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Towards a better understanding of how medicines are used in society
Drug Utilization Research (DUR) is a discipline which combines aspects of pharmacotherapy, epidemiology, and health services research into an interdisciplinary set of methods for analyzing and assessing the prescribing, dispensing and consumption of medicines. It combines both qualitative and quantitative approaches to facilitate the safe and effective use of pharmaceuticals. Drug Utilization Research: Methods and Applications provides a comprehensive introduction to this discipline, prepared by an international team of authors with broad experience in numerous fields. Now reorganized and updated to reflect the latest research and global challenges, it is an indispensable resource for understanding the use of pharmaceuticals.
Readers of the second edition of Drug Utilization Research will find:
Drug Utilization Research is ideal for epidemiologists, pharmacists, physicians, nurses and others interested in drug use and its outcomes.
Editors
Monique Elseviers, Björn Wettermark, Tanja Mueller, Ria Benko, Marion Bennie, Katarina Gvozdanovic, Mikael Hoffmann, Irina Iaru, Verica Ivanovska, Seán MacBride-Stewart, Elisabetta Poluzzi, Lisa Pont, Hege Salvesen Blix, Gabriel Sanfélix-Gimeno, Gisbert Selke, Katja Taxis, Ana Tomas Petrovic, Indre Treciokiene, Sabine Vogler
List of contributors ix
Preface to the second edition xvii
Acknowledgements xix
About the companion website xxiii
Part 1 Introduction to drug utilization research 1
1 Introduction to drug utilization research 3Björn Wettermark, Monique Elseviers, Tanja Mueller, Anna Birna Almarsdottir, Ria Benkö, Marion Bennie, Irina Iaru, Katarina Gvozdanovic, Mikael Hoffmann, Verica Ivanovska, Seán MacBride-Stewart, Elisabetta Poluzzi, Lisa G. Pont, Hege Salvesen Blix, Gabriel Sanfelix-Gimeno, Gisbert W. Selke, Katja Taxis, Ana Tomas Petrovic, Indre Treciokiene, and Sabine Vogler
Part 2 Methodology of drug utilization research 15
2.1 Research methods in drug utilization research 17Björn Wettermark, Indre Treciokiene, Sofia Kälvemark Sporrong, and Louise C. Druedahl
2.2 Qualitative methods in drug utilization research 25Louise C. Druedahl and Sofia Kälvemark Sporrong
2.3 Quantitative studies in drug utilization research 41Björn Wettermark, Monique Elseviers, and Cristina Mihaela Ghiucic
2.4 Descriptive studies in drug utilization research 51Cristina Mihaela Ghiciuc, Indre Treciokiene, Björn Wettermark, and Monique Elseviers
2.5 Analytical studies in drug utilization research 63Per-Jostein Samuelsen, Björn Wettermark, and Monique Elseviers
2.6 Intervention studies in drug utilisation research 73Tanja Mueller, Giampiero Mazzaglia, and Carlos E. Durán
2.7 Statistics in drug utilization research 82Monique Elseviers
2.8 Primary drug utilization data 95Tatiana Chama Borges Luz and Evalill Nilsson
2.9 Secondary drug utilization data 104Mohammadhossein Hajiebrahimi, Lisa G. Pont, and Kristina Garuoliene
2.10 Classification systems in drug utilization 115Hege Salvesen Blix, Stuart McTaggart, and Robert Vander Stichele
2.11 Measuring volumes in drug utilization 126Hege Salvesen Blix and Mikael Hoffmann
2.12 Measuring price and expenditure in drug utilization 137Sabine Vogler
2.13 Aggregate-level drug utilization analyses 148Indre Treciokiene and Claudia Garcia Serpa Osorio-de-Castro
2.14 Individual-level drug utilization analyses 158Lotte Rasmussen, Björn Wettermark, Mikael Hoffmann, and Douglas Steinke
2.15 Multilevel analyses in drug utilization research 169Juan Merlo and George Leckie
2.16 Visualization of drug utilization data 188Maria Matuz, Ria Benko, and Mikael Hoffmann
2.17 Artificial intelligence and machine learning in drug utilization research 205Maurizio Sessa, Saeed Shakibfar, Morten Andersen, and Jing Zhao
2.18 Ethics in drug utilization research 215Indre Treciokiene, Sofia Kälvemark Sporrong, Björn Wettermark, and Louise C. Druedahl
Part 3 Applied drug utilization research 223
Section 3.1 Drug utilization research and health policy 225
3.1.1 Pharmaceutical policy and drug utilization: Definitions, concepts, and taxonomies 225Sabine Vogler and Anna Birna Almarsdóttir
