Pharmaceutical Technology Assessment for Managed Care: Current Practice and Suggestions for Improvement

By Samuel A. Bozzette; Rebecca D'amato et al. | Go to book overview

Appendix A:
Annotated Bibliography

Pharmaceuticals in Healthcare

Schulman KA, Rubeinstein LE, Abernethy DR, Seils DM, Sulmasy DP. The effect of pharmaceutical benefits managers: is it being evaluated? Ann Intern Med. May 1996; 124 (10): 906–913.

The authors summarize the history and current role of pharmaceutical benefits managers, and identify their contribution to health care delivery, as well as their limitations.

Schweitzer SO. Pharmaceutical Economics and Policy. New York, NY: Oxford University Press; 1997.

An overview of the economics of drug manufacturing, use, promotion, and regulation in the United States and abroad, this book contains an interesting discussion of the forces driving increasing expenditures on pharmaceuticals and of the role of pharmaceuticals in the health production process from an economic perspective.


Current Practices

Dubinsky M, Ferguson JH. Analysis of the National Institutes of Health Medicare coverage assessment. Int J Technol Assess Health Care. 1990; 6: 480–488.

The authors report the results of a study designed to measure the level of agreement between the assessment performed by the National Institutes of Health (NIH) and that of the Office of Health Technology Assessment (OHTA). Because OHTA adopts NIH conclusions in 93% of the cases, it appears that a significant proportion of coverage decisions at the national level rely on expert opinion rather than on scientific evidence.

Luce BR, Brown RE. The use of technology assessment by hospitals, health maintenance organizations, and third-party payers in the United States. Int J Technol Assess Health Care. 1995; 11 (1): 79–92.

Through a series of structured in-depth interviews with various decisionmakers, this survey attempts to determine the reliance on technology assessment in hospitals, health maintenance organizations (HMOs), and third-party payers.

Lyles A, Luce BR, Rentz AM. Managed care pharmacy, socioeconomic assessments and drug adoption decisions. Soc Sci Med. 1997; 45 (4): 511–521.

The authors report on a telephone survey of 50 managed care plans in the United States. The survey determined the plan's formulary type, use of assessment methodologies, the drug coverage approval process, the decisionmakers within the organization, the sources used in the assessments, and the decisionmakers' attitude toward assessments.

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Pharmaceutical Technology Assessment for Managed Care: Current Practice and Suggestions for Improvement
Table of contents

Table of contents

  • Title Page *
  • Preface iii
  • Contents v
  • Executive Summary vii
  • Acknowledgements xii
  • 1 - Introduction 1
  • 2 - A Review of Current Practices 7
  • 3 - A Framework and Approaches for Future Practice 26
  • 4 - Applying the Framework Practically 49
  • Appendix A - Annotated Bibliography 55
  • Appendix B - Interview Questionnaire 67
  • References 71
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