Retrospective drug utilization review software systems: perspectives of state Medicaid DUR directors.
OBJECTIVE
To determine the desirability or perceived need of retrospective drug utilization review (DUR) software system characteristics.


METHODS
A 32-item questionnaire.


METHODS
Ambulatory DUR directors covering more than 33 million patients.


METHODS
Medicaid DUR directors from 49 states and the District of Columbia.


METHODS
Five-point Likert scale measures of importance of system and vendor characteristics.


RESULTS
A 100% response rate was achieved. Respondents rated the ability to change or modify criteria as very important and thought it was important to receive criteria sets from software vendors. Respondents believed cost-savings methodologies should be clearly defined and false positive DUR criteria should be minimized.


CONCLUSIONS
Through the implementation of the Omnibus Budget Reconciliation Act of 1990, considerable experience in ambulatory DUR programs has been achieved. Respondents believed the ability to change DUR criteria was very important and they thought it was important to have a set of criteria supplied from software vendors. Critical issues of criteria development, cost-savings methodologies, minimizing false positive criteria, and outcomes assessment from DUR programs were important issues to DUR directors.
Armstrong
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Department of Pharmacy Practice, College of Pharmacy, University of Arizona, Tucson 85721, USA.
Proteau
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D004358:Drug Therapy / Q000191:economics; D017723:Drug Utilization Review; D005189:False Positive Reactions; D012189:Retrospective Studies; D012984:Software; D011795:Surveys and Questionnaires