Cost Evaluation of Professional Services in a Rural Community Pharmacy: A Monocentric Exploratory Approach

The increasing pressure on healthcare systems (HCSs) is a cause for concern worldwide. Rising costs, uncertainty about sustainability, and aging populations are the main issues that make it challenging to allocate scarce resources to the needs of HCSs. Clinical professional pharmacy services (PSs) h...

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Main Authors: Luis A. Martínez, Cristina García, Lucrecia Moreno
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Pharmacy
Subjects:
Online Access:https://www.mdpi.com/2226-4787/11/5/156
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author Luis A. Martínez
Cristina García
Lucrecia Moreno
author_facet Luis A. Martínez
Cristina García
Lucrecia Moreno
author_sort Luis A. Martínez
collection DOAJ
description The increasing pressure on healthcare systems (HCSs) is a cause for concern worldwide. Rising costs, uncertainty about sustainability, and aging populations are the main issues that make it challenging to allocate scarce resources to the needs of HCSs. Clinical professional pharmacy services (PSs) have been shown to help alleviate system stress and to reach the entire population, although a cost of provision is borne. The objective of this study was to evaluate the provision costs of three PSs, a medicine-dispensing service (MDS), a multicompartmental compliance aid system service (MCAS), and a cognitive impairment screening service (CISS), in a rural community pharmacy. A cost analysis was performed using a time-driven activity-based costing model. The time dedicated to PS provision was appropriately recorded, and the corresponding expenses were extracted from the accounting records. A provision time of 4.80 min and a cost of EUR 2.24 were estimated for the MDS, while 18.33 min and EUR 8.73 were calculated for the MCAS, and 122.20 min and EUR 56.72 were calculated for the CISS. The total provision time represented 85% of the pharmacist’s effective working time. Tailored cost analysis is a useful tool for making decisions on the implementation of a PS. Larger studies including a variety of pharmacies and locations are necessary to accurately assess costs and engage in discussions on funding and remuneration.
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spelling doaj.art-952548b997e64fcd9d24271172cdf84a2023-11-19T17:46:01ZengMDPI AGPharmacy2226-47872023-09-0111515610.3390/pharmacy11050156Cost Evaluation of Professional Services in a Rural Community Pharmacy: A Monocentric Exploratory ApproachLuis A. Martínez0Cristina García1Lucrecia Moreno2Community Pharmacist, 02161 Albacete, SpainCommunity Pharmacist, 02161 Albacete, SpainCátedra DeCo MICOF-CEU UCH, University Cardenal Herrera-CEU, 46115 Valencia, SpainThe increasing pressure on healthcare systems (HCSs) is a cause for concern worldwide. Rising costs, uncertainty about sustainability, and aging populations are the main issues that make it challenging to allocate scarce resources to the needs of HCSs. Clinical professional pharmacy services (PSs) have been shown to help alleviate system stress and to reach the entire population, although a cost of provision is borne. The objective of this study was to evaluate the provision costs of three PSs, a medicine-dispensing service (MDS), a multicompartmental compliance aid system service (MCAS), and a cognitive impairment screening service (CISS), in a rural community pharmacy. A cost analysis was performed using a time-driven activity-based costing model. The time dedicated to PS provision was appropriately recorded, and the corresponding expenses were extracted from the accounting records. A provision time of 4.80 min and a cost of EUR 2.24 were estimated for the MDS, while 18.33 min and EUR 8.73 were calculated for the MCAS, and 122.20 min and EUR 56.72 were calculated for the CISS. The total provision time represented 85% of the pharmacist’s effective working time. Tailored cost analysis is a useful tool for making decisions on the implementation of a PS. Larger studies including a variety of pharmacies and locations are necessary to accurately assess costs and engage in discussions on funding and remuneration.https://www.mdpi.com/2226-4787/11/5/156community pharmacyprofessional pharmacy servicescost analysismulticompartment compliance aidmedicine dispensing
spellingShingle Luis A. Martínez
Cristina García
Lucrecia Moreno
Cost Evaluation of Professional Services in a Rural Community Pharmacy: A Monocentric Exploratory Approach
Pharmacy
community pharmacy
professional pharmacy services
cost analysis
multicompartment compliance aid
medicine dispensing
title Cost Evaluation of Professional Services in a Rural Community Pharmacy: A Monocentric Exploratory Approach
title_full Cost Evaluation of Professional Services in a Rural Community Pharmacy: A Monocentric Exploratory Approach
title_fullStr Cost Evaluation of Professional Services in a Rural Community Pharmacy: A Monocentric Exploratory Approach
title_full_unstemmed Cost Evaluation of Professional Services in a Rural Community Pharmacy: A Monocentric Exploratory Approach
title_short Cost Evaluation of Professional Services in a Rural Community Pharmacy: A Monocentric Exploratory Approach
title_sort cost evaluation of professional services in a rural community pharmacy a monocentric exploratory approach
topic community pharmacy
professional pharmacy services
cost analysis
multicompartment compliance aid
medicine dispensing
url https://www.mdpi.com/2226-4787/11/5/156
work_keys_str_mv AT luisamartinez costevaluationofprofessionalservicesinaruralcommunitypharmacyamonocentricexploratoryapproach
AT cristinagarcia costevaluationofprofessionalservicesinaruralcommunitypharmacyamonocentricexploratoryapproach
AT lucreciamoreno costevaluationofprofessionalservicesinaruralcommunitypharmacyamonocentricexploratoryapproach