PHARMACOEPIDEMIOLOGY: DRUG UTILIZATION Syllabus
Drug utilization research forms a core backbone of the field of pharmacoepidemiology. This is because the determinants of the utilization of prescription drugs are complex and multifactorial, and understanding how, why, when and where drugs are used is crucial to inform both regulatory and payment policy as well as clinical practice. This course will begin with an overview of drug classification systems as well as a review of data sources used for drug utilization research, ranging from primary data collection using surveys and audits of patients and providers to secondary data from administrative claims, electronic health information and other sources. We will review methods of investigating drug utilization and evaluating interventions to modify utilization, such as time-series designs and segmented regression analyses. We will then consider varied patient, provider, practice and system-level determinants of prescription drug utilization, including their impact on costs and quality of care. Particularly emphasis will be devoted to the impact of drug formularies, marketing and promotion and emerging evidence of benefits and harms. Core topical areas such as adherence and value-based insurance designs, as well as psychotropic drug utilization and prescription drug abuse, will also be covered.
Course Learning Objectives
Upon successfully completing this course, students will be able to:
- Apply knowledge to a critical discourse demonstrating intermediate/advanced knowledge of the determinants of drug utilization, including the effect of marketing and promotion, pharmaceutical regulation, and payment policies.
- Critically evaluate studies that examine drug utilization through a firm understanding of analytic approaches of such studies as well as the numerous determinants and predictors of utilization.
- Create rigorous evaluations of drug utilization by employing knowledge of drug taxonomies, data sources, data interpretation, and implications for public policy and clinical care.
Methods of Assessment
Class participation 25%; Weekly Exercises 50%; Mock Hearing 25%
Academic Ethics Code
Students enrolled in the Bloomberg School of Public Health of The Johns Hopkins University assume an obligation to conduct themselves in a manner appropriate to the University's mission as an institution of higher education. A student is obligated to refrain from acts which he or she knows, or under the circumstances has reason to know, impair the academic integrity of the University. Violations of academic integrity include, but are not limited to: cheating; plagiarism; knowingly furnishing false information to any agent of the University for inclusion in the academic record; violation of the rights and welfare of animal or human subjects in research; and misconduct as a member of either School or University committees or recognized groups or organizations.
Please see the course Session for a full list of dates and items for this course.
Intended AudienceMasters and doctoral students as well as non-degree seeking trainees within the SPH. Course may also be of interest to nursing and medical students.
Disability Support ServicesIf you are a student with a documented disability who requires an academic accommodation, please contact the Office of Student Life Services at 410-955-3034 or via email at firstname.lastname@example.org.