Prescribing restrictions - a necessary strategy among some European countries to enhance future prescribing efficiency?

Brian Godman, Rickard Malmstrom, Marion Bennie

Research output: Contribution to journal › Article

Abstract

The unsustainable growth in pharmaceutical expenditure has resulted in multiple initiatives across Europe to lower prices of generics and enhance their utilisation. These include prescribing restrictions. However, there have been concerns with their impact on subsequent quality of care as well as their influence in reality. Aims to review the influence of prescribing restrictions and whether there are any differences depending on their nature and drug classes; ascertain whether prescribing restrictions can be added to existing demand-side measures to further enhance prescribing efficiency; discover whether they compromise subsequent quality of care. Prescribing restrictions have a variable impact on subsequent utilisation of patented protected products versus generics in a class, with their influence depending on the nature and follow-up of the restrictions rather than the class of drug. This is seen among the proton pump inhibitors, statins, and renin-angiotensin drugs. Prescribing restrictions can be successfully added to existing measures to further enhance prescribing efficiency, and do not appear to compromise subsequent quality of care. Prescribing restrictions can be a successful strategy as countries strive to maintain the European ideals for healthcare. However, care is needed when planning these programmes: else health authorities could be disappointed with their outcome.
LanguageEnglish
Pages5-16
Number of pages12
JournalReviews in Health Care
Volume3
Issue number1
Publication statusPublished - 2012

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Quality of Health Care
Pharmaceutical Preparations
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Health Planning
Proton Pump Inhibitors
Angiotensins
Health Expenditures
Renin
Delivery of Health Care
Growth

Keywords

  • drugs
  • pharmaceutical care
  • presciptions

Cite this

Godman, Brian ; Malmstrom, Rickard ; Bennie, Marion. / Prescribing restrictions - a necessary strategy among some European countries to enhance future prescribing efficiency?. In: Reviews in Health Care . 2012 ; Vol. 3, No. 1. pp. 5-16.
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Godman, B, Malmstrom, R & Bennie, M 2012, 'Prescribing restrictions - a necessary strategy among some European countries to enhance future prescribing efficiency?' Reviews in Health Care , vol. 3, no. 1, pp. 5-16.

Prescribing restrictions - a necessary strategy among some European countries to enhance future prescribing efficiency? / Godman, Brian; Malmstrom, Rickard ; Bennie, Marion.

In: Reviews in Health Care , Vol. 3, No. 1, 2012, p. 5-16.

Research output: Contribution to journal › Article

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AU - Malmstrom, Rickard

AU - Bennie, Marion

PY - 2012

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AB - The unsustainable growth in pharmaceutical expenditure has resulted in multiple initiatives across Europe to lower prices of generics and enhance their utilisation. These include prescribing restrictions. However, there have been concerns with their impact on subsequent quality of care as well as their influence in reality. Aims to review the influence of prescribing restrictions and whether there are any differences depending on their nature and drug classes; ascertain whether prescribing restrictions can be added to existing demand-side measures to further enhance prescribing efficiency; discover whether they compromise subsequent quality of care. Prescribing restrictions have a variable impact on subsequent utilisation of patented protected products versus generics in a class, with their influence depending on the nature and follow-up of the restrictions rather than the class of drug. This is seen among the proton pump inhibitors, statins, and renin-angiotensin drugs. Prescribing restrictions can be successfully added to existing measures to further enhance prescribing efficiency, and do not appear to compromise subsequent quality of care. Prescribing restrictions can be a successful strategy as countries strive to maintain the European ideals for healthcare. However, care is needed when planning these programmes: else health authorities could be disappointed with their outcome.

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Godman B, Malmstrom R, Bennie M. Prescribing restrictions - a necessary strategy among some European countries to enhance future prescribing efficiency? Reviews in Health Care . 2012;3(1):5-16.

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