scholarly journals Cost-benefit analysis of pharmacist interventions over 36 months in a university hospital

2020 ◽  
Vol 54 ◽  
pp. 94
Author(s):  
Maurilio de Souza Cazarim ◽  
João Paulo Vilela Rodrigues ◽  
Priscila Santos Calcini ◽  
Thomas Einarson ◽  
Leonardo Régis Leira Pereira

OBJECTIVE: To perform a cost-benefits analysis of a clinical pharmacy (CP) service implemented in a Neurology ward of a tertiary teaching hospital. METHODS: This is a cost-benefit analysis of a single arm, prospective cohort study performed at the adult Neurology Unit over 36 months, which has evaluated the results of a CP service from a hospital and Public Health System (PHS) perspective. The interventions were classified into 14 categories and the costs identified as direct medical costs. The results were analyzed by the total and marginal cost, the benefit-cost ratio (BCR) and the net benefit (NB). RESULTS: The total 334 patients were followed-up and the highest occurrence in 506 interventions was drug introduction (29.0%). The marginal cost for the hospital and avoided cost for PHS was US$182±32 and US$25,536±4,923 per year; and US$0.55 and US$76.4 per patient/year. The BCR and NB were 0.0, -US$26,105 (95%CI -31,850 – -10,610), -US$27,112 (95%CI -33,160–11,720) for the hospital and; 3.0 (95%CI 1.97–4.94), US$51,048 (95%CI 27,645–75,716) and, 4.6 (95%CI 2.24–10.05), US$91,496 (95%CI 34,700–168,050; p < 0.001) for the PHS, both considering adhered and total interventions, respectively. CONCLUSIONS: The CP service was not directly cost-benefit at the hospital perspective, but it presented savings for forecast cost related to the occurrence of preventable morbidities, measuring a good cost-benefit for the PHS.

2014 ◽  
Vol 3 (5) ◽  
pp. 47
Author(s):  
Sanni Yaya ◽  
Xiaonan Li

This paper offers a general guide on how to conduct a proper economic analysis for community-based intervention projects. Identification and quantification of costs and benefits are the focus of the cost benefit analysis. We categorize costs and benefits from human and physical perspectives and pay special attention to the measures of saving human lives accompanied by the proposed calculation methods. We recommend net present value and benefit-cost ratio as the criteria to assess projects and highlight some challenges remaining in the analysis.


2014 ◽  
Vol 663 ◽  
pp. 596-603
Author(s):  
Zulhaidi Mohd Jawi ◽  
Aqbal Hafeez Ariffin ◽  
Yahaya Ahmad ◽  
Khairil Anwar Abu Kassim ◽  
Norlen Mohamed ◽  
...  

The newly established New Car Assessment Program for Southeast Asian Countries (ASEAN NCAP) has incorporated Safety Assist Technologies (SATs) in its automobile safety rating scheme. In order for any assessed car to be eligible for the maximum 5-star rating, it should first be equipped with Electronic Stability Control (ESC) and fitted with seatbelt reminder (SBR). However, since these SATs are not being evaluated in their performance by the means of field testing, this paper explains the benefit of having these SATs through Cost-Benefit Analysis (CBA) which help to rationalize the importance of SATs in preventing road accidents or mitigating severity of injuries. Due to data limitation, this preliminary CBA assessment will only be focusing on Malaysia’s situation and is based on published sources and the authors’ best estimates. This study also includes the Cost-Benefit Analysis on Anti-lock Braking System (ABS), which is the basis for ESC technology, in preparation for its inclusion in the future rating scheme to expedite the vision of making ABS as standard fit in all ASEAN’s passenger cars. The preliminary result shows that all technologies – ESC, SBR and ABS – appear to be cost-effective (benefit/cost-ratio > 3) or most likely cost effective (1 < benefit/cost-ratio < 3) in Malaysia’s road safety situation per se.


