TY - JOUR
T1 - Prescribing restrictions - a necessary strategy among some European countries to enhance future prescribing efficiency?
AU - Godman, Brian
AU - Malmstrom, Rickard
AU - Bennie, Marion
PY - 2012
Y1 - 2012
N2 - 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.
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.
KW - drugs
KW - pharmaceutical care
KW - presciptions
UR - http://journals.edizioniseed.it/index.php/rhc/article/view/55
M3 - Article
VL - 3
SP - 5
EP - 16
JO - Reviews in Health Care
JF - Reviews in Health Care
SN - 2038-6699
IS - 1
ER -