The economic impact of pharmacist care for people living with HIV/AIDS: A systematic review
Background and objective: There is an increase in the global prevalence of the human immunodeficiency virus (HIV). While it has been proven that pharmacist interventions improve the health outcomes of people living with HIV/AIDS (PLWHA), the economic impact of these initiatives is uncertain. Consequ...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276621000664 |
| _version_ | 1818838670322434048 |
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| author | Ali Ahmed, PharmD, M.Phil Juman Abdulelah Dujaili, PhD Furqan Khurshid Hashmi Ahmed Awaisu, PhD Nathorn Chaiyakunapruk, PhD Syed Shahzad Hasan, PhD |
| author_facet | Ali Ahmed, PharmD, M.Phil Juman Abdulelah Dujaili, PhD Furqan Khurshid Hashmi Ahmed Awaisu, PhD Nathorn Chaiyakunapruk, PhD Syed Shahzad Hasan, PhD |
| author_sort | Ali Ahmed, PharmD, M.Phil |
| collection | DOAJ |
| description | Background and objective: There is an increase in the global prevalence of the human immunodeficiency virus (HIV). While it has been proven that pharmacist interventions improve the health outcomes of people living with HIV/AIDS (PLWHA), the economic impact of these initiatives is uncertain. Consequently, we aim to systematically review and synthesize the evidence surrounding the economic impact of pharmacist care in PLWHA. Methods: PubMed, EMBASE, Scopus, IPA via ProQuest, the Cochrane Library, and the CINAHL Plus databases were systematically searched. Original studies evaluating the economic effect of pharmacist-managed services for PLWHA were included in the review. The quality of the economic studies was assessed using the Consolidated Health Economic Evaluation Reporting Standard (CHEERS) checklist. Results: A search of databases yielded 4206 citations, four of which met the eligibility criteria. Three studies were conducted in a hospital-based outpatient facility, while one study was conducted in a community pharmacy setting. The types of “pharmacist-managed services” included targeted motivational education, pharmaceutical care, health screening for opportunistic infections, and referral to specialists. Two of the four economic evaluation studies had complete economic analyses and were rated as moderate in quality. In comparison with usual care, pharmacist services led to cost savings of (51.29 to 165.74 in 2021 USD$) per person per year, saving 18.5 h per patient per year, and a lower cost of generating 12 years of quality-adjusted life years. In addition, the benefit-to-cost ratio of the pharmacist service was 2.51:1. Conclusions: The pharmacist-managed services demonstrated the benefits of improving overall PLWHA health outcomes in economic viability. However, future real world controlled, high-quality economic studies are required to determine the long-term cost-effectiveness of these services, given the pharmacist's growing role in the health care team managing PLWHA. |
| first_indexed | 2024-12-19T03:42:05Z |
| format | Article |
| id | doaj.art-7ca39ffe5fc542058804111283d91213 |
| institution | Directory Open Access Journal |
| issn | 2667-2766 |
| language | English |
| last_indexed | 2024-12-19T03:42:05Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj.art-7ca39ffe5fc542058804111283d912132022-12-21T20:37:13ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662021-09-013100066The economic impact of pharmacist care for people living with HIV/AIDS: A systematic reviewAli Ahmed, PharmD, M.Phil0Juman Abdulelah Dujaili, PhD1Furqan Khurshid Hashmi2Ahmed Awaisu, PhD3Nathorn Chaiyakunapruk, PhD4Syed Shahzad Hasan, PhD5School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, 47500 Subang Jaya, Selangor, Malaysia; Corresponding authors.School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, 47500 Subang Jaya, Selangor, Malaysia; Corresponding authors.University College of Pharmacy, University of Punjab, Allama Iqbal Campus, 54000, Lahore, PakistanCollege of Pharmacy, QU Health, Qatar University, P.O. Box 2713, Doha, QatarSchool of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, 47500 Subang Jaya, Selangor, Malaysia; College of Pharmacy, University of Utah, Salt Lake City, UT, USADepartment of Pharmacy, School of Applied Sciences, University of Huddersfield, UKBackground and objective: There is an increase in the global prevalence of the human immunodeficiency virus (HIV). While it has been proven that pharmacist interventions improve the health outcomes of people living with HIV/AIDS (PLWHA), the economic impact of these initiatives is uncertain. Consequently, we aim to systematically review and synthesize the evidence surrounding the economic impact of pharmacist care in PLWHA. Methods: PubMed, EMBASE, Scopus, IPA via ProQuest, the Cochrane Library, and the CINAHL Plus databases were systematically searched. Original studies evaluating the economic effect of pharmacist-managed services for PLWHA were included in the review. The quality of the economic studies was assessed using the Consolidated Health Economic Evaluation Reporting Standard (CHEERS) checklist. Results: A search of databases yielded 4206 citations, four of which met the eligibility criteria. Three studies were conducted in a hospital-based outpatient facility, while one study was conducted in a community pharmacy setting. The types of “pharmacist-managed services” included targeted motivational education, pharmaceutical care, health screening for opportunistic infections, and referral to specialists. Two of the four economic evaluation studies had complete economic analyses and were rated as moderate in quality. In comparison with usual care, pharmacist services led to cost savings of (51.29 to 165.74 in 2021 USD$) per person per year, saving 18.5 h per patient per year, and a lower cost of generating 12 years of quality-adjusted life years. In addition, the benefit-to-cost ratio of the pharmacist service was 2.51:1. Conclusions: The pharmacist-managed services demonstrated the benefits of improving overall PLWHA health outcomes in economic viability. However, future real world controlled, high-quality economic studies are required to determine the long-term cost-effectiveness of these services, given the pharmacist's growing role in the health care team managing PLWHA.http://www.sciencedirect.com/science/article/pii/S2667276621000664PharmacistPharmaceutical careHIV/AIDS carePharmacoeconomicsCost-benefitCost-effectiveness |
| spellingShingle | Ali Ahmed, PharmD, M.Phil Juman Abdulelah Dujaili, PhD Furqan Khurshid Hashmi Ahmed Awaisu, PhD Nathorn Chaiyakunapruk, PhD Syed Shahzad Hasan, PhD The economic impact of pharmacist care for people living with HIV/AIDS: A systematic review Exploratory Research in Clinical and Social Pharmacy Pharmacist Pharmaceutical care HIV/AIDS care Pharmacoeconomics Cost-benefit Cost-effectiveness |
| title | The economic impact of pharmacist care for people living with HIV/AIDS: A systematic review |
| title_full | The economic impact of pharmacist care for people living with HIV/AIDS: A systematic review |
| title_fullStr | The economic impact of pharmacist care for people living with HIV/AIDS: A systematic review |
| title_full_unstemmed | The economic impact of pharmacist care for people living with HIV/AIDS: A systematic review |
| title_short | The economic impact of pharmacist care for people living with HIV/AIDS: A systematic review |
| title_sort | economic impact of pharmacist care for people living with hiv aids a systematic review |
| topic | Pharmacist Pharmaceutical care HIV/AIDS care Pharmacoeconomics Cost-benefit Cost-effectiveness |
| url | http://www.sciencedirect.com/science/article/pii/S2667276621000664 |
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