Magazine article Drug Topics

Pharmacoeconomic Guidelines Galore Coming

Magazine article Drug Topics

Pharmacoeconomic Guidelines Galore Coming

Article excerpt

Just as there are many ways of conducting pharmacoeconomic (PE) research, there are many uses to which that research can be put

Accordingly, the Association for Pharmacoeconomics & Outcomes Research (APOR), with a membership of pharmacists, physicians, economists, and other health-care professionals involved in PE analysis, is formulating guidelines to meet the needs of major PE users. At APOR's first annual international meeting, held in Philadelphia last month, Lt. Col. Steven Finder, deputy director of the Department of Defense Pharmacoeconomic Center, said that APOR has drafted guidelines focused on the needs of providers and payers.

The major objectives are:

To compare and contrast the PE needs of providers and payers with those of academia and industry

To discuss the types of PE research necessary to meet the needs of "applied PE" and the reasons traditional research, such as the randomized controlled clinical trial, is incapable of meeting those needs

Finder described the draft as a five-part process: develop a position paper; subject the paper to internal/external review; develop APOR consensus; refocus on submission to APOR members; and, finally, get APOR executive board approval.

The government, too, wrestles with health-care cost-effectiveness. Assisting the U.S. Public Health Service is an Expert Panel on Cost-Effectiveness in Health & Medicine, reported Mark Kamlet, dean and professor of economics and public policy, Heinz School Carnegie Mellon University. The panel, begun in 1992, consists of nongovernment academicians and researchers. Its final report will contain recommendations for the practice of cost-effectiveness analysis for government purposes.

Consumers are also looking into health outcomes, demanding accountability, said Dwight McNeill, v.p. of Access Health and chair, Foundation for Accountability (FACCT). Access Health provides information to help the public make informed decisions about health care. McNeill noted that FACCT originated as a result of the failure of national health-care reform. FACCT works with the AFL-CIO, the American Association of Retired Persons, the Department of Defense, and other groups to promote good science along with consumer interests. FACCT intends to propose a series of recommendations targeted at measuring performance on the basis of quality of life, reduction in risks to good health care, and consumer satisfaction with the care provided. …

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