International variation in the usage of medicines
A review of the literature
Ellen Nolte, Jennifer Newbould, Annalijn Conklin
Available online PDF [57p.] at: http://bit.ly/9ubL3l
“…..This report reviews the published and grey literature on international variation in the use of medicines, focusing on osteoporosis, atypical anti-psychotics, dementia, rheumatoid arthritis, cardiovascular disease/lipid-regulating drugs (statins), and hepatitis C.
The report aims to inform the Steering Group “Extent and Causes of International Variation in Drug Usage” to guide further analytical work on the extent and causes of international variation in drug usage.
The report was prepared as part of the project “An ‘On-call’ Facility for International Healthcare Comparisons” funded by the Department of Health in
“….The systematic search found surprisingly few international comparative studies that examined medicines use and these varied widely in terms of quality and focus, populations and time periods studied, and outcomes measured. However, despite this variation several common issues emerged from the evidence reviewed here. We identify three broad groups of determinants of international variation in medicines use:
· Macro- or system level factors. Differences in reimbursement policies, and the role of health technology assessment, were highlighted as a likely driving force of international variation in almost all areas of medicines use reviewed here, including dementia, rheumatoid arthritis, hepatitis C, and, for some countries in central and eastern Europe, statins. A related but rarely studied aspect is patient co-payment, potentially explaining some of the international variation in medicines use, which is likely to play an important role in the United States in particular, compared with European countries; but the extent to which cost-sharing policies impact on overall use of medicines in international comparison remains unclear.
· Service organisation and delivery. Most studies reviewed here pointed to differences in access to specialists as a likely driver of international variation in areas such as atypical antipsychotics, dementia, and rheumatic arthritis, with for example access to and availability of relevant specialists identified as acting as a crucial bottleneck for accessing treatment for dementia and rheumatoid arthritis.
· Clinical practice. Several studies highlighted the role of variation in the use and ascertainment methods for mental disorders, and differences in the use of clinical or practice guidelines. Many studies further pointed to differences in prescribing patterns as an important factor, along with a potential reluctance among clinicians in some countries to take up newer medicines, but none of the studies presented here provided empirical evidence to support this notion.
Each of these factors is likely to play a role in explaining international variation in medicines use, but their relative importance will vary depending on the disease area in question and the system context………..”
CHAPTER 1 Background
CHAPTER 2 Osteoporosis
CHAPTER 3 Atypical anti-psychotics
CHAPTER 4 Dementia
CHAPTER 5 Rheumatoid arthritis
CHAPTER 6 Cardiovascular disease lipid-regulating drugs/statins
CHAPTER 7 Hepatitis C
CHAPTER 8 Summary and conclusions
8.1 Macro- or system-level determinants
8.2 Service organisation determinants
8.3 Clinical practice determinants
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