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Journal of Managed Care Pharmacy最新文献

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The Cost-Effectiveness Impact of a Preferred Agent HMG-CoA Reductase Inhibitor Policy in a Managed Care Population 在管理护理人群中首选HMG-CoA还原酶抑制剂政策的成本-效果影响
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.1997.3.5.548
A. Petitta
{"title":"The Cost-Effectiveness Impact of a Preferred Agent HMG-CoA Reductase Inhibitor Policy in a Managed Care Population","authors":"A. Petitta","doi":"10.18553/JMCP.1997.3.5.548","DOIUrl":"https://doi.org/10.18553/JMCP.1997.3.5.548","url":null,"abstract":"OBJECTIVE: The purpose of this study was to analyze the economic and health outcomes of implementing a preferred agent (HMG-CoA) reductase inhibitor policy in a managed care population. DESIGN: A Markov model with three states was constructed: 1) alive with no cardiac or coronary heart disease (CHD), 2) alive with CHD; and, 3) dead. In the model patients can move from one state to another as a function of CHD risk factors and expected changes in the lipid levels secondary to therapy. Event rates for CHD-related hospitalizations are also predicted. Health care costs included hospitalization costs for CHD events and HMG-CoA drug costs. Risk factor data were collected on a random sample of 150 patients of the 3,500 managed care patients receiving HMG-CoA therapy. Outcomes were modeled until age 80. Results were generated for a baseline of one year before and six months after implementation of the policy. SETTING: Group practice managed care organization. PATIENTS: Patients receiving HMG-CoA reductase inhibit...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68351851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Do We Measure Up in Reducing Morbidity and Mortality 我们在降低发病率和死亡率方面达标了吗
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.1997.3.6.651
Taeho Oh
{"title":"Do We Measure Up in Reducing Morbidity and Mortality","authors":"Taeho Oh","doi":"10.18553/JMCP.1997.3.6.651","DOIUrl":"https://doi.org/10.18553/JMCP.1997.3.6.651","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68352054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Going to the Source: A Guide to Using Surveys in Health Care Research 溯源:在卫生保健研究中使用调查的指南
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.1999.5.2.150
K. Fairman
{"title":"Going to the Source: A Guide to Using Surveys in Health Care Research","authors":"K. Fairman","doi":"10.18553/JMCP.1999.5.2.150","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.2.150","url":null,"abstract":"CONCLUSION: The following principles should guide project planning and questionnaire construction: 1) enlist the respondent's interest and trust; 2) maintain trust by keeping respondent burden to a minimum; 3) provide an attractive product; 4) avoid confusing, threatening, or biased questions; and 5) ensure that the questionnaire is consistent with planned data analyses. Several additional procedures enhance the usefulness of survey results: pretesting,","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67487806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Depression in Managed Care: Costs of Selective Serotonin Reuptake Inhibitors 管理护理中的抑郁症:选择性血清素再摄取抑制剂的成本
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.2001.7.2.142
B. Mcfarland
{"title":"Depression in Managed Care: Costs of Selective Serotonin Reuptake Inhibitors","authors":"B. Mcfarland","doi":"10.18553/JMCP.2001.7.2.142","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.2.142","url":null,"abstract":"OBJECTIVE: To review data on the comparative costs of antidepressants. DESIGN: Review of data from articles identified in a Medline search, meeting presentations, and independent market research that are relevant to the costs associated with treating depression. Studies were included if they compared depression treatment costs with tricyclic antidepressants to those with one of the leading selective serotonin reuptake inhibitors (SSRIs) or if they compared treatment costs among the leading SSRIs. Data were extracted on drug acquisition costs, concomitant medications, dose titration, multitablet/multi-capsule therapy, duration of therapy, and overall treatment costs. RESULTS: SSRIs may be more costeffective than tricyclic antidepressants because they are associated with lower health care utilization. Assessment of economic outcomes with SSRI therapy can be based on identified cost drivers, including dose titration and the need for multi-tablet therapy. Among the SSRIs, the uses of nonpharmaceutical health ...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Driving Market Share in an Integrated Health System without Therapeutic Interchange 在没有治疗交换的综合卫生系统中推动市场份额
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.2001.7.4.283
J. Fischer, R. M. Mowers, David J. Ormerod, Ellen S. Burriss
{"title":"Driving Market Share in an Integrated Health System without Therapeutic Interchange","authors":"J. Fischer, R. M. Mowers, David J. Ormerod, Ellen S. Burriss","doi":"10.18553/JMCP.2001.7.4.283","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.4.283","url":null,"abstract":"OBJECTIVE: Shift selective serotonin reuptake inhibitor (SSRI) market share in a large integrated health system to a more cost-effective alternative without the need for therapeutic interchange. SETTING: University of California Davis Medical Group (UCDMG). PRACTICE INNOVATION: Integrate the managed care team into the routine operation of the medical group clinics. Influence prescribing patterns by a program of continuous physician education, giving the messages that (1) citalopram was the most costeffective SSRI; (2) fluoxetine is the least cost-effective, especially at doses above 20 mg; and (3) that citalopram should be considered as initial therapy for depression and for patients not achieving optimal therapy on their current SSRI. OUTCOMES MEASURES: Change in market share for SSRIs: prescriptions for citalopram and fluoxetine were monitored for a year after the physician education program began. RESULTS: Market share for citalopram increased dramatically. Starting below the reported national usage, t...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Collaborating with Community Pharmacists to Improve the Quality of Diabetes Care in an IPA-model HMO 与社区药师合作提高ipa模式HMO糖尿病护理质量
