Free But Valuable: The Economic Significance of Services Provided by Portuguese Pharmacies

Objectives Besides dispensing medicines, pharmacies render other services including advice on health problems and on the best use of medicines; detecting problems in patients’ medications; counseling on nutrition, etc. The majority of these services is free. Up to now, the volume of these services...

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Main Authors: M Gouveia, F Machado, Z Mendes
Format: Article
Language:English
Published: Formifarma, LDA. 2019-12-01
Series:Revista Portuguesa de Farmacoterapia
Online Access:http://revista.farmacoterapia.pt/index.php/rpf/article/view/245
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author M Gouveia
F Machado
Z Mendes
M Gouveia
author_facet M Gouveia
F Machado
Z Mendes
M Gouveia
author_sort M Gouveia
collection DOAJ
description Objectives Besides dispensing medicines, pharmacies render other services including advice on health problems and on the best use of medicines; detecting problems in patients’ medications; counseling on nutrition, etc. The majority of these services is free. Up to now, the volume of these services in Portugal were unknown. This paper presents 2008 estimates for the volume of pharmacy interventions and their economic value. Methods The data came from two 2008 surveys. A pharmacy survey was designed to estimate the volume and cost of the free interventions in community pharmacies in Portugal. In a general population survey, respondents answered a set of questions (choice experiments) designed to elicit their willingness to pay for a few typical services provided for free at community pharmacies. Results We estimate a total of 38.8 million free pharmacy interventions in 2008, 3.7 interventions per inhabitant. The top three pharmacy interventions were advice on non-prescription medicines, advice on prescription-only medicines and counseling related to point-of care measurements and monitoring (cholesterol, pregnancy, etc.) and they used 2.8 million hours of work, about 13% of the total hours of work, at a cost of a54 million. This cost was equivalent to 20% of the pharmacies’ gross income. We estimated the willingness to pay for the three main pharmacy interventions by conjoint analysis. The aggregate value of the services provided was estimated at a76.5 million. The net value, from society’s perspective, for the three interventions was estimated to be a 51 million. Conclusions We found the volume of services provided at no charge to be significant, as were the resulting pharmacies’ costs. The benefits to consumers were even larger generating a substantial net benefit to society. Published in: ISPOR 12th Annual European Congress, October, 2009 Paris, France.  
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spelling doaj.art-e1ca7017110844c1ac2b93593d37ad5e2023-08-29T22:49:26ZengFormifarma, LDA.Revista Portuguesa de Farmacoterapia1647-354X2183-73412019-12-0111Sup 1Free But Valuable: The Economic Significance of Services Provided by Portuguese PharmaciesM GouveiaF MachadoZ MendesM Gouveia Objectives Besides dispensing medicines, pharmacies render other services including advice on health problems and on the best use of medicines; detecting problems in patients’ medications; counseling on nutrition, etc. The majority of these services is free. Up to now, the volume of these services in Portugal were unknown. This paper presents 2008 estimates for the volume of pharmacy interventions and their economic value. Methods The data came from two 2008 surveys. A pharmacy survey was designed to estimate the volume and cost of the free interventions in community pharmacies in Portugal. In a general population survey, respondents answered a set of questions (choice experiments) designed to elicit their willingness to pay for a few typical services provided for free at community pharmacies. Results We estimate a total of 38.8 million free pharmacy interventions in 2008, 3.7 interventions per inhabitant. The top three pharmacy interventions were advice on non-prescription medicines, advice on prescription-only medicines and counseling related to point-of care measurements and monitoring (cholesterol, pregnancy, etc.) and they used 2.8 million hours of work, about 13% of the total hours of work, at a cost of a54 million. This cost was equivalent to 20% of the pharmacies’ gross income. We estimated the willingness to pay for the three main pharmacy interventions by conjoint analysis. The aggregate value of the services provided was estimated at a76.5 million. The net value, from society’s perspective, for the three interventions was estimated to be a 51 million. Conclusions We found the volume of services provided at no charge to be significant, as were the resulting pharmacies’ costs. The benefits to consumers were even larger generating a substantial net benefit to society. Published in: ISPOR 12th Annual European Congress, October, 2009 Paris, France.   http://revista.farmacoterapia.pt/index.php/rpf/article/view/245
spellingShingle M Gouveia
F Machado
Z Mendes
M Gouveia
Free But Valuable: The Economic Significance of Services Provided by Portuguese Pharmacies
Revista Portuguesa de Farmacoterapia
title Free But Valuable: The Economic Significance of Services Provided by Portuguese Pharmacies
title_full Free But Valuable: The Economic Significance of Services Provided by Portuguese Pharmacies
title_fullStr Free But Valuable: The Economic Significance of Services Provided by Portuguese Pharmacies
title_full_unstemmed Free But Valuable: The Economic Significance of Services Provided by Portuguese Pharmacies
title_short Free But Valuable: The Economic Significance of Services Provided by Portuguese Pharmacies
title_sort free but valuable the economic significance of services provided by portuguese pharmacies
url http://revista.farmacoterapia.pt/index.php/rpf/article/view/245
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AT zmendes freebutvaluabletheeconomicsignificanceofservicesprovidedbyportuguesepharmacies
AT mgouveia freebutvaluabletheeconomicsignificanceofservicesprovidedbyportuguesepharmacies