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Nudging Hospital Prescribers to Choose the most Cost Effective Medicines

Background:

Medicine optimization is an uncontroversial but difficult goal. Medicine optimization is about ensuring the right patients get the right choice of medicine at the right time. Sub-optimal prescribing affects patient wellbeing and NHS finances. In primary care, medication waste costs approximately £300 million per year. In secondary care, adverse drug reactions cost up to £466 million per year. Hospitals and general practices make up the majority of NHS prescribing. In 2015/16 hospital costs accounted for 45.2% of total costs, general practice costs accounted for 53.9%, and community care accounted for the remaining 0.9%.

Policy and Practice Partners:

University Hospitals Birmingham Pharmacy Department.

Nottingham University Hospitals Pharmacy Department.

Co-Funding partners:

Health Foundation

Aims and Objectives:

Aim: Our project intends to optimize healthworkers’ medication prescribing and use choices with light-touch, low-cost interventions, i.e., nudges.

 

1. Identify behavioural barriers to sub-optimal prescribing in NHS hospital settings

2. Develop nudge interventions to overcome identified barriers

3. Evaluate nudge interventions

Methods:

Stakeholder interviews are used to identify behavioural barriers, and co-produce interventions to overcome those barriers. The nudges are evaluated as service evaluations using regularly collected hospital data, e.g., the number of times specific prescriptions are issued.

Main Results:

The projects are on-going

 

Conclusions:

n/a

 

Implications for Implementation:

Lowering the cost of medicines

 

Protocol:

Not published.

 

Publication:

None to date.

Mon 13 Sep 2021, 14:09 | Tags: Ivo Vlaev Organisational Science