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.2001.7.4.292
D. Nau, Joshua D. Blevins, Stephen Neal
{"title":"Collaborating with Community Pharmacists to Improve the Quality of Diabetes Care in an IPA-model HMO","authors":"D. Nau, Joshua D. Blevins, Stephen Neal","doi":"10.18553/JMCP.2001.7.4.292","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.4.292","url":null,"abstract":"OBJECTIVE: To assess the ability of community pharmacists to identify managed care patients with diabetes who are not achieving therapeutic goals. SETTING: A network of independent community pharmacists in West Virginia and southeastern Ohio in collaboration with The Health Plan of the Upper Ohio Valley. METHODS: Pharmacists conducted assessments of patients’ glycemic control (HbA1c ), blood pressure (BP), lipid levels (total cholesterol, low-den sity lipoprotein [LDL], high-density lipoprotein [HDL], triglycerides), and body mass index (BMI). The therapeutic goals were: HbA 1c less than 7%, BP lower than 130/85 mmHg, total cholesterol under 200 mg/dl, LDL less than 100mg/dl, HDL lower than 45 mg/dl, triglycerides under 200 mg/dl, and BMI lower than 30. These indices were measured during scheduled appointments in the pharmacy by pharmacists who had completed a certificate program in diabetes care. Reports on each patient’s status, along with recommendations, were sent to the patient’s physician. RESULTS: Fifty-four persons were enrolled in the pharmacist program and complete clinical data were obtained for 47 patients. The following percentages of patients were identified as not achieving the therapeutic goal for a particular measure: HbA1c: 63.9%, BP: 56.3%, total cholesterol: 38.3%, LDL: 69.8%, HDL: 76.5%, triglycerides: 57.4%, BMI: 61.9%. Patients who were not reaching the therapeutic target were referred to their physicians for additional evaluation. CONCLUSION: Pharmacists can identify a substantial number of persons with diabetes who are not achieving the goals for HbA 1c , blood pressure, lipids, and weight. This approach can facilitate the continuous assessment and improvement of care for managed care enrollees with diabetes.","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A Model for Comparing Unnecessary Costs Associated with Various Prescription Fill-Quantity Policies: Illustration Using VA Data 一个比较不同处方填充量政策的不必要成本的模型:使用VA数据的说明
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.2001.7.5.386
S. Walton, B. Arondekar, N. Johnson, G. Schumock
{"title":"A Model for Comparing Unnecessary Costs Associated with Various Prescription Fill-Quantity Policies: Illustration Using VA Data","authors":"S. Walton, B. Arondekar, N. Johnson, G. Schumock","doi":"10.18553/JMCP.2001.7.5.386","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.5.386","url":null,"abstract":"OBJECTIVE: To describe a model for analyzing the unnecessary costs associated with outpatient prescription fill quantities and to apply the model to prescription data from the Veterans Administration’s Chicago Health Care System (VACHCS) to examine costs under various scenarios. DESIGN: The model developed here included the cost of drugs, quantity of drug wasted, and the cost to fill the prescription, and is used to determine and compare the total unnecessary costs (TUC) of different prescription fill quantities. The model was applied to the VACHCS outpatient prescription records for two formulary hydroxymethyl glutaryl coenzyme A (HMGCoA) reductase-inhibitor drugs to determine TUC for 30- and 90-day fills. Sensitivity analysis was used to analyze changes in the TUC over a range of possible values for each variable in the model. RESULTS: A total of 16,990 prescriptions met the study inclusion criteria, of which 21.4% were for a 30-day supply and 78.6% for a 90-day supply. For 30-day and 90-day prescriptions, the average prescription cost per day was $0.56 and $0.54, respectively; quantity wasted was 1.06 days and 5.33 days; and TUC per prescription were $5.62 and $3.17. Sensitivity analysis demonstrated that the 90day policy maintained lower TUC for most scenarios with the exception of very high drug costs. CONCLUSION: Prescription benefit managers will find this model informative for determining policies for prescription fill quantities.","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
New Challenges to Old Standards in the Treatment of Rhinitis 鼻炎治疗对旧标准的新挑战
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.2001.7.S2.1
W. Berge, O. Shoheiber, D. Giaquinta, E. Cannon, G. Ledgerwood
{"title":"New Challenges to Old Standards in the Treatment of Rhinitis","authors":"W. Berge, O. Shoheiber, D. Giaquinta, E. Cannon, G. Ledgerwood","doi":"10.18553/JMCP.2001.7.S2.1","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.S2.1","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67490107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating Utilization Patterns 评估利用模式
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/jmcp.2001.7.s2.7
W. Berger, O. Shoheiber, D. Giaquinta, E. Cannon, G. Ledgerwood
{"title":"Evaluating Utilization Patterns","authors":"W. Berger, O. Shoheiber, D. Giaquinta, E. Cannon, G. Ledgerwood","doi":"10.18553/jmcp.2001.7.s2.7","DOIUrl":"https://doi.org/10.18553/jmcp.2001.7.s2.7","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67490223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Congestive Heart Failure: A Disease Management Approach in Long-Term Care Patients 充血性心力衰竭:长期护理患者的疾病管理方法
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.1999.5.6.516
A. Barber
{"title":"Congestive Heart Failure: A Disease Management Approach in Long-Term Care Patients","authors":"A. Barber","doi":"10.18553/JMCP.1999.5.6.516","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.6.516","url":null,"abstract":"OBJECTIVE: To determine the cost effectiveness of a pharmacist directed disease management program for patients with heart failure. DESIGN: A disease management approach for heart failure based on ...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67488227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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