从较高强度切换到较低强度:金融和临床评估
Elissa S Y Aeng1, Amninder K Dhatt2, Nakyung Kim2
1, BSc(Pharm), ACPR, PharmD, is with the Pharmacy Department, Fraser Health Authority, Surrey, British Columbia.
The Canadian journal of hospital pharmacy
|January 11, 2024
概括
局部用迪克洛芬雅克的自动治疗交换节省了超过20万美元,大多数患者在疼痛控制方面没有变化. 需要进一步的研究来比较局部二二的不同强度.
科学领域:
- 药物经济学 药物经济学
- 疼痛管理 疼痛管理
- 卫生政策 卫生政策
背景情况:
- 弗雷泽卫生局在2020年2月实施了用于局部用迪克洛芬雅克的自动治疗交换政策.
- 该政策的目的是通过将所有局部二二的订单转换为2.32%的凝配方来降低成本.
- 这项节约成本措施的潜在临床影响需要仔细考虑.
研究的目的:
- 评估自动治疗交换政策的财务影响.
- 为了评估切换到较低强度的局部狄克洛芬雅克配方的临床影响.
主要方法:
- 一项财务分析比较了政策实施前后的局部二二费用.
- 在长期护理机构的回顾性图表审查中,研究了临床结果.
- 主要临床结局测量了三种定义场景的疼痛恶化.
主要成果:
- 该政策预计每年可以节省超过20万美元.
- 25%-48%的患者在交换后经历了疼痛恶化,根据需要增加局部迪克洛菲纳克和其他止痛药的使用.
- 尽管疼痛有所恶化,52%-75%的患者没有对疼痛控制产生不良影响.
结论:
- 针对局部二二的自动治疗交换政策实现了显著的成本节约.
- 该政策对大多数患者的疼痛控制没有产生负面影响.
- 建议进行进一步的前性研究,以比较不同局部迪克洛芬雅克强度的临床疗效.
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