an overwhelming acceptance of telemedicine (95.2%), telepharmaceutical (97%), telediagnosis (95.4%), urgent teleconsultation (for urgent operations) (74.5%) and for linking ambulance with hospitals (85.1%), continuing education via Arabsat (for physicians) (88.9%), medical technical staff (96.5%), pharmacists (75%) and public (91.5%), commercial marketing computer link for drug product and medical supply (92%) and centralizing Drug and Poison Information Centre (DPIC) (to provide information on drug interaction) (96%), drug substitution (92.5%) of novel and delivery systems (90.5%). Implementation of both telemedicine and telepharmaceutical services shall have an implication on improving the competency of medical staff, better health-care impact on citizen and better utilization of medical resources.

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Development and implementation of a comprehensive, criteria-based drug-use review program

Cited by 6 publications

References 0 publications

Drug Cost Containment

Drug Cost Containment

Identification of Inappropriate Drug Prescribing by Computerized, Retrospective DUR Screening in Korea

Telemedicine and telepharmaceutical services: A model to improve maldistribution of medical resources between regions & urban/rural sectors in the kingdom of Saudi Arabia

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