Cost savings using a stepped-care prescribing protocol for nonsteroidal anti-inflammatory drugs

David L. Jones, Kurt Kroenke, Frank J. Landry, David J. Tomich, Richard J. Ferrel

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Objective. - To lower nonsteroidal anti-inflammatory drug (NSAID) costs while maintaining quality patient care and clinician satisfaction. Design. - Before and after 21 -month trial with one study site and two control sites and a questionnaire that was sent to 203 clinicians. Setting and Subjects. - Two military medical centers and two affiliated primary care clinics. All beneficiaries filling outpatient NSAID prescriptions. Interventions. - An NSAID prescribing protocol was implemented requiring a trial of either ibuprofen or indomethacin before new prescription of more expensive NSAIDs. One control center used an NSAID computer cost-prompt and the other had no intervention. Main Outcome Measures. - The proportion of expensive NSAIDs prescribed at each institution and total NSAID costs adjusted for prescription volume. Clinician acceptance and patient impact were assessed by the questionnaire. Results. - Study site clinicians (n=158) reported very few protocol-related patient care problems. A minority (9%) of study site clinicians considered the protocol very bothersome, and only 2% felt it should be discontinued. Quarterly use of expensive NSAIDs at the study site fell from 34% to 21%, decreasing costs by 30% (P

Original languageEnglish (US)
Pages (from-to)926-930
Number of pages5
JournalJournal of the American Medical Association
Volume275
Issue number12
DOIs
StatePublished - Mar 27 1996
Externally publishedYes

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Cost Savings
Anti-Inflammatory Agents
Drug Costs
Non-Steroidal Anti-Inflammatory Agents
Drug Prescriptions
Pharmaceutical Preparations
Prescriptions
Patient Care
Quality of Health Care
Ibuprofen
Indomethacin
Primary Health Care
Outpatients
Outcome Assessment (Health Care)
Costs and Cost Analysis
Surveys and Questionnaires

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cost savings using a stepped-care prescribing protocol for nonsteroidal anti-inflammatory drugs. / Jones, David L.; Kroenke, Kurt; Landry, Frank J.; Tomich, David J.; Ferrel, Richard J.

In: Journal of the American Medical Association, Vol. 275, No. 12, 27.03.1996, p. 926-930.

Research output: Contribution to journalArticle

Jones, David L. ; Kroenke, Kurt ; Landry, Frank J. ; Tomich, David J. ; Ferrel, Richard J. / Cost savings using a stepped-care prescribing protocol for nonsteroidal anti-inflammatory drugs. In: Journal of the American Medical Association. 1996 ; Vol. 275, No. 12. pp. 926-930.
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