Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy Cost

Detalhes bibliográficos
Autor(a) principal: Brandão,Sara Michelly Gonçalves
Data de Publicação: 2015
Outros Autores: Issa,Victor Sarli, Ayub-Ferreira,Silvia Moreira, Storer,Samantha, Gonçalves,Bianca Gigliotti, Santos,Valter Garcia, Carvas Junior,Nelson, Guimarães,Guilherme Veiga, Bocchi,Edimar Alcides
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos Brasileiros de Cardiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2015002200265
Resumo: Background:Polypharmacy is a significant economic burden.Objective:We tested whether using reverse auction (RA) as compared with commercial pharmacy (CP) to purchase medicine results in lower pharmaceutical costs for heart failure (HF) and heart transplantation (HT) outpatients.Methods:We compared the costs via RA versus CP in 808 HF and 147 HT patients followed from 2009 through 2011, and evaluated the influence of clinical and demographic variables on cost.Results:The monthly cost per patient for HF drugs acquired via RA was $10.15 (IQ 3.51-40.22) versus $161.76 (IQ 86.05‑340.15) via CP; for HT, those costs were $393.08 (IQ 124.74-774.76) and $1,207.70 (IQ 604.48-2,499.97), respectively.Conclusion:RA may reduce the cost of prescription drugs for HF and HT, potentially making HF treatment more accessible. Clinical characteristics can influence the cost and benefits of RA. RA may be a new health policy strategy to reduce costs of prescribed medications for HF and HT patients, reducing the economic burden of treatment.
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spelling Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy CostHeart FailurePharmaceutical Preparations / economicsCompetitive Bidding / economicsBudgetsCost SavingsHeart TransplantationBackground:Polypharmacy is a significant economic burden.Objective:We tested whether using reverse auction (RA) as compared with commercial pharmacy (CP) to purchase medicine results in lower pharmaceutical costs for heart failure (HF) and heart transplantation (HT) outpatients.Methods:We compared the costs via RA versus CP in 808 HF and 147 HT patients followed from 2009 through 2011, and evaluated the influence of clinical and demographic variables on cost.Results:The monthly cost per patient for HF drugs acquired via RA was $10.15 (IQ 3.51-40.22) versus $161.76 (IQ 86.05‑340.15) via CP; for HT, those costs were $393.08 (IQ 124.74-774.76) and $1,207.70 (IQ 604.48-2,499.97), respectively.Conclusion:RA may reduce the cost of prescription drugs for HF and HT, potentially making HF treatment more accessible. Clinical characteristics can influence the cost and benefits of RA. RA may be a new health policy strategy to reduce costs of prescribed medications for HF and HT patients, reducing the economic burden of treatment.Sociedade Brasileira de Cardiologia - SBC2015-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2015002200265Arquivos Brasileiros de Cardiologia v.105 n.3 2015reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/abc.20150076info:eu-repo/semantics/openAccessBrandão,Sara Michelly GonçalvesIssa,Victor SarliAyub-Ferreira,Silvia MoreiraStorer,SamanthaGonçalves,Bianca GigliottiSantos,Valter GarciaCarvas Junior,NelsonGuimarães,Guilherme VeigaBocchi,Edimar Alcideseng2015-10-05T00:00:00Zoai:scielo:S0066-782X2015002200265Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2015-10-05T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false
dc.title.none.fl_str_mv Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy Cost
title Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy Cost
spellingShingle Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy Cost
Brandão,Sara Michelly Gonçalves
Heart Failure
Pharmaceutical Preparations / economics
Competitive Bidding / economics
Budgets
Cost Savings
Heart Transplantation
title_short Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy Cost
title_full Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy Cost
title_fullStr Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy Cost
title_full_unstemmed Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy Cost
title_sort Reverse Auction: A Potential Strategy for Reduction of Pharmacological Therapy Cost
author Brandão,Sara Michelly Gonçalves
author_facet Brandão,Sara Michelly Gonçalves
Issa,Victor Sarli
Ayub-Ferreira,Silvia Moreira
Storer,Samantha
Gonçalves,Bianca Gigliotti
Santos,Valter Garcia
Carvas Junior,Nelson
Guimarães,Guilherme Veiga
Bocchi,Edimar Alcides
author_role author
author2 Issa,Victor Sarli
Ayub-Ferreira,Silvia Moreira
Storer,Samantha
Gonçalves,Bianca Gigliotti
Santos,Valter Garcia
Carvas Junior,Nelson
Guimarães,Guilherme Veiga
Bocchi,Edimar Alcides
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Brandão,Sara Michelly Gonçalves
Issa,Victor Sarli
Ayub-Ferreira,Silvia Moreira
Storer,Samantha
Gonçalves,Bianca Gigliotti
Santos,Valter Garcia
Carvas Junior,Nelson
Guimarães,Guilherme Veiga
Bocchi,Edimar Alcides
dc.subject.por.fl_str_mv Heart Failure
Pharmaceutical Preparations / economics
Competitive Bidding / economics
Budgets
Cost Savings
Heart Transplantation
topic Heart Failure
Pharmaceutical Preparations / economics
Competitive Bidding / economics
Budgets
Cost Savings
Heart Transplantation
description Background:Polypharmacy is a significant economic burden.Objective:We tested whether using reverse auction (RA) as compared with commercial pharmacy (CP) to purchase medicine results in lower pharmaceutical costs for heart failure (HF) and heart transplantation (HT) outpatients.Methods:We compared the costs via RA versus CP in 808 HF and 147 HT patients followed from 2009 through 2011, and evaluated the influence of clinical and demographic variables on cost.Results:The monthly cost per patient for HF drugs acquired via RA was $10.15 (IQ 3.51-40.22) versus $161.76 (IQ 86.05‑340.15) via CP; for HT, those costs were $393.08 (IQ 124.74-774.76) and $1,207.70 (IQ 604.48-2,499.97), respectively.Conclusion:RA may reduce the cost of prescription drugs for HF and HT, potentially making HF treatment more accessible. Clinical characteristics can influence the cost and benefits of RA. RA may be a new health policy strategy to reduce costs of prescribed medications for HF and HT patients, reducing the economic burden of treatment.
publishDate 2015
dc.date.none.fl_str_mv 2015-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2015002200265
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2015002200265
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/abc.20150076
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
dc.source.none.fl_str_mv Arquivos Brasileiros de Cardiologia v.105 n.3 2015
reponame:Arquivos Brasileiros de Cardiologia (Online)
instname:Sociedade Brasileira de Cardiologia (SBC)
instacron:SBC
instname_str Sociedade Brasileira de Cardiologia (SBC)
instacron_str SBC
institution SBC
reponame_str Arquivos Brasileiros de Cardiologia (Online)
collection Arquivos Brasileiros de Cardiologia (Online)
repository.name.fl_str_mv Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)
repository.mail.fl_str_mv ||arquivos@cardiol.br
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