An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study
Importance: Providing cost feedback has been demonstrated to decrease demand from clinicians. Objective: We tested the hypothesis that providing the cost of drugs to clinicians would modify total expenditure. Design: A prospective study design with a step-wise intervention. Setting/Participants:...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Royal College of Physicians
2018
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| Online Access: | https://eprints.nottingham.ac.uk/52016/ |
| _version_ | 1848798627647979520 |
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| author | Langley, Tessa Lacey, Julia Johnson, Anthony Newman, Clive Khare, Milind Skelly, Rob Subramanian, Deepak Norwood, Mark Sturrock, Nigel Fogarty, Andrew W. |
| author_facet | Langley, Tessa Lacey, Julia Johnson, Anthony Newman, Clive Khare, Milind Skelly, Rob Subramanian, Deepak Norwood, Mark Sturrock, Nigel Fogarty, Andrew W. |
| author_sort | Langley, Tessa |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Importance: Providing cost feedback has been demonstrated to decrease demand from clinicians.
Objective: We tested the hypothesis that providing the cost of drugs to clinicians would modify total expenditure.
Design: A prospective study design with a step-wise intervention.
Setting/Participants: Individuals who were admitted to the XXX from November 2013 to November 2015 under the physicians.
Intervention: The cost of all antibiotics and inhaled corticosteroids was added to the electronic prescribing system.
Main outcomes: The weekly cost for antibiotics and inhaled corticosteroids in the intervention period compared to baseline.
Results: Mean weekly expenditure on antibiotics per patient decreased by £3.75 (95% confidence intervals CI: -6.52 to -0.98) after the intervention from a pre-intervention mean of £26.44, and then slowly increased subsequently by £0.10/week (95%CI: +0.02 to +0.18). Mean weekly expenditure on inhaled corticosteroids per patient did not substantially change after the intervention (-£0.03, 95%CI: -0.06 to -0.01 after the intervention from a pre-intervention mean of £5.29 per person).
New clinical guidelines for inhaled corticosteroids were associated with a decrease in weekly expenditure.
Conclusions and relevance: Provision of cost feedback resulted in no sustained change in institutional expenditure. However, clinical guidelines have potential for modifying clinical prescribing behaviour. |
| first_indexed | 2025-11-14T20:22:47Z |
| format | Article |
| id | nottingham-52016 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T20:22:47Z |
| publishDate | 2018 |
| publisher | Royal College of Physicians |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-520162018-05-25T08:25:01Z https://eprints.nottingham.ac.uk/52016/ An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study Langley, Tessa Lacey, Julia Johnson, Anthony Newman, Clive Khare, Milind Skelly, Rob Subramanian, Deepak Norwood, Mark Sturrock, Nigel Fogarty, Andrew W. Importance: Providing cost feedback has been demonstrated to decrease demand from clinicians. Objective: We tested the hypothesis that providing the cost of drugs to clinicians would modify total expenditure. Design: A prospective study design with a step-wise intervention. Setting/Participants: Individuals who were admitted to the XXX from November 2013 to November 2015 under the physicians. Intervention: The cost of all antibiotics and inhaled corticosteroids was added to the electronic prescribing system. Main outcomes: The weekly cost for antibiotics and inhaled corticosteroids in the intervention period compared to baseline. Results: Mean weekly expenditure on antibiotics per patient decreased by £3.75 (95% confidence intervals CI: -6.52 to -0.98) after the intervention from a pre-intervention mean of £26.44, and then slowly increased subsequently by £0.10/week (95%CI: +0.02 to +0.18). Mean weekly expenditure on inhaled corticosteroids per patient did not substantially change after the intervention (-£0.03, 95%CI: -0.06 to -0.01 after the intervention from a pre-intervention mean of £5.29 per person). New clinical guidelines for inhaled corticosteroids were associated with a decrease in weekly expenditure. Conclusions and relevance: Provision of cost feedback resulted in no sustained change in institutional expenditure. However, clinical guidelines have potential for modifying clinical prescribing behaviour. Royal College of Physicians 2018-03-23 Article PeerReviewed application/pdf en https://eprints.nottingham.ac.uk/52016/1/Drug%20cost%20rewrite%20revision.pdf Langley, Tessa, Lacey, Julia, Johnson, Anthony, Newman, Clive, Khare, Milind, Skelly, Rob, Subramanian, Deepak, Norwood, Mark, Sturrock, Nigel and Fogarty, Andrew W. (2018) An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study. Future Hospital Journal . ISSN 2055-3331 (In Press) cost feedback antibiotics inhaled corticosteroids |
| spellingShingle | cost feedback antibiotics inhaled corticosteroids Langley, Tessa Lacey, Julia Johnson, Anthony Newman, Clive Khare, Milind Skelly, Rob Subramanian, Deepak Norwood, Mark Sturrock, Nigel Fogarty, Andrew W. An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study |
| title | An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study |
| title_full | An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study |
| title_fullStr | An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study |
| title_full_unstemmed | An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study |
| title_short | An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study |
| title_sort | evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study |
| topic | cost feedback antibiotics inhaled corticosteroids |
| url | https://eprints.nottingham.ac.uk/52016/ |