Prescribing trends of inhaler treatments for asthma and chronic obstructive pulmonary disease within a resource-constrained environment in the Scottish national health service : findings and implications
McCabe, Holly and Godman, Brian and Kurdi, Amanj and Johnston, Katie and MacBride-Stewart, Sean and Lennon, Janey and Hurding, Simon and Bennie, Marion and Morton, Alec (2019) Prescribing trends of inhaler treatments for asthma and chronic obstructive pulmonary disease within a resource-constrained environment in the Scottish national health service : findings and implications. Expert Review of Respiratory Medicine, 13 (7). pp. 679-689. ISSN 1747-6356 (https://doi.org/10.1080/17476348.2019.1624528)
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Abstract
Background: There is an increasing prevalence of asthma and chronic obstructive pulmonary disease (COPD) worldwide, leading to increased inhaler use. However, there are concerns with inhaler compliance resulting in different patented inhalers and longer-acting formulations. As a result, inhalers are now among the highest expenditure items in ambulatory care in Scotland leading to multiple initiatives to keep within budget without compromising care. Method: This study assesses inhaler utilization and expenditure between 2001 and 2017 alongside health authority initiatives. Results: There was an increase by 137% in inhaler utilization between 2001 and 2017, and a two-fold increase in expenditure, driven by the increasing use of patented combination inhalers to address concerns. This is very different to the oral markets where expenditure on proton pump inhibitors, statins, and antihypertensives have fallen considerably recently despite increased volumes due to the increasing use of low-cost generics. However, inhaler expenditure has started to fall with an increasing use of lower cost combinations and initiatives to reduce the steroid burden alongside monitoring patient care. Conclusion: Challenges with using and changing inhalers has meant this market has not followed other high-volume drug classes following patent loss. This is starting to change, with the situation monitored to enhance efficient prescribing alongside continued good quality care.
ORCID iDs
McCabe, Holly, Godman, Brian, Kurdi, Amanj ORCID: https://orcid.org/0000-0001-5036-1988, Johnston, Katie, MacBride-Stewart, Sean, Lennon, Janey, Hurding, Simon, Bennie, Marion ORCID: https://orcid.org/0000-0002-4046-629X and Morton, Alec ORCID: https://orcid.org/0000-0003-3803-8517;-
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Item type: Article ID code: 68044 Dates: DateEvent3 July 2019Published12 June 2019Published Online24 May 2019AcceptedSubjects: Medicine > Pharmacy and materia medica Department: Strathclyde Business School > Management Science
Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences
Strategic Research Themes > Health and WellbeingDepositing user: Pure Administrator Date deposited: 24 May 2019 13:35 Last modified: 28 Sep 2024 14:00 Related URLs: URI: https://strathprints.strath.ac.uk/id/eprint/68044