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Pharmacy economics

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https://www.readbyqxmd.com/read/29764634/first-generation-college-students-demographic-socio-economic-status-academic-experience-successes-and-challenges-at-pharmacy-schools-in-the-united-states
#1
Serge A Afeli, Tynesha A Houchins, Nieka S Jackson, Jacqueline Montoya
INTRODUCTION: Identify the demographic, socio-economic status, academic performance, and challenges of first generation college students (FGCS) enrolled in pharmacy schools. Investigate students' perception on the strengths of available resources to support FGCS during their tenure in pharmacy school. METHODS: About 342 FGCS and 248 non-FGCS (NFGCS) from 24 pharmacy schools participated in an online anonymous survey that evaluated students' demographics and socio-economic background, commitment to the pharmacy profession, strength of institutional support, and school experience...
March 2018: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29752675/estimating-drug-costs-how-do-manufacturer-net-prices-compare-with-other-common-us-price-references
#2
T Joseph Mattingly, Joseph F Levy, Julia F Slejko, Nneka C Onwudiwe, Eleanor M Perfetto
BACKGROUND: Drug costs are frequently estimated in economic analyses using wholesale acquisition cost (WAC), but what is the best approach to develop these estimates? Pharmaceutical manufacturers recently released transparency reports disclosing net price increases after accounting for rebates and other discounts. OBJECTIVE: Our objective was to determine whether manufacturer net prices (MNPs) could approximate the discounted prices observed by the U.S. Department of Veterans Affairs (VA)...
May 12, 2018: PharmacoEconomics
https://www.readbyqxmd.com/read/29748915/clinical-benefits-over-time-associated-with-use-of-v-go-wearable-insulin-delivery-device-in-adult-patients-with-diabetes-a-retrospective-analysis
#3
David Sutton, Charissa D Higdon, Carla Nikkel, Karrie A Hilsinger
INTRODUCTION: Advances in insulin delivery have improved outcomes in patients with diabetes. This study evaluated the impact of V-Go® Wearable Insulin Delivery device on glycated hemoglobin (A1C) and insulin total daily dose (TDD) in patients with diabetes not achieving glycemic targets. METHODS: Electronic medical record data was obtained for adult patients with A1C > 7% treated at a multicenter endocrine practice who initiated V-Go between August 2012 and August 2015...
May 10, 2018: Advances in Therapy
https://www.readbyqxmd.com/read/29744818/real-world-clinical-effectiveness-and-cost-savings-of-liraglutide-versus-sitagliptin-in-treating-type-2-diabetes-for-1-and-2-years
#4
Qian Li, Rahul Ganguly, Michael L Ganz, Cory Gamble, Tam Dang-Tan
INTRODUCTION: This study compared the clinical and economic outcomes of long-term use of liraglutide versus sitagliptin for the treatment of type 2 diabetes (T2DM) in real-world practice in the USA. METHODS: We identified adult patients (≥ 18 years old) with T2DM who initiated liraglutide or sitagliptin in 2010-2014 using a large claims database. Quarterly glycemic control measures and annual healthcare costs were assessed during the 1st and 2nd years of persistent medication use...
May 9, 2018: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://www.readbyqxmd.com/read/29743781/catastrophic-health-expenditure-and-impoverishment-effects-of-out-of-pocket-expenses-a-comparative-study-of-tannery-and-non-tannery-workers-of-kanpur-india
#5
Gyan C Kashyap, Shri K Singh, Santosh K Sharma
Purpose: Treatment-seeking behaviors and economic burden because of health expenditure are widely discussed issues in India, and more so in recent times. The aim of this study is to identify health problems of tannery workers and their treatment-seeking behavior and their health expenditure. Data and Methods: The primary data used in this article were collected through a cross-sectional household survey of 284 male tannery workers in the Jajmau area of Kanpur city in the state of Uttar Pradesh, during January-June 2015...
