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[Retrocession, a profitable but risky activity].

D Laoubi1, F Hallouard1, E Remy2

  • 1Service de pharmacie, centre hospitalier Asselin Hedelin, 14, avenue FOCH, 76190 Yvetot, France.

Annales Pharmaceutiques Francaises
|June 28, 2018
PubMed
Summary
This summary is machine-generated.

Retrocession, the outpatient dispensing of hospital drugs, presents significant health and economic risks. While usually profitable, exceptional events can make this critical pharmaceutical activity financially detrimental, necessitating improved coordination.

Keywords:
Circuit du médicamentEconomic studyMedication chainMicrocostingOrganisation territorialeRétrocessionTerritorial approachÉtude économique“Retrocession”

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Area of Science:

  • Pharmaceutical Sciences
  • Health Economics
  • Risk Management

Background:

  • Retrocession, the outpatient dispensing of hospital-reserved drugs, is a critical pharmaceutical activity.
  • This process requires robust care security and a territorial approach to drug supply chain management.
  • The economic profitability of retrocession is often questionable, highlighting the need for thorough evaluation.

Purpose of the Study:

  • To conduct a risk mapping of the retrocession process.
  • To perform an economic evaluation of retrocession from a hospital perspective.
  • To assess the overall viability and risks associated with outpatient drug dispensing.

Main Methods:

  • Risk analysis was performed using collected adverse event data.
  • Economic evaluation employed the microcosting method from the hospital's viewpoint.
  • Data on usual and exceptional situations were analyzed to determine profitability.

Main Results:

  • Six never events were identified during the risk analysis.
  • In usual circumstances, retrocession yielded a net margin of €7 to €14.
  • Exceptional situations, such as troubleshooting or public deals, incurred significant added costs (€76-€85), rendering the activity unprofitable.

Conclusions:

  • Retrocession is an activity fraught with high health, legal, and economic risks.
  • To enhance healthcare quality and safety, retrocession must be managed as a coordinated process.
  • Effective communication among health professionals and efficient integration of ambulatory and hospital care are crucial.