DATA FRAMEWORK TO IMPROVE RELATIONSHIP IN DRUGS THERAPIES BETWEEN GPS AND HOSPITAL PHYSICIANS
Author(s)
Voci C, Cavana M, Vecchi E, Franchini F, Borsari M, Castanò C, Frigeri F
Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy
Presentation Documents
OBJECTIVES: In the prescription of pharmaceutical therapies for the chronic diseases there is the responsibility both the hospital specialist doctor and the one territorial. A responsibility that can not be distinguished by the enterprise information systems. Purpose of the study is the development of an informatic framework to implement specific training plans on the hospital’s doctors in order to reduce the prescription of the ACE-inhibitors compared to the ARBs. METHODS: It has been used 2014 data of pharmaceutical prescriptions of ACE-inhibitors and ARBs, outpatient specialistic for cardiology visits, of hospital admissions by the Polyclinic of Modena, in an observational cohort study of record linkage, identifying for each outpatient service and of hospitalization the pharmaceutical prescription 30 days later 60 days prior the hospital activity. RESULTS: It has been analysed 3,5 Billion outpatient prescriptions and 27.529 hospitalizations, noting that naive patients have received 51% of ACE-inhibitors, 64% of patients has changed his own therapy from ARBs to ACE-inhibitors, while 28% has a stable therapy after cardiology visits. CONCLUSIONS: The model has allowed to distinguish the pharmaceutical therapy accomplished by the hospital’s doctors compared to the one of the doctors of general medicine, highlighting also the therapies changed by the doctors of general medicine, in the absence of a focused informative system. The new data framework will support a face to face training.
Conference/Value in Health Info
2015-11, ISPOR Europe 2015, Milan, Italy
Value in Health, Vol. 18, No. 7 (November 2015)
Code
PCV162
Topic
Health Policy & Regulatory, Health Service Delivery & Process of Care, Study Approaches
Topic Subcategory
Prescribing Behavior, Pricing Policy & Schemes, Registries
Disease
Cardiovascular Disorders