3.1.2 Managed introduction of new medicines in healthcare systems 233Irina Iaru and Sabine Vogler
3.1.3 Promoting appropriate use of medicines in a healthcare system 248Marion Bennie, Amanj Kurdi, and Yared Santa-Ana-Téllez
Section 3.2 Comparative drug utilization research 258
3.2.1 Introduction to comparative drug utilization research 258Seán MacBride-Stewart and Ana Tomas Petrovic
3.2.2 Comparison of drug utilization across countries 260Yared Santa-Ana Tellez and Monique Elseviers
3.2.3 Comparative drug utilization research comparing regions within countries 271Seán MacBride-Stewart
3.2.4 Comparison of drug utilization across different prescribers and different health care settings 280Seán MacBride-Stewart, Ksenia Zagorodnikova, and Irene Langner
3.2.5 Comparative drug utilization research comparing different patients 292Ana Tomas Petrovic and Mia von Euler
Section 3.3 Drug utilization research in specific populations 303
3.3.1 Drug utilization in pregnant women 303Hedvig Nordeng and Marleen van Gelder
3.3.2 Drug utilization in the paediatric population 314Antonio Clavenna and Ingvild Odsbu
3.3.3 Drug utilization in older people 321Petra Denig and Katharina Schmidt-Mende
Section 3.4 Drug utilization research in specific therapeutic areas 331
3.4.1 Introduction to methodological issues in specific therapeutic areas 331
3.4.2 Drug utilization research on cardiovascular medicines 332Elisabetta Poluzzi, Ana Tomas Petrovic, and Björn Wettermark
3.4.3 Drug utilization research on antibacterials 342Ria Benko and Samuel Coenen
3.4.4 Drugs utilization research in specific therapeutic areas - opioids 352Aleksi Hamina, Svetlana Skurtveit, and Mikael Hoffmann
3.4.5 Drug utilization research on selected psychotropics 363Jonathan Brett and Helga Zoega
3.4.6 Drug utilization research in the area of cancer drugs 373Tanja Mueller and Mikael Hoffmann
Section 3.5 Adherence and drug utilization research 381
3.5.1 Introduction to medication adherence research 381Bernard Vrijens
3.5.2 Assessment of medication adherence in field research 387Monique Elseviers and Bernard Vrijens
3.5.3 Assessment of medication adherence in databases 397Gabriel Sanfélix Gimeno and Tanja Mueller
3.5.4 Interventions to improve medication adherence 406Catherine Goetzinger and Marie P. Schneider
3.5.5 Digital tools and medication adherence 419Alexandra L. Dima, Urska Nabergoj-Makovec, and Job F.M. van Boven
Section 3.6 The role of drug utilization in the broader field of health research 428
3.6.1 Risk management and drug utilization research 428Giampiero Mazzaglia, Ippazio Cosimo Antonazzo, and Peter Mol
3.6.2 Pharmacovigilance and drug utilization research 437Katarina Gvozdanovic, Bernard Begauld, and Emanuel Raschi
3.6.3 The role of drug utilization in outcomes research 445Henrik Toft Sørensen, Gianluca Trifirò, and Evalill Nilsson
3.6.4 Pharmacoeconomics and drug utilization research 456Cara Usher, Kathleen Bennett, Lorenzo G. Mantovani, and Dyfrig Hughes
3.6.5 The environment and drug utilisation research 464Marmar Nekoro, Johanna Villén, and Ana Tomas Petrovic
Section 3.7 Assessment and improvement of the quality of medicine use 482
3.7.1 Defining the quality of medicines use 482Seán MacBride-Stewart
3.7.2 Assessing the quality of medication use 488Petra Denig, Björn Wettermark, and Wade Thompson
3.7.3 Challenges in the quality of medicine use 498Katja Taxis and Carl Llor
3.7.4 Development and evaluation of interventions to improve the quality of medicine use 505Seán MacBride-Stewart and Katja Taxis
3.7.5 Implementation of interventions to enhance quality use of medicines 517Liset van Dijk and Marcia Vervloet
3.7.6 Patient perspectives 525Janine Traulsen and Janet Krska
Part 4 Drug utilization research around the world 535
4.1 Introduction to drug utilization research around the world 537Monique Elseviers
4.2 Drug utilization research in Africa 541Ilse Truter, Johanita Burger, and Joseph Fadare
4.3 Drug utilization research in the Eastern Mediterranean region 546Mamoon A. Aldeyab, Zainab Said Al-Hashimy, and Maha Talaat
4.4 Drug utilization research in South-East Asia 551Anita Kotwani, Nithima Sumpradit, and Aminath Moomina
