Social and economic value of Portuguese community pharmacies in health care

被引：16

作者：

Felix, Jorge ^{[1
]}

Ferreira, Diana ^{[1
]}

Afonso-Silva, Marta ^{[1
]}

Gomes, Marta Vargas ^{[1
]}

Ferreira, Cesar ^{[1
]}

Vandewalle, Bjorn ^{[1
]}

Marques, Sara ^{[1
]}

Mota, Melina ^{[1
]}

Costa, Suzete ^{[2
]}

Cary, Maria ^{[2
]}

Teixeira, Ines ^{[2
]}

Paulino, Ema ^{[3
]}

Macedo, Bruno ^{[3
]}

Barbosa, Carlos Mauricio ^{[4
]}

机构：

[1] Exigo Consultores, Lisbon, Portugal

[2] Natl Assoc Pharm CEFAR, Ctr Hlth Evaluat & Res, Lisbon, Portugal

[3] Portuguese Pharmaceut Soc, Lisbon, Portugal

[4] Univ Porto, Dept Drug Sci, Fac Pharm, Oporto, Portugal

来源：

BMC HEALTH SERVICES RESEARCH | 2017年 / 17卷

关键词：

Community pharmacies; Pharmacist; Health care; Social value; Economic value; THERAPY MANAGEMENT PROGRAM; DRUG-RELATED PROBLEMS; FINANCIAL CRISIS; AUSTERITY MEASURES; COST-EFFECTIVENESS; ASHEVILLE-PROJECT; BLOOD-PRESSURE; SERVICES; OUTCOMES; INTERVENTIONS;

D O I：

10.1186/s12913-017-2525-4

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Community pharmacies are major contributors to health care systems across the world. Several studies have been conducted to evaluate community pharmacies services in health care. The purpose of this study was to estimate the social and economic benefits of current and potential future community pharmacies services provided by pharmacists in health care in Portugal. Methods: The social and economic value of community pharmacies services was estimated through a decision-model. Model inputs included effectiveness data, quality of life (QoL) and health resource consumption, obtained though literature review and adapted to Portuguese reality by an expert panel. The estimated economic value was the result of non-remunerated pharmaceutical services plus health resource consumption potentially avoided. Social and economic value of community pharmacies services derives from the comparison of two scenarios: "with service" versus "without service". Results: It is estimated that current community pharmacies services in Portugal provide a gain in QoL of 8.3% and an economic value of 879.6 million euros (Msic), including 342.1 Msic in non-remunerated pharmaceutical services and 448. 1 Msic in avoided expense with health resource consumption. Potential future community pharmacies services may provide an additional increase of 6.9% in QoL and be associated with an economic value of 144.8 Msic: 120.3 Msic in non-remunerated services and 24.5 Msic in potential savings with health resource consumption. Conclusions: Community pharmacies services provide considerable benefit in QoL and economic value. An increase range of services including a greater integration in primary and secondary care, among other transversal services, may add further social and economic value to the society.

引用

页数：12

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