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A simple institutional educational intervention to decrease use of selected expensive medications.

E J Roth1, C T Plastaras, M S Mullin

  • 1Department of Physical Medicine and Rehabilitation, Northwestern University Medical School , the Rehabilitation Institute of Chicago, Chicago, IL, USA. Ejr@nwu.edu

Archives of Physical Medicine and Rehabilitation
|May 11, 2001
PubMed
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A simple educational intervention significantly reduced the use of costly prescription medications, including anticoagulants, H2 blockers, and NSAIDs, leading to substantial cost savings. This study demonstrates the impact of providing physicians with pharmaceutical cost information and reminders.

Area of Science:

  • Health Economics
  • Clinical Pharmacy
  • Healthcare Management

Background:

  • Prescriber behavior significantly impacts healthcare costs.
  • Educational interventions can influence prescribing patterns.
  • Cost-effectiveness of pharmaceutical use is a key concern in academic hospitals.

Purpose of the Study:

  • To evaluate if a straightforward educational intervention could alter prescription medication usage within an academic institution.
  • To assess the impact of providing cost information on physician prescribing habits.

Main Methods:

  • A cost-effectiveness analysis was conducted, comparing prescribing behavior before and after the intervention.
  • The study involved physicians, residents, and physician extenders at a large urban academic rehabilitation hospital.

Related Experiment Videos

  • Educational materials on drug costs and telephone reminders were provided to clinicians for targeted medications like anticoagulants, H2 blockers, and NSAIDs.

    • Main Results:

    • A 32% decrease in the use of more expensive anticoagulants and a 20% increase in less expensive alternatives were observed (p <.0001), saving approximately $66,000 annually.
    • Use of costly histamine type 2 (H2) blockers decreased by 50%, while less costly options increased by 128% (p <.0001).
    • The intervention led to a 28% reduction in costly nonsteroidal anti-inflammatory drugs (NSAIDs) and a 58% increase in less expensive NSAIDs (p <.0020).

    Conclusions:

    • Simple pharmaceutical cost information and telephone reminders effectively reduced the prescription of more expensive targeted medications.
    • Educational interventions are a viable strategy for optimizing drug formulary choices and managing healthcare costs.