Linda M. Frazier, MD; J. Trig Brown, MD, MPH; George W. Divine, PhD; Gayle R. Fleming, RPh; Nancy M. Philips, MD; William C. Siegal, MD, MPH; Moise A. Khayrallah, MA
▪ Objective: To determine whether an educational program featuring a drug cost manual can assist physicians in reducing their patients' out-of-pocket prescription drug expenses.
▪ Design: Prospective controlled trial.
▪ Setting: A general internal medicine-teaching clinic in a university hospital.
▪ Participants: Fifty-one medical interns.
▪ Intervention: Thirty-one interns received a manual of comparative drug prices annotated with prescribing advice, two feedback reports, and weekly cost-oriented prescribing reminders. A control group concurrently participated in a manual-based educational program on cholesterol management.
▪ Measurements: Copies of 3012 prescriptions written over 8 months were analyzed.
▪ Main Results: Intervention group physicians prescribed less expensive drugs within classes of drugs. The change in drug price score per prescription was - 0.15 (95% Cl, - 0.27 to - 0.04; P = 0.01). A score of 3 was assigned to the most expensive, 2 was assigned to intermediate-priced, and 1 was assigned to the least expensive drug or drugs in the class. An increase of 0.74 months' (Cl, 0.49 to 0.98; P < 0.001) supply of medication was dispensed per prescription, reducing dispensing fees. The program was well accepted by the physicians.
▪ Conclusion: This relatively simple educational intervention can help physicians to reduce their patients' drug expenses and may serve as a model for incorporating cost information into the routine practice of medicine.
Frazier LM, Brown JT, Divine GW, et al. Can Physician Education Lower the Cost of Prescription Drugs?: A Prospective, Controlled Trial. Ann Intern Med. 1991;115:116–121. doi: 10.7326/0003-4819-115-2-116
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Published: Ann Intern Med. 1991;115(2):116-121.
Healthcare Delivery and Policy, Hospital Medicine, Prevention/Screening.
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