SOCIAL AND ECONOMIC VALUE OF PORTUGUESE COMMUNITY PHARMACIES IN PUBLIC HEALTH

Author(s)

Félix J1, Ferreira D1, Afonso-Silva M1, Gomes M1, Ferreira C1, Vandewalle B1, Marques S1, Mota M1, Costa S2, Cary M2, Teixeira I2, Paulino E3, Macedo B3, Barbosa M4
1Exigo Consultores, Lisboa, Portugal, 2Center for Health Evaluation & Research, Lisbon, Portugal, 3Portuguese Pharmaceutical Society, Lisbon, Portugal, 44Department of Drug Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal

OBJECTIVES: Community pharmacies are major contributors to health care systems across the world. Few studies on the economic evaluation of community pharmacist’s Public Health interventions in Portugal have been conducted, most of them disease / intervention specific. This study aimed to estimate the social and economic benefits of current and potential future community pharmacists’ Public Health interventions in Portugal. METHODS: The social and economic value of community pharmacists’ interventions, excluding medication supply, was estimated through a decision-model. Model inputs included effectiveness data, quality of life and health resource consumption obtained from data collected over 25 years in Portuguese pharmacies, from literature review and adapted to Portuguese reality by an expert panel. The estimated economic value was the result of non-remunerated pharmacy interventions plus health resource consumption potentially avoided. Social and economic value of community pharmacists’ interventions derives from the comparison of two scenarios: “with intervention” versus “without intervention”. RESULTS: It is estimated that current community pharmacists’ interventions in Portugal provide a gain in quality of life of 8.3% and an economic value of 879.6 million euros (M€), including 342.1M€ in non-remunerated pharmacy interventions and 448.1M€ in avoided expense with health resource consumption. Interventions to improve adherence and chronic disease interventions in hypertension, diabetes, hyperlipidemia and asthma/COPD generate 54% (474.5 M€) of this benefit. Future community pharmacists’ interventions may provide an additional increase of 6.9% in quality of life and be associated with an economic value of 144.8M€: 120.3M€ in non-remunerated interventions and 24.5M€ in potential savings with health resource consumption. CONCLUSIONS: Community pharmacists’ interventions provide considerable benefit in quality of life and economic value. An increased range of interventions including a greater integration in primary and secondary care, among other transversal interventions, may add further social and economic value to the society.

Conference/Value in Health Info

2016-10, ISPOR Europe 2016, Vienna, Austria

Value in Health, Vol. 19, No. 7 (November 2016)

Code

PHS132

Topic

Economic Evaluation

Topic Subcategory

Cost-comparison, Effectiveness, Utility, Benefit Analysis

Disease

Multiple Diseases

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