Journal article
Generating real-world evidence on the quality use, benefits and safety of medicines in australia: History, challenges and a roadmap for the future
SA Pearson, N Pratt, JDO Costa, H Zoega, TL Laba, C Etherton-Beer, FM Sanfilippo, A Morgan, LK Ellett, C Bruno, E Kelty, M Ijzerman, DB Preen, CM Vajdic, D Henry
International Journal of Environmental Research and Public Health | Published : 2021
Open access
Abstract
Australia spends more than $20 billion annually on medicines, delivering significant health benefits for the population. However, inappropriate prescribing and medicine use also result in harm to individuals and populations, and waste of precious health resources. Medication data linked with other routine collections enable evidence generation in pharmacoepidemiology; the science of quantifying the use, effectiveness and safety of medicines in real-world clinical practice. This review details the history of medicines policy and data access in Australia, the strengths of existing data sources, and the infrastructure and governance enabling and impeding evidence generation in the field. Cu..
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Funding Acknowledgements
This review is supported by the National Health and Medical Research Council (NHMRC) Centre of Research Excellence in Medicines Intelligence (GNT1196900); H.Z. is supported by a UNSW Scientia Fellowship; E.K. is supported by an NHMRC Emerging Leader Fellowship (APP1172978); C.B. is supported by an Australian Government Research Training Program Scholarship.