Introduction of collaborative drug therapy management (CDTM) into a community healthcare system in Japan

Ogawa Takehiro, Matsushita Akira, Nakashima Toshihiro, Moriyasu Hiroko, Shimada Kenichi, Egawa Takashi, Gomita Yutaka, Takahashi Masashi, Takami Yoichiro

doi:10.14442/generalist.36.302

Bibliographic Information

Other Title

地域医療型共同薬物治療管理 (CDTM) 導入の試み
地域医療型共同薬物治療管理(CDTM)導入の試み : 疑義照会の事後報告導入がジェネリック医薬品使用率及び医療費に及ぼす影響
チイキイリョウガタキョウドウヤクブツチリョウカンリ(CDTM)ドウニュウノココロミ : ギギショウカイノジゴホウコクドウニュウガジェネリックイヤクヒンシヨウリツオヨビイリョウヒニオヨボスエイキョウ
— Effects of an ex post facto approval of prescription questions on utilization rate for generic drugs and healthcare insurance fees
─疑義照会の事後報告導入がジェネリック医薬品使用率及び医療費に及ぼす影響

Search this article

Abstract

Introduction : As one of the strategies for the introduction of collaborative drug therapy management (CDTM) into a community healthcare system in Japan, we constructed a ‘positive list’ which was agreed by a family physician in advance, and subsequently validated the effects on healthcare insurance fees, the number of prescription question and the changes of utilization rate for generic drugs.<br>Methods : The items that replaced prescription questions with regard to ex post facto approval were defined as ‘Resolved Questions’ in our constructed positive list. By adopting the ‘Resolved Questions’, we then examined the effect on healthcare insurance fees, prescription questions and the changes of utilization rates for generic drugs.<br>Results : Among all prescription questions accepted from January through May 2012 inclusive, 178 (22.7%) were ‘Resolved Questions’, without there being change in the therapeutic strategies by the prescribing physicians. During this period, 17,455 healthcare insurance fees were reduced. In addition, the utilization rate for generic drugs were increased up to 46.6%.<br>Conclusion : The reduction of healthcare insurance fees, prescription questions and the increased utilization rates of generic drugs were facilitated by prudent pharmacist judgements based on ‘Resolved Questions’.

Journal

An Official Journal of the Japan Primary Care Association

An Official Journal of the Japan Primary Care Association 36 (4), 302-307, 2013

JAPAN PRIMARY CARE ASSOCIATION

Keywords

Details 詳細情報について

Export