Economic Impact of Pharmacist Participation in Clinical Rounds at a General Tertiary Hospital in Qatar

Author(s)

Abushanab D1, Atchan M1, Elajez R1, Nabil M1, Abdelbari A2, Al Hail M1, Abdul Rouf P1, Elkassem W3, Diab MI4, Al-Badriyeh D5
1Hamad Medical Corporation, Doha, Qatar, 2Hamad Medical Corporation, doha, Qatar, 3Hamad Medical Corporation, Doha, DA, Qatar, 4Qatar University College of Pharmacy, Doha, Qatar, 5College of Pharmacy, Qatar University Health, Qatar University, Doha, Qatar

Presentation Documents

OBJECTIVES: Clinical pharmacists have become an integral part of multidisciplinary management team and play a key role within the healthcare system. They have been shown to provide evidence-based recommendations, educate patients, prevent adverse drug events (ADEs), and reduce overall costs. The purpose of this study was to analyze the economic impact of clinical pharmacist interventions in a tertiary general hospital in Qatar.

METHODS: This study was a retrospective review of clinical pharmacist intervention records from March 1, 2018 to March 31, 2018, July 15, 2018 to August 15, 2018, and January 1, 2019 to January 30, 2019. Data were collected from Hamad General Hospital at Hamad Medical Corporation in Qatar. Cost-benefit analysis was used which was calculated according to the cost savings associated with reducing therapy due to the intervention as well as the cost avoidance due to preventable ADEs, and was reported as the net benefit, total benefit, and benefit‐to‐cost ratio associated with the clinical pharmacist interventions. We adopted the perspective of a public healthcare provider. Sensitivity analyses were used to confirm robustness of results.

RESULTS: A total of 852 interventions for 340 patients were identified by the clinical pharmacists. The interventions were clinically significant and associated with fewer ADEs, which is translated to a net benefit of QAR 3,139,130 (USD 862,161), which would suggest an annual net benefit of QAR 12,556,520 (USD 3,448,646), a total benefit of QAR 3,515,966 (USD) over 3-month period, and benefit-to-cost ratio of 9.33. The sensitivity analyses confirmed the robustness of outcomes and revealed that the probabilities of avoided ADEs contributed the most to the cost saving.

CONCLUSIONS: Clinical pharmacists play a key role in the prevention of medication errors, detection of medication-related problems, and reduction of healthcare costs in a public healthcare setting.

Conference/Value in Health Info

2022-05, ISPOR 2022, Washington, DC, USA

Value in Health, Volume 25, Issue 6, S1 (June 2022)

Code

EE223

Topic

Clinical Outcomes, Economic Evaluation

Topic Subcategory

Clinician Reported Outcomes, Cost-comparison, Effectiveness, Utility, Benefit Analysis

Disease

Cardiovascular Disorders, Diabetes/Endocrine/Metabolic Disorders, Gastrointestinal Disorders, Infectious Disease (non-vaccine)

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