4.5 Drug utilization research in the Western Pacific Region 557Lisa G. Pont, Tuan Anh Nguyen, and Elizabeth Roughead
4.6 Drug utilization research in North America 563Juan M. Hincapie-Castillo, Shawn Bugden, and Ingrid Sketris
4.7 Drug utilization research in South and Central America 569Claudia Garcia Serpa Osorio-de-Castro, Luciane Cruz Lopes, and Carlos E. Durán
4.8 Drug utilization research in Europe 574Marion Bennie, Lotte Rasmussen, and Janne Sepp
4.9 The Glasgow Declaration 580Monique Elseviers, Björn Wettermark, Tanja Mueller, Anna Birna Almarsdottir, Ria Benkö, Marion Bennie, Irina Iaru, Katarina Gvozdanovic, Mikael Hoffmann, Verica Ivanovska, Seán MacBride-Stewart, Elisabetta Poluzzi, Lisa G. Pont, Hege Salvesen Blix, Gabriel Sanfelix-Gimeno, Gisbert W. Selke, Katja Taxis, Ana Tomas Petrovic, Indre Treciokiene, and Sabine Vogler
Index 583
Mamoon A. Aldeyab Department of Pharmacy School of Applied Sciences University of Huddersfield Huddersfield United Kingdom
Anna Birna Almarsdottir WHO Collaborating Centre for Research and Training in the Patient Perspective on Medicines Use Department of Pharmacy Faculty of Health and Medical Sciences University of Copenhagen Denmark
Morten Andersen Department of Drug Design and Pharmacology University of Copenhagen Copenhagen Denmark
Tuan Anh Nguyen National Ageing Research Institute Swinburne University Melbourne Australia
Ippazio Cosimo Antonazzo Centre for Public Health Research (CESP) University of Milan - Bicocca Milan Italy
Bernard Begauld Faculty of Medicine University of Bordeaux France
Ria Benko Institute of Clinical Pharmacy Faculty of Pharmacy University of Szeged Hungary
and
Emergency Department Albert-Szent Györgyi Medical Centre Central Pharmacy University of Szeged Hungary
Kathleen Bennett Data Science Centre School of Population Health RCSI University of Medicine and Health Sciences Dublin Ireland
Marion Bennie Strathclyde Institute of Pharmacy and Biomedical Sciences University of Strathclyde Glasgow Scotland, UK
Hege Salvesen Blix Antibiotic Resistance and Infection Prevention Norwegian Institute of Public Health OsloNorway
WHO Collaborating Centre for Drug Statistics Methodology Norwegian Institute of Public Health Oslo Norway
Jonathan Brett St Vincent's Clinical School UNSW Medicine UNSW Sydney Australia
School of Population Health Faculty of Medicine and Health University of New South Wales Sydney Australia
Shawn Bugden School of Pharmacy Memorial University Newfoundland Canada
Johanita Burger Medicine Usage in South Africa (MUSA) North-West University South Africa
Tatiana Chama Borges Luz Rene Rachou Research Center Oswaldo Cruz Foundation Brazil
eHealth Institute Department of Medicine and Optometry Linnaeus University Sweden
Department of Learning, Informatics, Management and Ethics (LIME) Karolinska Institutet Stockholm Sweden
Antonio Clavenna Laboratory of Child Health and Development Epidemiology Istituto di Ricerche Farmacologiche Mario Negri IRCCS Milan Italy
Samuel Coenen Centre for General Practice Department of Family Medicine and Population Health (FAMPOP) and Laboratory of Medical Microbiology Vaccine and Infectious Disease Institute (VAXINFECTIO) University of Antwerp - Campus Drie Eiken Antwerp Belgium
Luciane Cruz Lopes University of Sorocaba Sao Paulo Brazil
Petra Denig Department of Clinical Pharmacy and Pharmacology University Medical Center Groningen University of Groningen Groningen The Netherlands
Alexandra L. Dima Health Technology Assessment in Primary Care and Mental Health (PRISMA) Institut de Recerca Sant Joan de Deu Barcelona Spain
Louise C. Druedahl Centre for Advanced Studies in Biomedical Innovation Law (CeBIL) Faculty of Law University of Copenhagen Denmark
Carlos E. Durán Department of Data Science and Biostatistics University Medical Center Utrecht The Netherlands
Monique Elseviers Department of Clinical Pharmacology University of Ghent Ghent Belgium
Centre for Research and Innovation in Care (CRIC) University of Antwerp Antwerp Belgium
Joseph Fadare Department of Pharmacology and Therapeutics Ekiti State University College of Medicine Ado-Ekiti Nigeria
