Table 3.
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.