A budget impact analysis of a clinical medication review of patients in an Irish university teaching hospital

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dc.contributor.author Kearney, Alan
dc.contributor.author Walsh, Elaine K.
dc.contributor.author Kirby, Ann
dc.contributor.author Halleran, Ciaran
dc.contributor.author Byrne, Derina
dc.contributor.author Haugh, Jennifer
dc.contributor.author Sahm, Laura J.
dc.date.accessioned 2019-08-12T15:08:58Z
dc.date.available 2019-08-12T15:08:58Z
dc.date.issued 2018-11-08
dc.identifier.citation Kearney, A., Walsh, E.K., Kirby, A., Halleran, C., Byrne, D., Haugh, J. and Sahm, L.J., 2018. A budget impact analysis of a clinical medication review of patients in an Irish university teaching hospital. Global & Regional Health Technology Assessment. DOI: 10.1177/2284240318807726 en
dc.identifier.volume 2018 en
dc.identifier.startpage 1 en
dc.identifier.endpage 9 en
dc.identifier.issn 2283-5733
dc.identifier.uri http://hdl.handle.net/10468/8308
dc.identifier.doi 10.1177/2284240318807726 en
dc.description.abstract To measure the net benefit of a pharmacist-led medication review in acute public hospitals. To identify and measure the resources used when completing a pharmacist-led medication review, an observational study was conducted in an acute urban university teaching hospital. Health Information and Quality Authority guidelines were used to value resources used in a pharmacist-led medication review. Model inputs included demographic data, probability of adverse drug events associated with the pharmacist interventions, estimates of future discharges and cost data. The cost of a pharmacist-led medication review and savings generated from avoidance of adverse drug events were estimated and projected over a 5-year period, using hospital discharge rates taken from the hospital inpatient enquiry system and the census of population. Using the per-patient cost of a medication review, the annual cost of delivering a bi-weekly medication review is projected to vary between ?6 m and ?6.4 m over a 5-year period from 2017 to 2021. The per-patient net benefit of a bi-weekly medication review is ?45.88. Therefore, the projected annual net benefit of a bi-weekly medication review is between ?29.5 m and ?31.2 m over the 5-year period of 2017 to 2021. Introducing a pharmacist-led medication review for each inpatient saves in the short and longer term. The results are consistent with previous findings. Substantial savings were estimated, regardless of variation in model parameters tested in sensitivity analysis. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Sage en
dc.relation.uri https://journals.sagepub.com/doi/10.1177/2284240318807726
dc.rights © 2018 The Author(s). Creative Commons NonCommercial-NoDerivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). en
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.subject Budget impact analysis en
dc.subject Cost analysis en
dc.subject Medication review en
dc.subject Pharmacy en
dc.title A budget impact analysis of a clinical medication review of patients in an Irish university teaching hospital en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Ann Kirby, Department of Economics, Cork University Business School, University College Cork, Cork, Ireland. +353-21-490-3000 Email: a.kirby@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Global & Regional Health Technology Assessment en
dc.internal.IRISemailaddress a.kirby@ucc.ie en
dc.identifier.eissn 2284-2403


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© 2018 The Author(s).  Creative Commons NonCommercial-NoDerivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Except where otherwise noted, this item's license is described as © 2018 The Author(s). Creative Commons NonCommercial-NoDerivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
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