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Healthy Skepticism Library item: 10276

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Abasolo E, Hermosilla-najera L, Guijarro J, Ramos-saiz EM, Abecia LC.
Minimised antimicrobial cost analysis at a Health Care Centre
Pharmaceutical Care Espana 2003; 5:(3):132-8


Abstract:

The aim of this study is to assess the economic cost of the antimicrobials prescribed to adult patients at a health centre as well as to search for some cheaper alternatives.A retrospective study was carried out. The economic cost of antimicrobial agents prescribed over three years was studied. Afterwards, a minimized analysis of costs was made. The final sample was formed by 13248 people all of them older than 14 years, who were attended bay seven practitioners. During the study period, antimicrobials were prescribed to the 40.06% of these patients. The most commonly used groups were antibiotic combinations, penicillins, macrolides, cephalosporins and quinolones in this order. The total expenditure reached 135846.77 < Euro >. The most important groups from an economic point of view were macrolides, antibiotic combinations, cephalosporins, quinolones and penicillins (82.60% of the total expenditure). By prescribing the cheapest marketed pharmaceutical products a 7.22% (9813.51 < Euro >) of the total expenditure could have been saved.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909