A Comparison of Major Factors that Affect Hospital Formulary Decision-Making by Three Groups of Prescribers Metadata

Title

• Main Title A Comparison of Major Factors that Affect Hospital Formulary Decision-Making by Three Groups of Prescribers

Creator

• Author: Spence, James Michael
  Creator Type: Personal

Contributor

• Chair: Cleveland, Ana D.
  Contributor Type: Personal
  Contributor Info: Major Professor
• Committee Member: Chen, Jiangping
  Contributor Type: Personal
• Committee Member: Zavalina, Oksana
  Contributor Type: Personal
• Committee Member: Heck, Wendy D.
  Contributor Type: Personal

Publisher

• Name: University of North Texas
  Place of Publication: Denton, Texas
  Additional Info: www.unt.edu

Date

• Creation: 2018-05

Language

• English

Description

• Content Description: The exponential growth in medical pharmaceuticals and related clinical trials have created a need to better understand the decision-making factors in the processes for developing hospital medication formularies. The purpose of the study was to identify, rank, and compare major factors impacting hospital formulary decision-making among three prescriber groups serving on a hospital's pharmacy and therapeutics (P&T) committee. Prescribers were selected from the University of Texas, MD Anderson Cancer Center which is a large, multi-facility, academic oncology hospital. Specifically, the prescriber groups studied were comprised of physicians, midlevel providers, and pharmacists. A self-administered online survey was disseminated to participants. Seven major hospital formulary decision-making factors were identified in the scientific literature. Study participants were asked to respond to questions about each of the hospital formulary decision-making factors and to rank the various formulary decision-making factors from the factor deemed most important to the factor deemed least important. There are five major conclusions drawn from the study including three similarities and two significant differences among the prescriber groups and factors. Similarities include: (1) the factor "pharmacy staff's evaluation of medical evidence including formulary recommendations" was ranked highest for all three prescriber groups; (2) "evaluation of medications by expert physicians" was ranked second for physicians and midlevel providers while pharmacists ranked it third; and (3) the factor, "financial impact of the treatment to the patient" was fifth in terms of hospital formulary decision-making statement and ranking by all three prescriber groups. Two significant differences include: (1) for the hospital-formulary decision making statement, "I consider the number of patients affected by adding, removing, or modifying a drug on the formulary when making hospital medication formulary decisions," midlevel providers considered this factor of significantly greater importance than did physicians; and (2) for the ranked hospital formulary decision-making factor, "financial impact of treatment to the institution," pharmacists ranked this factor significantly higher than did physicians. This study contributes to a greater understanding of the three prescriber groups serving on a P&T committee. Also, the study contributes to the body of literature regarding decision-making processes in medicine and specifically factors impacting hospital formulary decision-making. Furthermore, this study has the potential to impact the operational guidelines for the P&T committee at the University of Texas, MD Anderson Cancer Center as well as other hospitals.
• Physical Description: viii, 164 pages

Subject

• Keyword: formulary; hospital formulary; hospital formularies; medication formulary; medication formularies; physician; physicians; medical doctor; medical doctors; midlevel provider; midlevel providers; advanced practice provider; advanced practice providers; pharmacist; pharmacists; prescriber; prescribers; prescribing; pharmacy and therapeutics committee; pharmacy and therapeutics committees; P&T committee; P&T committees; decision making; decision-making; clinical trial; clinical trials; medical evidence; evidence based medicine; EBM; formulary recommendations; expert physicians; patients affected; out-of-pocket medication expense; out-of-pocket medication expenses; medication cost; medication costs; treatment option; treatment options; formulary recommendation; formulary recommendations
• Keyword: Information Science
• Keyword: Health Sciences, Pharmacy
• Library of Congress Subject Headings: Drugs -- Prescribing -- Texas -- Houston -- Case studies.
• Library of Congress Subject Headings: Drugs -- Prescribing -- Decision making.
• Library of Congress Subject Headings: Hospital pharmacies -- Texas -- Houston -- Case studies.
• Library of Congress Subject Headings: University of Texas M.D. Anderson Cancer Center -- Case studies.

Coverage

• Place Name: United States - Texas - Harris County - Houston

Collection

• Name: UNT Theses and Dissertations
  Code: UNTETD

Institution

• Name: UNT Libraries
  Code: UNT

Rights

• Rights Access: public
• Rights Holder: Spence, James Michael
• Rights License: copyright
• Rights Statement: Copyright is held by the author, unless otherwise noted. All rights Reserved.

Resource Type

• Thesis or Dissertation

Format

• Text

Identifier

• Accession or Local Control No: submission_1055
• Archival Resource Key: ark:/67531/metadc1157518

Degree

• Degree Name: Doctor of Philosophy
• Degree Level: Doctoral
• Academic Department: Department of Information Science
• College: College of Information
• Degree Discipline: Information Science
• Degree Publication Type: disse
• Degree Grantor: University of North Texas

Note

• Embargo Note: The work will be published after approval.