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日本麻醉医师对药品成本的了解及其对成本控制的态度:一项横断面调查。

Japanese anesthesiologists' knowledge of the cost of medicines and their attitudes toward cost containment: a cross-sectional survey.

作者信息

Hara Arika, Kobashi Yurie, Hanaoka Maki, Nuengsigkapian Varanate, Shimazu Yuzo, Tsubokura Masaharu, Yamamoto Hirotoshi

机构信息

Department of Anesthesia, Tokyo Metropolitan Tama Medical Center, Japan.

Department of Anesthesia, Mettapracharak Hospital, Thailand.

出版信息

J Rural Med. 2022 Jul;17(3):131-136. doi: 10.2185/jrm.2021-056. Epub 2022 Jul 1.

DOI:10.2185/jrm.2021-056
PMID:35847762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9263956/
Abstract

This study surveyed Japanese anesthesiologists' knowledge of the cost of medicine and their attitudes toward cost containment to determine how these factors may affect their choice of medication and provide insight into reducing healthcare expenditures. In this cross-sectional study, Japanese anesthesiologists' knowledge of medicine prices and their attitudes toward cost containment were surveyed to identify barriers in lowering the cost of anesthesia. The proportion of participants who correctly guessed the cost of the five most frequently used types of drugs within 25% of the actual price was determined, and their attitudes regarding drug prices and barriers to achieving cost containment were analyzed. In total, responses to 60 questionnaires were analyzed. The proportion of participants correctly guessing the price within 25% of the actual price for each of the five drug categories, including neuromuscular blocking agents, inhaled anesthetics, intravenous anesthetics, opioids, and neuromuscular blockade reversal agents, was 30% (n=18), 18.3% (n=11), 6.67% (n=4), 30.0% (n=18), and 63.3% (n=38), respectively. Participants believed they had adequate access to information on prices, that the cost of a product influenced their decisions regarding product use, and that more information about cost might change their use of the drugs but did not believe that they had adequate knowledge about product prices. The proportion of participants with acceptable price estimates is small. Educating anesthesiologists about the cost of anesthetic agents may be required to encourage cost-containing behaviors. This study is the first survey to assess Japanese anesthologists' knowledge of the cost of medicines.

摘要

本研究调查了日本麻醉医生对药品成本的了解以及他们对成本控制的态度,以确定这些因素如何影响他们的用药选择,并为降低医疗保健支出提供见解。在这项横断面研究中,调查了日本麻醉医生对药品价格的了解及其对成本控制的态度,以确定降低麻醉成本的障碍。确定了在实际价格的25%范围内正确猜出五种最常用药物成本的参与者比例,并分析了他们对药品价格的态度以及实现成本控制的障碍。总共分析了60份问卷的回复。在包括神经肌肉阻滞剂、吸入麻醉剂、静脉麻醉剂、阿片类药物和神经肌肉阻滞逆转剂在内的五个药物类别中,参与者在实际价格的25%范围内正确猜出价格的比例分别为30%(n = 18)、18.3%(n = 11)、6.67%(n = 4)、30.0%(n = 18)和63.3%(n = 38)。参与者认为他们有足够的价格信息获取渠道,产品成本会影响他们对产品使用的决策,更多的成本信息可能会改变他们对药物的使用,但他们不认为自己对产品价格有足够的了解。价格估计可接受的参与者比例较小。可能需要对麻醉医生进行麻醉剂成本方面的教育,以鼓励他们采取控制成本的行为。本研究是首次评估日本麻醉医生对药品成本了解情况的调查。