医生对巴伐利亚药品支出控制系统的评估:一种定性研究
Nikoletta Zeschick1, Julia Gollnick2, Julia Muth2
1Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Allgemeinmedizinisches Institut, Universitätsstr. 29, 91054, Erlangen, Germany.
BMC health services research
|September 7, 2023
概括
巴伐利亚 巴伐利亚
科学领域:
- 卫生经济学 卫生经济学
- 药物经济学 药物经济学
- 医疗政策 医疗政策
背景情况:
- 2014年,巴伐利亚实施了Wirkstoffvereinbarung (WSV,活性物质协议) 系统,以控制药物支出.
- WSV旨在促进在定义的指示组内经济地处方药物.
- 门诊医生每季度会收到有关其处方模式的报告.
研究的目的:
- 检查门诊护理医生对Wirkstoffvereinbarung (WSV) 系统的看法.
- 了解医生对经济处方倡议的接受和批评.
主要方法:
- 通过个人采访,对20名医生进行了定性研究.
- 七个焦点小组由36名门诊医生 (全科医生,心脏病专家,肺部专家) 组成.
- 采用的方法是定性内容分析.
主要成果:
- 医生普遍接受经济处方的必要性,并积极地看待WSV与以前的系统相比.
- 引用的关键改进包括及时,可理解的趋势报告,鼓励自我反思和早期控制.
- 批评包括对药物折扣合同的担忧,导致药物混和对治疗自由的限制.
结论:
- 医生对WSV实施的接待主要是积极的.
- 解决治疗自由的感知限制可能需要加强有关药物经济逻辑的信息.
- WSV系统显示了改善门诊护理中成本效益高的处方的潜力.
更多相关视频
相关概念视频
Drug Control Governance: Regulatory Bodies and Their Impact
183
Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with...
183
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
147
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
147
Drug Regulation
1.4K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
1.4K
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Assessment of the Gastrointestinal System II: Health Perception Pattern
139
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
139
Drug Concentrations: Measurements
402
Drug concentration is the quantity of a drug present in a biological sample. Measuring drug amounts in biological samples allows the clinician to understand how a drug is absorbed, distributed, metabolized, and excreted. Samples can be obtained through invasive or non-invasive methods. Invasive techniques involve surgical or parenteral interventions to gather blood, cerebrospinal fluid, or tissue biopsy. Conversely, non-invasive approaches provide samples like urine, feces, and saliva.
Plasma...
Plasma...
402


