| Autor: |
Barbara Dean, Leroy C. Knodel, Jennifer K. Seltzer, Thomas L. Kurt, Curtis Burch |
| Rok vydání: |
2000 |
| Předmět: |
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| Zdroj: |
Journal of the American Pharmaceutical Association (1996). 40:495-499 |
| ISSN: |
1086-5802 |
| DOI: |
10.1016/s1086-5802(15)30395-8 |
| Popis: |
Objective: To assess use of sedative/hypnotic agents in Texas Medicaid patients and evaluate practitioner receptiveness to intervention letters concerning sedative/hypnotic prescribing generated by the Texas Medicaid Drug Utilization Review (DUR) Board. Design Retrospective DUR. Setting: Texas Medicaid retrospective DUR program. Patients or Other Participants: 244 Texas Medicaid patients and 291 Texas physicians Intervention: Patient profiles for Texas Medicaid patients were reviewed retrospectively to quantify sedative/hypnotic prescribing practices. Intervention letters were prepared and sent to physicians directly involved in the care of patients receiving excessive sedative/hypnotic therapy. Physician responses were categorized based on information presented in the intervention letter and circumstances surrounding the identified patient. Prescribing practices were assessed approximately 1 year after the intervention to determine the impact of intervention letters on prescribing. Main Outcome Measure: Physician response to interI vention letter. Results: Responses were received from 208 of 291 physicians (71.5%). Approximately 40% of physicians agreed in principle with the suggestions offered by the Texas Medicaid DUR Board to minimize chronic sedative/hypnotic use. Almost one-half of these physicians had discontinued sedative/hypnotic therapy for the identified patients 1 year after the intervention. Approximately 9% justified continued sedative/hypnotic use based on patient diagnosis or refractory response to treatment, and 55 physicians (26.4%) were unwilling to alter therapy because of patient-specific factors. Conclusion: Through the use of retrospective DUR, Texas Medicaid patients receiving excessive amounts of sedative/hypnotic agents were identified and improvements in sedative/hypnotic therapy were initiated. DUR can be useful not only in identifying problem areas, but also in encouraging physicians to modify prescribing practices through educational means. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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