在意大利,不同地方行动控制维生素D处方的有效性
Maria Alessandra Guerrizio1, Simona Zito1, Federica Mammarella2
1Agenzia Italiana del Farmaco, Rome, Italy.
Annali dell'Istituto superiore di sanita
|December 13, 2023
概括
意大利的区域战略旨在控制越来越高的维生素D (胆醇) 成本. 将教育与处罚相结合,在减少不适当的处方和支出方面被证明是最有效的.
科学领域:
- 药物经济学 药物经济学
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 在过去的十年里,意大利的维生素D消费和支出大幅增加.
- 这促使意大利多个地区实施了改善处方适当性和成本管理的战略.
研究的目的:
- 评估四个意大利地区采取的不同干预措施的有效性,以控制维生素D (胆醇) 消费和支出.
- 分析这些策略对处方模式和医疗保健支出的影响.
主要方法:
- 用中断时间序列分析来评估胆醇的消费和支出趋势.
- 该研究检查了包括卫生专业教育,处方者制裁,基于成本的表单向和治疗计划在内的干预措施.
主要成果:
- 莫利斯通过健康专业教育和处方者制裁系统的结合方法取得了最大的成功.
- 埃米利亚-罗马尼亚的教育战略在没有处罚的情况下产生了不那么重要的结果.
- 拉齐奥通过促进每定每日剂量 (DDD) 低成本选择和实施治疗计划来减缓消费增长.
- 萨丁尼亚通过针对成本较低的配方减少了开支.
结论:
- 补偿最便宜的维生素D (胆醇) 包装影响了支出,但并没有完全解决不适当的处方做法.
- 包括教育计划和财务激励/处罚在内的多方面的方法对于优化维生素D处方和支出管理至关重要.
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