January 2018: Indian Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29722547/adherence-and-economic-impact-of-paliperidone-palmitate-versus-oral-atypical-antipsychotics-in-a-medicare-population
#6
Kruti Joshi, Erik Muser, Yihua Xu, Phil Schwab, Manasi Datar, Brandon Suehs
AIM: To compare adherence, healthcare utilization and costs among real world, Medicare-eligible patients with schizophrenia using long-acting injectable paliperidone palmitate (PP) versus oral atypical antipsychotics. Patients & methods: Historical cohort study used Medicare Advantage claims data. Inverse probability of treatment weighting was applied to adjust for baseline differences. 12-month adherence, healthcare utilization and costs were compared. RESULTS: Patients using PP were more adherent (proportion of days covered ≥0...
May 3, 2018: Journal of Comparative Effectiveness Research
https://www.readbyqxmd.com/read/29721736/patient-and-medication-factors-associated-with-preventable-medication-waste-and-possibilities-for-redispensing
#7
C L Bekker, B J F van den Bemt, A C G Egberts, M L Bouvy, H Gardarsdottir
Background Knowledge on factors related to preventable medication waste and waste-reducing interventions, including redispensing unused medications, is needed to maximise effectiveness. Objective To assess patient and medication factors associated with preventable medication waste and possibilities for redispensing unused medications. Setting Dutch community pharmacies. Methods In this cross-sectional study, pharmacy-staff registered patient and medication characteristics of prescription medications returned to 41 Dutch community pharmacies during 1 week in 2014...
May 2, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29695278/global-landscape-assessment-of-screening-technologies-for-medicine-quality-assurance-stakeholder-perceptions-and-practices-from-ten-countries
#8
Lukas Roth, Ameena Nalim, Beth Turesson, Laura Krech
BACKGROUND: The spread of substandard and falsified (SF) medical products constitutes a growing global public health concern. Some countries use portable, handheld screening technologies (STs) in the field to accelerate detection of SF medicines and reduce the number of medicine samples that undergo costly and time-consuming confirmatory analysis. METHODS: A multi-country, multi-stakeholder landscape assessment utilizing qualitative methodology was used to examine practices and perceptions related to the use of STs...
April 25, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29694293/development-of-a-pharmacoeconomic-model-to-demonstrate-the-effect-of-clinical-pharmacist-involvement-in-diabetes-management
#9
Heather Ourth, Jordan Nelson, Patrick Spoutz, Anthony P Morreale
BACKGROUND: A data collection tool was developed and nationally deployed to clinical pharmacists (CPs) working in advanced practice provider roles within the Department of Veterans Affairs to document interventions and associated clinical outcomes. Intervention and short-term clinical outcome data derived from the tool were used to populate a validated clinical outcomes modeling program to predict long-term clinical and economic effects. OBJECTIVE: To predict the long-term effect of CP-provided pharmacotherapy management on outcomes and costs for patients with type 2 diabetes...
May 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29694289/economic-burden-associated-with-receiving-inhaled-corticosteroids-with-leukotriene-receptor-antagonists-or-long-acting-beta-agonists-as-combination-therapy-in-older-adults
#10
Shoroq M Altawalbeh, Carolyn T Thorpe, Janice C Zgibor, Sandra Kane-Gill, Yihuang Kang, Joshua M Thorpe
BACKGROUND: There is a paucity of literature on the health care expenditures associated with different pharmacologic treatments in older adults with asthma that is not well controlled on inhaled corticosteroids (ICS). OBJECTIVE: To compare asthma-related and all-cause health care expenditures associated with leukotriene receptor antagonists (LTRA) versus long-acting beta agonists (LABA) when added to ICS in older adults with asthma. METHODS: A retrospective cohort was constructed using 2009-2010 Medicare fee-for-service medical and pharmacy claims from a 10% random sample of beneficiaries continuously enrolled in Parts A, B, and D in 2009...
