Cost-benefit analysis of pharmacist interventions over 36 months in a university hospital

Autores

DOI:

https://doi.org/10.11606/s1518-8787.2020054001895

Palavras-chave:

Cost-Benefit Analysis, Pharmacy Service, Hospital. Economics, Pharmaceutical, Pharmaceutical Services

Resumo

OBJECTIVE: To perform a cost-benefits analysis of a clinical pharmacy (CP) service implemented in a Neurology ward of a tertiary teaching hospital. METHODS: This is a cost-benefit analysis of a single arm, prospective cohort study performed at the adult Neurology Unit over 36 months, which has evaluated the results of a CP service from a hospital and Public Health System (PHS) perspective. The interventions were classified into 14 categories and the costs identified as direct medical costs. The results were analyzed by the total and marginal cost, the benefit-cost ratio (BCR) and the net benefit (NB). RESULTS: The total 334 patients were followed-up and the highest occurrence in 506 interventions was drug introduction (29.0%). The marginal cost for the hospital and avoided cost for PHS was US$182±32 and US$25,536±4,923 per year; and US$0.55 and US$76.4 per patient/year. The BCR and NB were 0.0, -US$26,105 (95%CI -31,850 – -10,610), -US$27,112 (95%CI -33,160–11,720) for the hospital and; 3.0 (95%CI 1.97–4.94), US$51,048 (95%CI 27,645–75,716) and, 4.6 (95%CI 2.24–10.05), US$91,496 (95%CI 34,700–168,050; p < 0.001) for the PHS, both considering adhered and total interventions, respectively. CONCLUSIONS: The CP service was not directly cost-benefit at the hospital perspective, but it presented savings for forecast cost related to the occurrence of preventable morbidities, measuring a good cost-benefit for the PHS.

Biografia do Autor

  • Maurilio de Souza Cazarim, Universidade de São Paulo

    Universidade de São Paulo. Faculdade de Ciências Farmacêuticas de Ribeirão Preto. Ribeirão Preto, SP, Brasil

  • João Paulo Vilela Rodrigues, Universidade de São Paulo

    Universidade de São Paulo. Faculdade de Ciências Farmacêuticas de Ribeirão Preto. Ribeirão Preto, SP, Brasil

  • Priscila Santos Calcini, Universidade de Ribeirão Preto

    Universidade de Ribeirão Preto. Faculdade de Ciências Farmacêuticas. Ribeirão Preto, SP, Brasil

  • Thomas Einarson, University of Toronto

    University of Toronto. Leslie Dan Faculty of Pharmacy. Toronto, Canada

  • Leonardo Régis Leira Pereira, Universidade de São Paulo

    Universidade de São Paulo. Faculdade de Ciências Farmacêuticas de Ribeirão Preto. Ribeirão Preto, SP, Brasil

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Publicado

2020-11-18

Edição

v. 54 (2020)

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Artigos Originais

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Copyright (c) 2020 Revista de Saúde Pública

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Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

Como Citar

Cazarim, M. de S., Rodrigues, J. P. V., Calcini, P. S., Einarson, T., & Pereira, L. R. L. (2020). Cost-benefit analysis of pharmacist interventions over 36 months in a university hospital. Revista De Saúde Pública, 54, 94. https://doi.org/10.11606/s1518-8787.2020054001895