Claudia Garcia Serpa Osorio-de-Castro Department of Medicines Policies and Pharmaceutical Services Sergio Arouca National School of Public Health Oswaldo Cruz Foundation Rio de Janeiro Brazil
Kristina Garuoliene Pharmacy and Pharmacology Center Faculty of Medicine Vilnius University Lithuania
Cristina Mihaela Ghiciuc Department of Pharmacology, Clinical Pharmacology and Algesiology Faculty of Medicine Grigore T. Popa University of Medicine and Pharmacy of Iasi Romania
Catherine Goetzinger National Health Observatory Luxembourg and Deep Digital Phenotyping Research Unit Department of Precision Health Luxembourg Institute of Health Strassen Luxembourg
Faculty of Science, Technology and Medicine University of Luxembourg Luxembourg
Katarina Gvozdanovic Pharmacoepidemiology Department Andrija Stampar Teaching Institute of Public Health ZagrebCroatia
Mohammadhossein Hajiebrahimi Department of Pharmacy Faculty of Pharmacy Uppsala University Sweden
Aleksi Hamina Niuvanniemi Hospital Kuopio Finland
Norwegian Centre for Addiction Research (SERAF) Institute of Clinical Medicine University of Oslo Oslo Norway
Juan M. Hincapie-Castillo Gillings School of Global Public Health University of North Carolina Chapel Hill, NC USA
Mikael Hoffmann The NEPI Foundation Stockholm Linköping Sweden
Unit of Health Care Analysis Department of Health, Medicine and Caring Sciences (HMV) Linköping University Linköping Sweden
Department of Pharmacy Faculty of Pharmacy Uppsala University Sweden
Dyfrig Hughes Centre for Health Economics & Medicines Evaluation Bangor University United Kingdom
Irina Iaru Department of Pharmacology, Physiology and Pathophysiology Faculty of Pharmacy Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca Romania
Verica Ivanovska World Health Organization Geneva
Sofia Kälvemark Sporrong Department of Pharmacy Faculty of Pharmacy Uppsala University Sweden
Department of Pharmacy Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark
Anita Kotwani Department of Pharmacology Vallabhbhai Patel Chest Institute University of Delhi Delhi India
Janet Krska Clinical and Professional Pharmacy Medway School of Pharmacy United Kingdom
Amanj Kurdi Strathclyde Institute of Pharmacy and Biomedical Sciences University of Strathclyde Glasgow Scotland, UK
Department of Pharmacology and Toxicology College of Pharmacy Hawler Medical University Erbil Kurdistan Region Government Iraq
Department of Clinical Pharmacy College of Pharmacy Al-Kitab University Kirkuk Iraq
School of Pharmacy Sefako Makgatho Health Sciences University Pretoria South Africa
Irene Langner AOK Research Institute (WIdO) Berlin Germany
George Leckie Centre for Multilevel Modelling (CMM) School of Education University of Bristol United Kingdom
Carl Llor The Foundation University Institute for Primary Health Care Research Jordi Gol i Gurina (IDIAPJGol), Via Roma Health Centre Barcelona Spain
Seán MacBride-Stewart Pharmacy Services NHS Greater Glasgow and Clyde Glasgow Scotland
Lorenzo G. Mantovani Department of Statistics School of Medicine University of Milan Italy
Maria Matuz Institute of Clinical Pharmacy Faculty of Pharmacy University of Szeged Hungary
Giampiero Mazzaglia Centre for Public Health Research (CESP) School of Medicine and Surgery University of Milan - Bicocca Milan Italy
Stuart McTaggart Public Health Scotland Edinburgh United Kingdom
Juan Merlo Unit for Social Epidemiology Department of Clinical Sciences Centre for Primary Health Care Research Faculty of Medicine Lund University Malmo Sweden
Peter Mol Medicines Evaluation Board Utrecth The Netherlands
Department of Clinical Pharmacy and Pharmacology University Medical Centre Groningen University of Groningen The Netherlands
Aminath Moomina Medicines and Goods Therapeutic Division Food and Drug Authority Republic of Maldives
Tanja Mueller Strathclyde Institute of Pharmacy and Biomedical Sciences University of Strathclyde Glasgow Scotland
Urska Nabergoj-Makovec Department of Social Pharmacy Faculty of Pharmacy University of Ljubljana Ljubljana Slovenia
Marmar Nekoro Swedish Knowledge Centre on Pharmaceuticals in the Environment Swedish Medical Products Agency P.O Box 26,...
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