Impact of Appropriate Pharmaceutical Therapy for Chronic Conditions on Direct Medical Costs and Workplace Productivity: A Review of the Literature
- 1 March 2004
- journal article
- review article
- Published by Mary Ann Liebert Inc in Disease Management
- Vol. 7 (1) , 61-75
- https://doi.org/10.1089/109350704322919005
Abstract
This paper presents the findings of a literature review investigating the economic impact of appropriate pharmaceutical therapy in treating four prevalent chronic conditions - asthma, diabetes, heart failure, and migraine. The goal of the review was to identify high-quality studies examining the extent to which appropriate pharmaceutical therapy impacts overall medical expenditure (direct costs) and workplace productivity (indirect costs). The working hypothesis in conducting the review was that the costs of pharmaceuticals for the selected chronic conditions are offset by savings in direct and indirect costs in other areas. The literature provides evidence that appropriate drug therapy improves the health status and quality of life of individuals with chronic illnesses while reducing costs associated with utilization of emergency room, inpatient, and other medical services. A growing body of evidence also suggests that workers whose chronic conditions are effectively controlled with medications are more productive. For employers, the evidence translates into potential direct and indirect cost savings. The findings also confirm the importance of pharmaceutical management as a cornerstone of disease management.Keywords
This publication has 140 references indexed in Scilit:
- A cross-sectional analysis of work-related outcomes in adults with asthmaAnnals of Allergy, Asthma & Immunology, 2002
- GlipizidePharmacoEconomics, 2000
- Outcomes of a population-based asthma management program: quality of life, absenteeism, and utilizationAnnals of Allergy, Asthma & Immunology, 2000
- Decrease in asthma mortality rate in Israel from 1991-1995: Is it related to increased use of inhaled corticosteroids?Journal of Allergy and Clinical Immunology, 2000
- The Effect of Spironolactone on Morbidity and Mortality in Patients with Severe Heart FailureNew England Journal of Medicine, 1999
- Angiotensin Converting Enzyme (ACE) Inhibitors and Heart FailurePharmacoEconomics, 1999
- Effects of fosinopril on exercise tolerance and clinical deterioration in patients with chronic congestive heart failure not taking digitalisThe American Journal of Cardiology, 1995
- Clinical review 53: The endocrinology of vasoactive peptides: synthesis to functionJournal of Clinical Endocrinology & Metabolism, 1994
- Healthcare Resource and Lost Labour Costs of Migraine Headache in the USPharmacoEconomics, 1992
- Physician utilization of laboratory procedures to monitor outpatients with congestive heart failureArchives of internal medicine (1960), 1989