INTEGRATING HEALTH TECHNOLOGY ASSESSMENT PRINCIPLES IN FORMULARY MANAGEMENT.
Int J Technol Assess Health Care
; 32(1-2): 81-7, 2016 Jan.
Article
en En
| MEDLINE
| ID: mdl-27001376
ABSTRACT
OBJECTIVES:
Effective formulary management in healthcare institutions safeguards rational drug use and optimizes health outcomes. We implemented a formulary management program integrating the principles of health technology assessment (HTA) to improve the safe, appropriate, and cost-effective use of medicine in Singapore.METHODS:
A 3-year formulary management program was initiated in 2011 in five public healthcare institutions. This program was managed by a project team comprising HTA researchers. The project team worked with institutional pharmacy and therapeutics (P&T) committees to (i) develop tools for formulary drug review and decision making; (ii) enhance the HTA knowledge and skills of formulary pharmacists and members of P&T committees; (iii) devise a prioritization framework to overcome resource constraints and time pressure; and (iv) conceptualize and implement a framework to review existing formulary.RESULTS:
Tools that facilitate drug request submission, drug review, and decision making were developed for formulary drug inclusion. A systematic framework to review existing formulary was also developed and tested in selected institutions. A competency development plan was rolled out over 2 years to enhance formulary pharmacists' proficiency in systematic literature search and review, meta-analysis, and pharmacoeconomic evaluation. The plan comprised training workshops and on-the-job knowledge transfer between the project team and institutional formulary pharmacists through collaborating on selected drug reviews. A resource guide that consolidated the tools and templates was published to encourage the adoption of best practices in formulary management.CONCLUSIONS:
Based on the concepts of HTA, we implemented an evidence-based approach to optimize formulary management.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Comité Farmacéutico y Terapéutico
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Evaluación de la Tecnología Biomédica
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Costos de los Medicamentos
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Toma de Decisiones
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Formularios de Hospitales como Asunto
Tipo de estudio:
Guideline
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Health_technology_assessment
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Prognostic_studies
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Systematic_reviews
Límite:
Humans
País como asunto:
Asia
Idioma:
En
Año:
2016
Tipo del documento:
Article