Use este identificador para citar ou linkar para este item:
http://www.repositorio.ufop.br/jspui/handle/123456789/11073
Título: | Ongoing activities to optimize the quality and efficiency of lipid-lowering agents in the Scottish National Health System : influence and implications. |
Autor(es): | Leporowski, Axel Godman, Brian Kurdi, Amanj Baker MacBride-Stewart, Sean Ryan, Margaret Hurding, Simon Nascimento, Renata Cristina Rezende Macedo do Bennie, Marion Morton, Alec |
Palavras-chave: | Scottish NHS Reforms Expenditure Drug utilization |
Data do documento: | 2018 |
Referência: | LEPOROWSKI, A. et al. Ongoing activities to optimize the quality and efficiency of lipid-lowering agents in the Scottish National Health System : influence and implications. Expert Review of Pharmacoeconomics & Outcomes Research , v. 16, n. 6, p. 1-19, ago. 2018. Disponível em: <https://tandfonline.com/doi/abs/10.1080/14737167.2018.1501558>. Acesso em: 7 mar. 2019. |
Resumo: | Background: Prescribing of lipid-lowering agents (LLAs) has increased worldwide including in Scotland with increasing prevalence of coronary heart disease, and higher dose statins have been advocated in recent years. There have also been initiatives to encourage prescribing of generic versus patented statins to save costs without compromising care. There is a need to document these initiatives and outcomes to provide future direction. Method: Assessment of utilization (items dispensed) and expenditure of key LLAs (mainly statins) between 2001 and 2015 in Scotland alongside initiatives. Results: Multiple interventions over the years have increased international nonproprietary name prescribing (99% for statins) and preferential prescribing of generic versus patented statins, and reduced inappropriate prescribing of ezetimibe. This resulted in a 50% reduction in expenditure of LLAs between 2001 and 2015 despite a 412% increase in utilization, increased prescribing of higher dose statins (71% in 2015) especially atorvastatin following generic availability, and reduced prescribing of ezetimibe (reduced by 72% between 2010 and 2015). As a result, the quality of prescribing has improved. Conclusion: Generic availability coupled with multiple measures has resulted in appreciable shifts in statin prescribing behavior and reduced ezetimibe prescribing, resulting in improvements in both the quality and efficiency of prescribing. |
URI: | http://www.repositorio.ufop.br/handle/123456789/11073 |
Link para o artigo: | https://www.tandfonline.com/doi/full/10.1080/14737167.2018.1501558 |
ISSN: | 1744-8379 |
Aparece nas coleções: | DEFAR - Artigos publicados em periódicos |
Arquivos associados a este item:
Arquivo | Descrição | Tamanho | Formato | |
---|---|---|---|---|
ARTIGO_OngoingActivitesOptimize.pdf Restricted Access | 1,64 MB | Adobe PDF | Visualizar/Abrir |
Os itens no repositório estão protegidos por copyright, com todos os direitos reservados, salvo quando é indicado o contrário.