An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study

• DOI: 10.7861/futurehosp.5-3-198
• Publication Date: 2019-06-27T19:05:18Z
• Authors: Tessa Langley; Julia Lacey; Anthony Johnson; Clive Newman; Deepak Subramanian; Milind Khare; Rob Skelly; Mark Norwood; Nigel Sturrock; Andrew W Fogarty
• Keywords: cost feedback, antibiotics, inhaled corticosteroids; 03 medical and health sciences; 0302 clinical medicine; 3. Good health

<h3>ABSTRACT</h3> Providing feedback on cost has been demonstrated to decrease drug demand from clinicians. We conducted a prospective study with step-wise intervention test the hypothesis that providing information of drugs clinicians would modify total expenditure. Participants included individuals who were admitted Royal Derby Hospital ­November 2013 November 2015 under care physicians. The all antibiotics and inhaled corticosteroids was added electronic prescribing system. main outcome weekly for in period compared baseline costs. Mean expenditure per patient decreased by £3.75 (95% confidence intervals [CI] –6.52 –0.98) after pre-intervention mean £26.44, then slowly increased subsequently £0.10/week CI +0.02 +0.18). did not substantially change (–£0.03, 95% –0.06 –0.01 £5.29 person). New clinical guidelines associated expenditure, but provision costs resulted no sustained institutional However, have potential behaviour.