• Critical care medicine · Feb 2016

    Value-Based Medicine: Dollars and Sense.

    • Brian L Erstad.
    • Department of Pharmacy Practice & Science, University of Arizona College of Pharmacy, Tucson, AZ.
    • Crit. Care Med. 2016 Feb 1; 44 (2): 375-80.

    AbstractWith ever-increasing total healthcare expenditures and expenditures on new pharmaceuticals, there is a temptation to enact relatively simple silo-based, cost-control measures such as attempts to control a burgeoning health-system medication budget by limiting physician and ultimately patient access to medications without considering cost-effectiveness or overall value. Such an approach with a singular focus on dollars does not make sense. The challenge is to think beyond a pure dollars approach in a specialty of health care where the high cost of care is acknowledged but the dynamics are not always understood. This will take a thoughtful, coordinated effort by a team of dedicated health professionals that includes a clinical pharmacist with expertise in optimal and comprehensive medication management.

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