There is a need to establish the proportion of adult asthmatics at each step of the recommended asthma management guidelines, the cost of their prescribed treatment, and a revised cost of treatment assuming patients who were suboptimally controlled were moved up a step. Actual prescription and cost figures and a theoretical projection of an ideal scenario was calculated from a sample of general...

Objective: To determine costs related to living with rheumatoid arthritis (RA), and to identify the association between health status—as measured by the Health Status Questionnaire short form-36 (SF-36) and the disease specific index Health Assessment Questionnaire (HAQ)— and the social impact of RA. Methods: A prospective cohort study was carried out on 81 patients with RA who completed four c...

drug therapy is a complex and important process and because of the importance of drug interactions, especially in in-patients, accompanying problems and obstacles would exist as a result of concomitant use of drugs in these patients. for this purpose 3130 prescription order forms from bou-ali hospital were collected and all potential drug interactions presentwere extracted and evaluated in term...

PURPOSE Historical trends and factors likely to influence future pharmaceutical expenditures are discussed, and projections are made for drug spending in 2016 in nonfederal hospitals, clinics, and overall (all sectors). METHODS Drug expenditure data through calendar year 2015 were obtained from the IMS Health National Sales Perspectives database and analyzed. Other factors that may influence ...

In a recent article, Stapel et al. [1] gave a practical and easy solution for the evaluation of energy expenditure in critically ill patients. Predictive equations are routinely used to determine energy needs and to guide the prescription of calories in critically ill patients [2]. However, their accuracy is very poor, resulting in both overand underfeeding [3], and thus confounding the validit...

P HARMACEUTICALS ARE UNDENIABLY ONE OF THE CORNERSTONES OF MODern medicine. Appropriately used, many pharmaceutical agents can provide powerful health improvements and tremendous value for money in the health-care system. Despite this remarkable promise, pharmaceuticals have important characteristics that necessitate careful appraisal of their safety, effectiveness and economic value, both befo...

Health authorities are constantly searching for new ways to stabilise health expenditures. To explore this issue, we compared the costs generated by different types of medical practice in French general medicine: i.e. conventional (CM-GP), homeopathic (Ho-GP), or mixed (Mx-GP).Data from a previous cross-sectional study, EPI3 La-Ser, were used. Three types of cost were analysed: (i) consultation...

Background. Siriraj Hospital has implemented post-authorization of target antibiotics (piperacillin/tazobactam, meropenem, imipenem/cilastatin and doripenem) for nearly 10 years. Currently, antibiotic approval is implemented by ID clinical fellows. Methods. During February – September 2013, we conducted a cluster randomized controlled trial in 6 general medical wards at Siriraj hospital to comp...

This paper examines the impact of coinsurance exemption for prescription medicines applied to elderly individuals in Spain after retirement. We use a rich administrative dataset that links pharmaceutical consumption and hospital discharge records for the full population aged 58 to 65 years in January 2004 covered by the public insurer in a Spanish region, and we follow them until December 2006....