The cost-effectiveness of tailored, postal feedback on general practitioners' prescribing of pharmacotherapies for alcohol dependence

Hector Jose Navarro, Anthony Shakeshaft, Christopher M. Doran, Dennis J. Petrie

    Research output: Contribution to journalArticle

    4 Citations (Scopus)

    Abstract

    Aims: The aims of this study were to conduct a randomised controlled trial to evaluate the cost-effectiveness of tailored, postal feedback on general practitioners' (GPs) prescribing of acamprosate and naltrexone for alcohol dependence relative to current practice and its impact on alcohol dependence morbidity. Methods: Rural communities in New South Wales, Australia, were randomised into experimental (N= 10) and control (N= 10) communities. Tailored feedback on their prescribing of alcohol pharmacotherapies was mailed to GPs from the experimental communities (N= 115). Segmented regression analysis was used to examine within and between group changes in prescribing and alcohol dependence hospitalisation rates compared to the control communities. Incremental cost-effectiveness ratios (ICERs) were estimated per additional prescription of pharmacotherapies and per alcohol dependence hospitalisation(s) averted. Results: Post-intervention changes, relative to the control communities, in GPs' prescribing rate trends in the experimental communities significantly increased for acamprosate (ß= 0.24, 95% CI: 0.13-0.35, p
    Original languageEnglish
    Pages (from-to)207-215
    Number of pages9
    JournalDrug and Alcohol Dependence
    Volume124
    Issue number3
    DOIs
    Publication statusPublished - 2012

    Fingerprint

    Drug therapy
    Cost effectiveness
    General Practitioners
    Alcoholism
    Cost-Benefit Analysis
    Alcohols
    Feedback
    Drug Therapy
    Hospitalization
    Naltrexone
    South Australia
    New South Wales
    Rural Population
    Regression analysis
    Prescriptions
    Randomized Controlled Trials
    Regression Analysis
    Morbidity

    Cite this

    Navarro, Hector Jose ; Shakeshaft, Anthony ; Doran, Christopher M. ; Petrie, Dennis J. / The cost-effectiveness of tailored, postal feedback on general practitioners' prescribing of pharmacotherapies for alcohol dependence. In: Drug and Alcohol Dependence. 2012 ; Vol. 124, No. 3. pp. 207-215.
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    The cost-effectiveness of tailored, postal feedback on general practitioners' prescribing of pharmacotherapies for alcohol dependence. / Navarro, Hector Jose; Shakeshaft, Anthony; Doran, Christopher M.; Petrie, Dennis J.

    In: Drug and Alcohol Dependence, Vol. 124, No. 3, 2012, p. 207-215.

    Research output: Contribution to journalArticle

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    AU - Shakeshaft, Anthony

    AU - Doran, Christopher M.

    AU - Petrie, Dennis J.

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