Impact of a clinical pharmacist intervention on medicine costs in patients with chronic obstructive pulmonary disease in India

Abdulsalim, Suhaj and Unnikrishnan, MK and Manu, Mohan K (2019) Impact of a clinical pharmacist intervention on medicine costs in patients with chronic obstructive pulmonary disease in India. PharmacoEconomics - Open. ISSN 2509-4262

[img] PDF
00007152.pdf - Published Version
Restricted to Registered users only

Download (1MB) | Request a copy

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality, especially in lowand 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 < 0.001), reduced to 26.1% when pharmacists’ time (US$3.00/patient) was included. Conclusion :There could be a key role for pharmacists as educators for COPD patients in LMICs, to improve care and reduce costs, including patient co-payments.

Item Type: Article
Subjects: Pharmacy > MCOPS Manipal > Pharmacy Practice
Medicine > KMC Manipal > Pulmonary Medicine
Depositing User: KMC Library
Date Deposited: 17 Aug 2019 04:05
Last Modified: 17 Aug 2019 04:05
URI: http://eprints.manipal.edu/id/eprint/154400

Actions (login required)

View Item View Item