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Cost Evaluation of Professional Services in a Rural Community Pharmacy: A Monocentric Exploratory Approach
Luis A Martínez1,2, Cristina García1,3,4, Lucrecia Moreno3,4
1Community Pharmacist, 02161 Albacete, Spain.
Pharmacy (Basel, Switzerland)
|October 27, 2023
Summary
Evaluating the costs of pharmacy services (PSs) like medicine dispensing (MDS), compliance aids (MCAS), and cognitive screening (CISS) in rural pharmacies reveals their financial impact. This analysis aids in understanding resource allocation for healthcare systems.
Area of Science:
- Health Economics
- Pharmacy Practice
- Healthcare Management
Background:
- Healthcare systems globally face increasing pressure due to rising costs, sustainability concerns, and aging populations.
- Clinical professional pharmacy services (PSs) can alleviate healthcare system stress but incur provision costs.
- Understanding the cost of specific PSs is crucial for resource allocation and service implementation.
Purpose of the Study:
- To evaluate the provision costs of three distinct professional pharmacy services (PSs) within a rural community pharmacy setting.
- Specifically, to determine the costs associated with a medicine-dispensing service (MDS), a multicompartmental compliance aid system service (MCAS), and a cognitive impairment screening service (CISS).
Main Methods:
- A cost analysis was conducted using a time-driven activity-based costing (TDABC) model.
- Pharmacist time dedicated to each service was meticulously recorded.
- Associated expenses were extracted from the pharmacy's accounting records.
Main Results:
- Medicine-dispensing service (MDS) cost: EUR 2.24 (4.80 min).
- Multicompartmental compliance aid system service (MCAS) cost: EUR 8.73 (18.33 min).
- Cognitive impairment screening service (CISS) cost: EUR 56.72 (122.20 min).
- The total provision time for these services consumed 85% of the pharmacist's effective working time.
Conclusions:
- Tailored cost analysis is an essential tool for informed decision-making regarding the implementation of professional pharmacy services.
- Further extensive research across diverse pharmacy types and locations is necessary for accurate cost assessment.
- Findings can inform discussions on appropriate funding and remuneration models for pharmacy services.
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