Costs' identification of the sustainable provision of the Medication Management Service

Publication Type:
Journal Article
Pharmaceutical Care Espana, 2014, 16 (5), pp. 180 - 192
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Introduction: Despite the low provision of Pharmaceutical Care services in Spain, and the lack of remuneration, some pharmacists opt for the development of the provision of Medication Review with follow-up (MRF) in the pharmacies where they practice. There is a poor sustainable provision which depends on the correct identification of the costs that it generates in the organization.Objective: To identify all the resources needed for the provision of the MRF service in any pharmacy in where it starts and pretends to continue over time.Methods: Semi-structured interviews were conducted. On the one hand, with innovative pharmacists experienced in the provision of MRF service and on the other hand, with others that have just been introduced to it within the framework of the conSIGUE program.Results: The so called Innovative pharmacists, with experience in the provision of MRF, identify a series of necessary resources to provide the service. These are, on the one hand, the material resources which include: the enabling of the private care area, the hardware and the software, some devices, the information sources and the advertising and promotion of the service. On the other hand, they identify the human resources and training. Personnel cost depends on the length of provision and the grade of the provider pharmacist. The pharmacists with limited experience known as conSIGUE pharmacists hardly identify costs generated by the servicé provision with the exception of the personnel ones.Conclusions: The costs generated by the provision of MRF must be identified in order to keep its provision and to fix its price.
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