Health-care Resource Requirements and Potential Financial Consequences of an Environmentally Driven Switch in Respiratory Inhaler Use in England
**Background:** To reduce greenhouse gas emissions, national initiatives advocate the phasing down of respiratory inhalers that use a fluorinated gas as a propellant (pressurised metered-dose inhalers \[pMDI]). Nevertheless, pMDIs continue to be an effective and common choice. **Objective:** To ass...
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| Format: | Article |
| Language: | English |
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Columbia Data Analytics, LLC
2021-09-01
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| Series: | Journal of Health Economics and Outcomes Research |
| Online Access: | https://doi.org/10.36469/001c.26113 |
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| author | Darsuh Attar-Zadeh Harriet Lewis Martina Orlovic |
| author_facet | Darsuh Attar-Zadeh Harriet Lewis Martina Orlovic |
| author_sort | Darsuh Attar-Zadeh |
| collection | DOAJ |
| description | **Background:** To reduce greenhouse gas emissions, national initiatives advocate the phasing down of respiratory inhalers that use a fluorinated gas as a propellant (pressurised metered-dose inhalers \[pMDI]). Nevertheless, pMDIs continue to be an effective and common choice.
**Objective:** To assess the potential financial impact of patients with asthma or chronic obstructive pulmonary disease (COPD) switching from pMDIs to dry powder inhalers (DPIs) in a representative primary care network (PCN) population of 50 000 and the English National Health Service (NHS).
**Methods:** Epidemiological data were combined with current inhaler use patterns to estimate the resources and costs associated with this transition, varying patient acceptance scenarios.
**Results:** Depending on the approach, resource requirements ranged from £18 000 – £53 000 for a PCN, and from £21 – £60 million for the English NHS.
**Discussion:** Significant funds are needed to successfully manage targeted inhaler transitions, together with counselling and follow-up appointment with an appropriately skilled clinician to assess the patient’s inhaler technique and ensure disease control.
**Conclusions:** Targeted transition of inhalers must achieve a balance between environmental impacts, organisational factors, and patient requirements. The resources for managing a switch can be substantial but are necessary to appropriately counsel and support patients, whilst protecting the environment. |
| format | Article |
| id | doaj-art-e7e29c7ed0104ef6bbf7c1b8d069524f |
| institution | Kabale University |
| issn | 2327-2236 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Columbia Data Analytics, LLC |
| record_format | Article |
| series | Journal of Health Economics and Outcomes Research |
| spelling | doaj-art-e7e29c7ed0104ef6bbf7c1b8d069524f2025-02-10T16:13:05ZengColumbia Data Analytics, LLCJournal of Health Economics and Outcomes Research2327-22362021-09-0182Health-care Resource Requirements and Potential Financial Consequences of an Environmentally Driven Switch in Respiratory Inhaler Use in EnglandDarsuh Attar-ZadehHarriet LewisMartina Orlovic**Background:** To reduce greenhouse gas emissions, national initiatives advocate the phasing down of respiratory inhalers that use a fluorinated gas as a propellant (pressurised metered-dose inhalers \[pMDI]). Nevertheless, pMDIs continue to be an effective and common choice. **Objective:** To assess the potential financial impact of patients with asthma or chronic obstructive pulmonary disease (COPD) switching from pMDIs to dry powder inhalers (DPIs) in a representative primary care network (PCN) population of 50 000 and the English National Health Service (NHS). **Methods:** Epidemiological data were combined with current inhaler use patterns to estimate the resources and costs associated with this transition, varying patient acceptance scenarios. **Results:** Depending on the approach, resource requirements ranged from £18 000 – £53 000 for a PCN, and from £21 – £60 million for the English NHS. **Discussion:** Significant funds are needed to successfully manage targeted inhaler transitions, together with counselling and follow-up appointment with an appropriately skilled clinician to assess the patient’s inhaler technique and ensure disease control. **Conclusions:** Targeted transition of inhalers must achieve a balance between environmental impacts, organisational factors, and patient requirements. The resources for managing a switch can be substantial but are necessary to appropriately counsel and support patients, whilst protecting the environment.https://doi.org/10.36469/001c.26113 |
| spellingShingle | Darsuh Attar-Zadeh Harriet Lewis Martina Orlovic Health-care Resource Requirements and Potential Financial Consequences of an Environmentally Driven Switch in Respiratory Inhaler Use in England Journal of Health Economics and Outcomes Research |
| title | Health-care Resource Requirements and Potential Financial Consequences of an Environmentally Driven Switch in Respiratory Inhaler Use in England |
| title_full | Health-care Resource Requirements and Potential Financial Consequences of an Environmentally Driven Switch in Respiratory Inhaler Use in England |
| title_fullStr | Health-care Resource Requirements and Potential Financial Consequences of an Environmentally Driven Switch in Respiratory Inhaler Use in England |
| title_full_unstemmed | Health-care Resource Requirements and Potential Financial Consequences of an Environmentally Driven Switch in Respiratory Inhaler Use in England |
| title_short | Health-care Resource Requirements and Potential Financial Consequences of an Environmentally Driven Switch in Respiratory Inhaler Use in England |
| title_sort | health care resource requirements and potential financial consequences of an environmentally driven switch in respiratory inhaler use in england |
| url | https://doi.org/10.36469/001c.26113 |
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