Budget impact analysis of two pharmaceutical management models in relation to the administration of intravenous anti-infective therapy in a Spanish nursing home.
| Autor: | Martínez-Casal X; Pharmacy Department, Hospital Virxe da Xunqueira, Cee, Spain pinmarcas@yahoo.es., Rodriguez-Sánchez JL; Pharmacy Department, Hospital Virxe da Xunqueira, Cee, Spain., Otero-Espinar FJ; Department of Pharmacy and Pharmaceutical Technology, University of Santiago de Compostela, Santiago de Compostela, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | European journal of hospital pharmacy : science and practice [Eur J Hosp Pharm] 2021 Jul; Vol. 28 (4), pp. 212-216. Date of Electronic Publication: 2019 Aug 24. |
| DOI: | 10.1136/ejhpharm-2019-001989 |
| Abstrakt: | Objective: To perform a cost-effectiveness and budget impact analysis from the perspective of the Spanish public healthcare system (SHS) to compare the number of overnight hospital stays avoided under a community and a hospital pharmacy model due to the administration of intravenous anti-infective therapy (IVAT) at a nursing home with 145 beds. Methods: Analytical, observational, retrospective cohort study of a nursing home in Galicia (north-west Spain) that switched from a community to a hospital pharmaceutical management model. We compared the number of IVAT administrations, the number of hospital transfers and stays avoided, and mean annual costs avoided by the SHS before and after the switch. Costs were calculated using official SHS rates. Results: The switch from the community to the hospital pharmacy model resulted in 2.8 more IVAT administrations (95% CI, 2.71 to 2.88) and 20.79 fewer overnight hospital stays (95% CI, 20.07 to 21.51) per 100 nursing home beds a month (p<0.001). The net monthly avoided cost for the SHS was 9971.52 €2019. The budget impact analysis showed that implementation of this model throughout Galicia and Spain would respectively avoid costs of 13.78 and 221.21 million €2019 a year. Conclusions: Hospital pharmacy models can contribute to a better optimisation of public healthcare resources and help improve the sustainability of the SHS. Competing Interests: Competing interests: None declared. (© European Association of Hospital Pharmacists 2021. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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