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Summary
National drug use and expenditures saw significant increases in 1982, with outpatient drug exposure rising 5% and consumer spending on prescriptions reaching $14.5 billion. Hydrochlorothiazide was the most common drug dispensed.
Area of Science:
- Pharmacoeconomics
- Health Economics
- Drug Utilization Research
Background:
- Drug utilization and expenditures are key indicators of healthcare trends and economic impact.
- Understanding national drug spending patterns is crucial for healthcare policy and resource allocation.
- Historical data provides valuable context for current pharmaceutical market analysis.
Purpose of the Study:
- To provide national estimates of drug use and expenditures for the year 1982.
- To identify trends in outpatient drug exposure and prescription spending.
- To analyze the distribution of pharmaceutical expenditures across major therapeutic classes and healthcare settings.
Main Methods:
- Estimation of national drug use and expenditures based on available data for 1982.
- Analysis of prescription data to determine the most frequently dispensed drug chemicals.
- Examination of healthcare expenditure data for both retail pharmacies and hospitals.
Main Results:
- Total outpatient drug exposure increased by 5% from 1981 to 1982 and 28% from 1971 to 1982.
- Hydrochlorothiazide was the most frequently dispensed drug, present in over 5% of 1982 prescriptions.
- Sixteen major therapeutic classes accounted for approximately 80% of pharmaceutical expenditures.
- Hospitals spent $3.0 billion, with anti-infectives comprising one-third of this total for systemic use.
- The prescription drug component of the consumer price index rose 11.7% in 1982.
- Consumers spent an estimated $14.5 billion on prescriptions from retail pharmacies.
Conclusions:
- Significant growth in drug utilization and associated expenditures occurred in 1982.
- Specific drugs like hydrochlorothiazide dominated dispensing patterns.
- A substantial portion of healthcare spending was concentrated in major therapeutic classes and hospital settings.
- Rising prescription costs contributed to inflation, impacting consumer spending on medications.