DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20202951

Knowledge and practices regarding pharmacoeconomics among resident doctors in a tertiary care teaching hospital

Reshma Raj A. R., M. J. Sudha, S. Viveka

Abstract


Background: With skyrocketing health care costs, even the essential care provided by the health care service providers need to be evaluated under the lens. The development of nationwide awareness of cost-benefit, cost-utility and cost-effectiveness of services is the need of the hour. The objectives of the present study were to assess the knowledge about pharmacoeconomics among resident doctors and to assess the clinical application of pharmacoeconomics among them.

Methods: A cross sectional questionnaire-based survey was conducted among resident doctors involving both interns and post-graduates of a teaching medical college. There were 20 questions; initial ten were for knowledge assessment and next ten questions assessed practical applications. Questions assessed the knowledge regarding components of pharmacoeconomics, direct and indirect medical costs, and application of pharmacoeconomics, local cost-effectiveness decisions and advantages of pharmacoeconomics.

Results: Of the 118 participants who took part in the study, 42 were clinicians working in medical college hospital, 12 were clinicians working in dental college hospital, 24 medial postgraduates, 30 dental postgraduates and 10 interns. Nearly 90% of the respondents opine that concepts of pharmacoeconomics are not followed in every teaching hospital in India. Many participants (90%) opined that health economics and pharmacoeconomic are different. Nearly 94% of participants have not under gone any training regarding pharmacoeconomics. More than 95% respondents have opined that principles of pharmacoeconomics has to be introduced into current medial undergraduate curriculum.

Conclusions: This study shows light on the knowledge and practices of resident doctors regarding principles of pharmacoeconomics. This study has revealed the level of awareness of younger generation regarding pharmacoeconomics.


Keywords


Cost-benefit, Cost-effectiveness, Knowledge, Pharmacoeconomics, Practices

Full Text:

PDF

References


Ahmad A, Patel I, Parimilakrishnan S, Mohanta GP, Chung H, Chang J. The role of pharmacoeconomics in current Indian healthcare system. J Res Pharm Pract. 2013;2(1):3-9.

Suh K, Gabriel S, Adams MA, Arcona S. Health economics and outcomes research fellowship practices reviewed. Res Soc Adm Pharm. 2015;11(2):280-7.

Potočnjak I, Terešak SD, Radulović B, Trbušić M, Degoricija V. Pharmacoeconomical and added value of acute heart failure studies. InPharmaca: Fifth Adriatic and Fourth Croatian Congress of Pharmacoeconomics and Outcome Research 2015. Available at: http://bib.irb.hr/prikazi-rad?lang=en &rad=759839. Accessed on 12th March 2020.

Danzon PM, Nicholson S. The Oxford handbook of the economics of the biopharmaceutical industry. Oxford University Press; 2012: 618.

Samsa GP, Matchar DB, Harnett J, Wilson J. A cost-minimization analysis comparing azithromycin-based and levofloxacin-based protocols for the treatment of patients hospitalized with community-acquired pneumonia: results from the CAP-IN trial. Chest. 2005;128(5):3246-54.

Rogowski W, Payne K, Schnell-Inderst P, Manca A, Rochau U, Jahn B, et al. Concepts of ‘personalization’ in personalized medicine: implications for economic evaluation. Pharmaco Economics. 2015;33(1):49-59.

Berger ML. Health care cost, quality, and outcomes: ISPOR book of terms. Int Society Pharmaco Outcomes Res; 2003:264.

International Society of Pharmacoeconomics and Outcomes Research (ISPOR). Available at: http://www.ispor.org/. Accessed on 12th March 2020.

Tahashildar J, Kota K, Kumar SK, Tahashildar J, Mohanty L, Ahmed SY. Assessment of the knowledge and perceptions about pharmaco-economics among medical postgraduate students and healthcare professionals at a tertiary care teaching hospital, Udaipur, India. Int J Curr Res Aca Rev. 2015;3(2):135-42.

Savkar MK, Bhat NP, Deepikar G. Shwetha. Evaluation of pharmacoeconomics awareness among post graduates: a questionnaire-based study. Indian J Basic Appl Med Res. 2014;3(3):135-41.

Jayasree D, Uppu B, Devi B. A study on awareness of pharmacoeconomics among post graduates in a tertiary care teaching hospital. Int J Res Med Sci. 2016;3:1597-603.

Center for Pharmacoepidemiology and Pharmacoeconomic Research, College of Pharmacy, University of Illinois at Chicago, 2016. Available at: https://pharmacy.uic.edu/research/pharmacoepidemiology-pharmacoeconomic. Accessed on 12th March 2020.

Pharmacoeconomics, Department of Pharmaceutical Outcomes and Policy, College of Pharmacy University of Florida. Available at: http://pop. pharmacy.ufl.edu/research/areas-of-research/pharma-coeconomics/. Accessed on 12th March 2020.

Alefan Q, AlImam S, Mukattash T, Mhaidat N, Alabbadi I, Rascati K. Pharmacoeconomics education in WHO Eastern Mediterranean region. Curr Pharm Teach Learn. 2015;7(6):819-25.

Rascati KL, Drummond MF, Annemans L, Davey PG. Education in pharmacoeconomics. Pharmaco Economics. 2004;22(3):139-47.

Law AV, Jackevicius CA, Bounthavong M. A monograph assignment as an integrative application of evidence-based medicine and pharmacoeconomic principles. Am J Pharm Educ. 2011;75(1):1.