May 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29694287/one-year-outcomes-of-an-integrated-multiple-sclerosis-disease-management-program
#11
Marti Groeneweg, Sara H Forrester, Beth Arnold, Lorella Palazzo, Weiwei Zhu, Paul Yoon, Tim Scearce
BACKGROUND: Multiple sclerosis (MS) is associated with high total health care cost, the majority of which is attributable to medications. Patients with MS are less likely to experience relapses, emergency department (ED) visits, and hospitalizations when they are adherent to disease-modifying treatments. Disease management programs are hypothesized to improve medication adherence thereby improving clinical and economic outcomes. OBJECTIVE: To evaluate the clinical and economic effects of a specialty pharmacy and chronic disease management program for patients with MS from a health plan perspective...
May 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29681255/a-mixed-methods-evaluation-of-a-community-pharmacy-signposting-service-to-a-commercial-weight-loss-provider
#12
Jackie Inch, Alison Avenell, Lorna Aucott, Margaret C Watson
OBJECTIVE: Community pharmacies could provide access for clients to commercial weight management organizations. We evaluated recruitment, referral and outcomes of adults provided with free vouchers by community pharmacies to attend Scottish Slimmers classes. DESIGN: Prospective cohort design with qualitative interviews with clients and pharmacy personnel. Scottish Slimmers collected weight and attendance data. SETTING: Pharmacies in Aberdeen City, Scotland...
April 23, 2018: Public Health Nutrition
https://www.readbyqxmd.com/read/29663966/access-to-asthma-medicines-at-the-household-level-in-eight-counties-of-kenya
#13
D Barakat, P C Rockers, T Vian, M A Onyango, R O Laing, V J Wirtz
BACKGROUND: It is estimated that about 4 million Kenyans, i.e., 10% of the country's population, have asthma. We aimed to evaluate access to asthma medicines at the household level in eight counties of Kenya, including factors associated with location of purchase. METHODS: Individuals with a diagnosis and prescription of asthma medicines were asked about the location of diagnosis, purchase of medicines, availability of medicines at home and costs of medicines per month...
May 1, 2018: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/29649917/association-of-obesity-with-healthcare-resource-utilization-and-costs-in-a-commercial-population
#14
Pravin S Kamble, Jennifer Hayden, Jenna Collins, Raymond A Harvey, Brandon Suehs, Andrew Renda, Mette Hammer, Joanna Huang, Jonathan Bouchard
OBJECTIVE: To examine the association of obesity with healthcare resource utilization (HRU) and costs among commercially insured individuals. METHODS: This retrospective observational cohort study used insured individuals' administrative claims from 1/1/2007 to 12/1/2013. The ICD-9-CM status codes (V85 hierarchy) from 2008 to 2012 classified body mass index (BMI) into the World Health Organizations' BMI categories. The date of first observed BMI code was defined as the index date and continuous eligibility for one year pre- and post- index date was ensured...
April 12, 2018: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/29623629/impact-of-fluid-choice-in-systemic-inflammatory-response-syndrome-patients-on-hospital-cost-savings
#15
Suzanne Laplante, Dilip U Makhija, Sibyl H Munson, Victor S Khangulov, Fred W Peyerl, Scott M Paluszkiewicz, Aditi J Ravindranath, Carol R Schermer
BACKGROUND: There is growing evidence of the benefits of intravenous fluid therapy with balanced crystalloids over 0.9% 'normal' saline. This analysis evaluated the economic impact of increasing usage of a calcium-free balanced crystalloid solution (BAL) in patients with systemic inflammatory response syndrome (SIRS) on an annual hospital budget. METHODS: An Excel® -based economic model was developed to estimate costs associated with increased BAL usage (i.e., use in a greater proportion of patients), from the US hospital perspective, over a 5-year time horizon...
September 4, 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29616482/impact-of-a-health-management-program-on-healthcare-outcomes-among-patients-on-augmentation-therapy-for-alpha-1-antitrypsin-deficiency-an-insurance-claims-analysis
#16
Michael A Campos, Michael C Runken, Angela M Davis, Michael P Johnson, Glenda A Stone, Ami R Buikema
INTRODUCTION: Alpha 1-antitrypsin deficiency (AATD) is a genetic disorder which reduces serum alpha 1-antitrypsin (AAT or alpha1-proteinase inhibitor, A1PI) and increases the risk of chronic obstructive pulmonary disease (COPD). Management strategies include intravenous A1PI augmentation, and, in some cases, a health management program (Prolastin Direct® ; PD). OBJECTIVES: This study compared clinical and economic outcomes between patients with and without PD program participation...
