Implementation and evaluation of two nudges in a hospital’s electronic prescribing system to optimise cost-effective prescribing

Khanal, Saval ORCID: https://orcid.org/0000-0001-5201-0612, Schmidtke, Kelly Ann, Talat, Usman, Sarwar, Asif and Vlaev, Ivo (2022) Implementation and evaluation of two nudges in a hospital’s electronic prescribing system to optimise cost-effective prescribing. Healthcare, 10 (7). ISSN 2227-9032

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Abstract

Providing healthcare workers with cost information about the medications they prescribe can influence their decisions. The current study aimed to analyse the impact of two nudges that presented cost information to prescribers through a hospital’s electronic prescribing system. The nudges were co-created by the research team: four behavioural scientists and the lead hospital phar-macist. The nudges were rolled out sequentially. The first nudge provided simple cost information (percentage cost-difference between two brands of mesalazine: Asacol® and Octasa®). The second nudge provided information about the potential annual cost savings if the cheaper medication were selected across the National Health Service. Neither nudge influenced prescribing. Prescribing of Asacol® and Octasa® at baseline and during the implementation of the first nudge did not differ (at p ≥ 0.05), nor was there a difference between the first nudge and second (at p ≥ 0.05). Although these nudges were not effective, notable administrative barriers were overcome, which may inform future research. For example, although for legal reasons the cost of medicine cannot be displayed, we were able to present aggregated cost information to the prescribers. Future research could reveal more behavioural factors that facilitate medication optimisation.

Item Type: Article
Additional Information: Funding Information: Funding: This work was supported by the Health Foundation’s Behavioral Insights Research program (Award 807263) and the National Institute for Health Research (NIHR) Applied Research Center (ARC) West Midlands (NIHR200165). The views expressed are those of the author(s) and not necessarily the funders. The funders had no role in the design of the study. Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
Uncontrolled Keywords: behaviour change technique,nudge,prescribing behaviour,prescription optimisation,leadership and management,health policy,health informatics,health information management,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2900/2911
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Depositing User: LivePure Connector
Date Deposited: 17 Apr 2023 13:30
Last Modified: 02 Feb 2024 02:16
URI: https://ueaeprints.uea.ac.uk/id/eprint/91803
DOI: 10.3390/healthcare10071233

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