Author
Listed:
- Suhaj Abdulsalim
(Qassim University
MCOPS, Manipal Academy of Higher Education)
- Mazhuvancherry Kesavan Unnikrishnan
(MCOPS, Manipal Academy of Higher Education
National College of Pharmacy)
- Mohan K. Manu
(Manipal Academy of Higher Education)
- Saud Alsahali
(Qassim University)
- Alian A. Alrasheedy
(Qassim University)
- Antony P. Martin
(University of Liverpool Management School
HCD Economics, The Innovation Centre)
- Brian Godman
(University of Liverpool Management School
University of Strathclyde
Karolinska Institute, Karolinska University Hospital
Universiti Sains Malaysia)
- Abubakr A. Alfadl
(Qassim University)
Abstract
Background Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality, especially in low- and middle-income countries (LMICs) such as India. Medicine costs are a key issue in LMICs, with typically high patient co-payments. In addition, pharmacists are underutilised in LMICs, including India. However, pharmacist-led educational interventions may improve the care of patients with COPD, as well as reduce medicine costs. Consequently, the objective of this study was to assess the effectiveness of a pharmacist-led intervention in reducing medicine costs. Methodology We assessed the impact of a pharmacist intervention on direct medicine costs in COPD patients (medicine costs and pharmacist time) in a randomised controlled study involving an intervention and control group, conducted at a tertiary care teaching hospital in India. Results The 6-monthly cost of medicines at baseline increased with disease severity, from a maximum of US$29.46 for those with mild COPD to US$63.28 for those with very severe COPD. Substantial savings in medical costs were achieved with the pharmacist-led programme, to a maximum of US$20.49 over 6 months for very severe patients. This equates to a reduction of 30.6% in medicine costs (p
Suggested Citation
Suhaj Abdulsalim & Mazhuvancherry Kesavan Unnikrishnan & Mohan K. Manu & Saud Alsahali & Alian A. Alrasheedy & Antony P. Martin & Brian Godman & Abubakr A. Alfadl, 2020.
"Impact of a Clinical Pharmacist Intervention on Medicine Costs in Patients with Chronic Obstructive Pulmonary Disease in India,"
PharmacoEconomics - Open, Springer, vol. 4(2), pages 331-342, June.
Handle:
RePEc:spr:pharmo:v:4:y:2020:i:2:d:10.1007_s41669-019-0172-x
DOI: 10.1007/s41669-019-0172-x
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