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  1. Do drug costs affect physicians'prescription decisions ?

    Article - En anglais


    To study the impact of the cost of pharmaceuticals on physicians'decisions about drug prescription.


    A simulation protocol for the treatment of two patients, one with mild and the other with a severe form of urinary tract infection (UTI), was designed.

    Thirty family physicians in outpatient clinics and 30 physicians in the internal medicine wards of a Community Hospital participated in the project.

    They had to prescribe treatment for the patients twice : at phase I, when the drug cost was unknown, and at phase II, after 2 months, when the price of the drugs was brought to their attention.

    The physicians selected the medication from a list of drugs commonly used for the treatment of UTIs.


    Analysis of the findings indicates that an awareness of drug costs affects prescription decisions among physicians in hospital wards, whereas family physicians showed a preference for less expensive drugs even before they were informed about drug costs.

    An extrapolation of the results shows that knowledge about the cost of the drugs usually administered for treatment of UTI, could save at least IS 112883 ($34207) a month to Kupat Holim Klalit (KHK) the health insurance institution to which the outpatient clinics and the hospital belong.


    When economic aspects of healthcare are considered, information on drug costs may be an important factor in physicians'decision-making processes and for saving pharmaceutical expenses.

    Mots-clés Pascal : Coût, Médicament, Prix vente, Médecin généraliste, Prise décision, Prescription médicale, Infection, Voie urinaire, Cystite, Economie santé, Influence, Homme, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie

    Mots-clés Pascal anglais : Costs, Drug, Selling price, General practitioner, Decision making, Medical prescription, Infection, Urinary tract, Cystitis, Health economy, Influence, Human, Urinary system disease, Urinary tract disease, Bladder disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0330765

    Code Inist : 002B30A05. Création : 12/09/1997.