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Involving physicians in efforts to control pharmaceutical expenditures.
D J Shulkin1, M E McGourty, J Bourret
1Hospital of the University of Pennsylvania, USA.
Medical Interface
|July 7, 1995
Summary
Managed care strategies effectively influence physician prescribing in hospitals and outpatient settings. Pharmacist interventions in specific diagnostic areas lead to significant healthcare cost savings.
Area of Science:
- Health Services Research
- Pharmacoeconomics
- Clinical Pharmacy
Background:
- Managed care strategies are crucial for controlling healthcare costs.
- Physician prescribing behavior significantly impacts healthcare expenditures.
- Evaluating the efficacy of interventions in different healthcare settings is essential.
Purpose of the Study:
- To compare the effectiveness of managed care interventions on physician prescribing in hospital versus ambulatory settings.
- To assess the cost-saving impact of pharmacist-led interventions in targeted diagnostic categories.
Main Methods:
- Comparative analysis of managed care strategies across healthcare environments.
- Implementation of pharmacist interventions within specific diagnostic areas.
- Measurement of changes in physician prescribing patterns and associated costs.
Main Results:
- Managed care methods demonstrated comparable effectiveness in influencing physician prescribing in both hospital and ambulatory settings.
- Pharmacist interventions resulted in significant cost savings within the studied diagnostic areas.
- No significant difference in intervention efficacy was observed between the two settings.
Conclusions:
- Managed care interventions are a viable tool for optimizing physician prescribing across diverse healthcare settings.
- Pharmacist involvement can yield substantial economic benefits through targeted interventions.
- The findings support the integration of managed care principles in both inpatient and outpatient environments.