Table 3.
Summary of findings of cost-feedback approaches to prescribers.
| Cost-feedback to prescribers compared to no cost-feedback approach | ||||
| Medicines: Antibiotics and inhaled corticosteroids | ||||
| Settings: United Kingdom | ||||
| Intervention: Cost-feedback to prescribers | ||||
| Comparison: No policy | ||||
| Outcomes | Impacts | No. of studies | Certainty of the evidence (GRADE) | Comments |
| Price | ||||
| Weekly cost per patient | It is uncertain if a cost-feedback approach leads to a difference in costs, because the evidence is inconclusive. | 1 | Moderate ![]() ![]() ![]()
|
A cost-feedback approach was associated with an immediate significant reduction in costs for antibiotics. No difference was observed for inhaled corticosteroids. |
| Antibiotics showed an increasing trend in costs after the intervention, whereas the approach was associated with a slightly decreasing trend for inhaled corticosteroids. | ||||
| Volume | ||||
| - | No studies meeting the inclusion criteria were found | 0 | - | - |
| Availability | ||||
| - | No studies meeting the inclusion criteria were found | 0 | - | - |
| Affordability | ||||
| - | No studies meeting the inclusion criteria were found | 0 | - | - |
*GRADE Working Group grades of evidence
High = This research provides a very good indication of the likely effect. The likelihood that the effect will be substantially different† is low.
Moderate = This research provides a good indication of the likely effect. The likelihood that the effect will be substantially different† is moderate.
Low = This research provides some indication of the likely effect. However, the likelihood that it will be substantially different† is high.
Very low = This research does not provide a reliable indication of the likely effect. The likelihood that the effect will be substantially different† is very high.
† Substantially different = a large enough difference that it might affect a decision.