April 2018: Advances in Therapy
https://www.readbyqxmd.com/read/29610051/quantity-and-economic-value-of-unused-oral-anti-cancer-and-biological-disease-modifying-anti-rheumatic-drugs-among-outpatient-pharmacy-patients-who-discontinue-therapy
#17
C L Bekker, E J Melis, A C G Egberts, M L Bouvy, H Gardarsdottir, B J F van den Bemt
BACKGROUND: Patients sometimes discontinue the use of expensive oral anti-cancer drug (OACD) or biological disease-modifying anti-rheumatic drug (bDMARD) therapies early, leading to medication waste if the patient has not used all dispensed medication. OBJECTIVE: To determine the proportion of patients who have unused OACDs or bDMARDs after therapy discontinuation, and the quantity and economic value of these unused medications. Furthermore, patients' reasons for therapy discontinuation and their disposal method for unused medications were determined...
March 24, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29582940/closed-system-drug-transfer-devices-plus-safe-handling-of-hazardous-drugs-versus-safe-handling-alone-for-reducing-exposure-to-infusional-hazardous-drugs-in-healthcare-staff
#18
REVIEW
Kurinchi Selvan Gurusamy, Lawrence Mj Best, Cynthia Tanguay, Elaine Lennan, Mika Korva, Jean-François Bussières
BACKGROUND: Occupational exposure to hazardous drugs can decrease fertility and result in miscarriages, stillbirths, and cancers in healthcare staff. Several recommended practices aim to reduce this exposure, including protective clothing, gloves, and biological safety cabinets ('safe handling'). There is significant uncertainty as to whether using closed-system drug-transfer devices (CSTD) in addition to safe handling decreases the contamination and risk of staff exposure to infusional hazardous drugs compared to safe handling alone...
March 27, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29578855/a-comparison-of-pharmacy-dispensing-channel-use-and-adherence-to-specialty-drugs-among-medicare-part-d-beneficiaries
#19
Hrishikesh P Kale, Anisha M Patel, Norman V Carroll
BACKGROUND: Nonadherence to specialty drugs has been associated with poor clinical and economic outcomes. Studies conducted using commercial health plans suggest that patients who use specialty pharmacies have higher adherence compared with patients using retail pharmacies. However, little is known about the frequency of dispensing channel use or the association of dispensing channel use with adherence to specialty drugs among Medicare Part D beneficiaries. OBJECTIVES: To (a) describe the use of pharmacy dispensing channels by patients using self-administered specialty drugs in Medicare Part D and (b) study the association between dispensing channel use and adherence to specialty drugs in this population...
April 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29577787/clinical-and-economic-outcomes-associated-with-the-use-of-fluticasone-propionate-250-mcg-and-salmeterol-50-mcg-combination-versus-tiotropium-bromide-18-mcg-as-initial-maintenance-treatment-for-chronic-obstructive-pulmonary-disease-in-managed-care
#20
Christopher F Bell, Anna D Coutinho, Eileen Farrelly, Tasneem Lokhandwala, Pamela Landsman-Blumberg
AIMS: To examine the clinical and economic outcomes associated with the use of long-acting bronchodilators for initial maintenance treatment of chronic obstructive pulmonary disease (COPD) by analyzing health insurance claims data in the United States. METHODS: A retrospective, observational, matched cohort study used health insurance claims data (January 2008 to June 2013) to assess COPD-related outcomes for subjects aged ≥40 years. Subjects were assigned to a study cohort according to the first observed prescription fill for a long-acting bronchodilator (fluticasone propionate 250 mcg/salmeterol 50 mcg [FSC] or tiotropium bromide 18 mcg [TIO])...
March 24, 2018: Journal of Medical Economics
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