11. |
Use of H2‐receptor antagonists in patients with dyspepsia and heartburn: a cost comparison |
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Medical Journal of Australia,
Volume 155,
Issue 1,
1991,
Page 20-26
Kerry J Goulston,
Owen F Dent,
Andrea Mant,
John Logan,
Meng Ngu,
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摘要:
Objective: Under the Pharmaceutical Benefits Scheme, the use of H2‐receptor antagonists (H2A) in the treatment of dyspepsia and heartburn is only subsidised when there is a proven diagnosis of ulcer. This study compared the costs of this Australian practice with a simulation of British practice, which allows unrestricted prescribing of subsidised H2A.Design: Patients with heartburn and/or dyspepsia were prospectively randomised to either a “British” group treated freely at the discretion of their general practitioner without necessarily being investigated or an “Australian” group where use of H2A was allowed only after gastroscopy or a barium meal had demonstrated a peptic ulcer or ulcerative oesophagitis. The patients were followed up for six months and all direct and indirect costs were recorded.Setting: Forty‐nine Sydney general practitioners recruited primary care patients for the study.Patients: Any patient with heartburn or dyspepsia was considered for recruitment; 139 patients entered the study and 137 completed it.Main outcome measures: The outcome measures were the costs of general practitioner consultations, specialist consultations, radiology and gastroscopy, other tests, H2A, other medications, personal costs, and total cost per patient.Results: The cumulative total cost per patient at the end of the study was equivalent in the “Australian” ($392) and “British” ($406) groups. A higher initial cost per patient of H2A in the “British” group was offset by a rapid decrease in the proportion that continued to use H2A and by the cost of specialist consultations and investigations in the “Australian” group.Conclusion: Over a six‐month period the cost of early investigation of heartburn and dyspepsia was equivalent to the cost of a therapeutic trial of H2A.
ISSN:0025-729X
DOI:10.5694/j.1326-5377.1991.tb116372.x
出版商:Wiley
年代:1991
数据来源: WILEY
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12. |
The war against drugs[Link]I. Why the war against drugs is not being won |
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Medical Journal of Australia,
Volume 155,
Issue 1,
1991,
Page 26-28
Robert Batey,
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ISSN:0025-729X
DOI:10.5694/j.1326-5377.1991.tb116373.x
出版商:Wiley
年代:1991
数据来源: WILEY
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13. |
Books Received |
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Medical Journal of Australia,
Volume 155,
Issue 1,
1991,
Page 28-28
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ISSN:0025-729X
DOI:10.5694/j.1326-5377.1991.tb116374.x
出版商:Wiley
年代:1991
数据来源: WILEY
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14. |
1. Medical causes of male sexual dysfunction |
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Medical Journal of Australia,
Volume 155,
Issue 1,
1991,
Page 29-33
J Derek Richardson,
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ISSN:0025-729X
DOI:10.5694/j.1326-5377.1991.tb116375.x
出版商:Wiley
年代:1991
数据来源: WILEY
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15. |
Tongue tie |
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Medical Journal of Australia,
Volume 155,
Issue 1,
1991,
Page 33-34
Ian Kern,
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ISSN:0025-729X
DOI:10.5694/j.1326-5377.1991.tb116376.x
出版商:Wiley
年代:1991
数据来源: WILEY
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16. |
Is that lumbar CT scan really necessary? |
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Medical Journal of Australia,
Volume 155,
Issue 1,
1991,
Page 34-36
Alexander Gonski,
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ISSN:0025-729X
DOI:10.5694/j.1326-5377.1991.tb116377.x
出版商:Wiley
年代:1991
数据来源: WILEY
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17. |
II. Why the war against drugs has failed |
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Medical Journal of Australia,
Volume 155,
Issue 1,
1991,
Page 37-38
Alex Wodak,
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ISSN:0025-729X
DOI:10.5694/j.1326-5377.1991.tb116378.x
出版商:Wiley
年代:1991
数据来源: WILEY
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18. |
III. Why any war against drugs will fail |
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Medical Journal of Australia,
Volume 155,
Issue 1,
1991,
Page 38-39
David Hawks,
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ISSN:0025-729X
DOI:10.5694/j.1326-5377.1991.tb116379.x
出版商:Wiley
年代:1991
数据来源: WILEY
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19. |
The Middle East war ‐‐‐ a medical perspective |
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Medical Journal of Australia,
Volume 155,
Issue 1,
1991,
Page 39-42
Tilman A Ruff,
John A Ward,
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ISSN:0025-729X
DOI:10.5694/j.1326-5377.1991.tb116380.x
出版商:Wiley
年代:1991
数据来源: WILEY
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20. |
Hormone replacement therapy and the menopause |
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Medical Journal of Australia,
Volume 155,
Issue 1,
1991,
Page 43-44
Alastair H MacLennan,
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ISSN:0025-729X
DOI:10.5694/j.1326-5377.1991.tb116381.x
出版商:Wiley
年代:1991
数据来源: WILEY
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