2020 ◽  
Vol 7 (4) ◽  
pp. 177-185
Author(s):  
Kepha Luvinga ◽  
Simon Kilasara

ABSTRACT This study reports upon the findings on the cost and profitability of bodaboda transport business among youths in Arusha. As used in this study, the term bodaboda applies for a two wheeled motorized taxi which provides ‘for hire’ type transport services to passengers and goods. The bodaboda have became an employment opportunity to many unskilled urban labour and further job opportunity to informal sector workers who wish to switch jobs in search of higher rewards. The questionnaires were used to collect data to 90 respondents from two districts of Arusha region namely Arusha and Meru district. Data analysis was done using descriptive statistics and cost benefit analysis. The finding from the study indicates that the bodaboda transport business is profitable with the benefit cost ratio (BCR) of 2.8 and the net present value (NPV) of 8,494,920Tsh for five years project duration. By having the benefit cost ratio and the net present value greater than 1, the bodaboda business is profitable and worth being undertaken. Based on the findings from the study it is recommended that the government authorities and all key stakeholders should regulate, and support the implementation of bodaboda bussiness through formalization of bodaboda associations, assurance of financial supports and capacity building to youths who engage or willing to engage in the business.


Author(s):  
Francesc López Seguí ◽  
Oriol Estrada Cuxart ◽  
Oriol Mitjà i Villar ◽  
Guillem Hernández Guillamet ◽  
Núria Prat Gil ◽  
...  

Background: The epidemiological situation generated by COVID-19 has highlighted the importance of applying non-pharmacological measures in the management of the epidemic. Mass screening of the asymptomatic general population has been established as a priority strategy by carrying out diagnostic tests to detect possible cases, isolate contacts, cut transmission chains and thus limit the spread of the virus. Objective: To evaluate the economic impact of mass COVID-19 screenings of an asymptomatic population during the first and second wave of the epidemic in Catalonia, Spain. Methodology: Cost-Benefit Analysis based on the estimated total costs of mass screening versus health gains and associated health costs avoided. Results: Excluding the value of monetized health, the Benefit-Cost ratio was estimated at 0.45, a low value that would seem to advise against mass screening policies. However, if monetized health is included, the ratio is close to 1.20, reversing the interpretation. In other words, the monetization of health is the critical element that tips the scales in favour of the desirability of screening. Results show that the interventions with the highest return are those that maximize the percentage of positives detected. Conclusion: Efficient management of resources for the policy of mass screening in asymptomatic populations can generate high social returns. The positivity rate critically determines its desirability. Likewise, precocity in the detection of cases will cut more transmissions in the chain of contagion and increase the economic return of these interventions. Maximizing the value of resources depends on screening strategies being accompanied by contact-tracing and specific in their focus, targeting, for example, high-risk subpopulations with the highest rate of expected positives.


2020 ◽  
Vol 4 (1) ◽  
pp. 12
Author(s):  
Muhammad Tody Arsyianto ◽  
Mohammad Rizal

Pada dasarnya Tenaga Kerja Indonesia (TKI) yang bekerja di luar negeri dilatarbelakangi oleh tekanan ekonomi, maka pemikiran para TKI berpusat pada remitansi yang besar, dengan stigma tersebut ada rasionalitas calon TKI memilih negara tujuan tempat bekerja yang memiliki standar upah tinggi, dengan biaya keberangkatan yang serendah mungkin. Bagi Pemerintah, TKI yang bekerja di luar negeri memberikan sumbangan devisa negara yang tidak kecil. Taiwan menjadi salah satu tujuan utama untuk bekerja dikarenakan pada Negara Taiwan ini  mempunyai standar gaji yang lebih tinggi dibanding Hongkong dan Singapura. Hasil penelitian menunjukkan bahwa: (1) Ditemukan bahwa untuk pra penempatan beberapa PJTKI ada yang memberikan dana tambahan untuk calon TKI namun ada yang meminta untuk membayar biaya pemberangkatan dan potong gaji, ketika berada di Taiwan kontrak kerja mudah diperpanjang dan standar upah tinggi tetapi sikap majikan tempramen dan kendala bahasa sedangkan setelah kembali ke Indonesia purna TKI mendapatkan modal yang tinggi dikarenakan standar upah yang tinggi namun hal itu menyebabkan purna TKI lebih konsumtif (2) Berdasarkan hasil perhitungan Cost Benefit Analysis dari 15 mantan TKI secara keseluruhan memenuhi syarat untuk diprioritaskan, karena dalam metode Net Present Benefit (NPB) maupun dengan Metode Benefit Cost Ratio (BCR) semuanya menunjukan bahwa hasil perhitungan yang layak untuk dijalankan.


Author(s):  
Kowser Ali Jan

A disaster wrecks those affected. It spares many in the affected areas, yet those spared may be indirectly impacted. Specific risks are often inherent within a social system or physical location, but they can also be created due to unavoidable natural or technological hazards. The consequences, however, can be similar in that they wreak havoc in communities and destroy economic systems. The analytical framework of deterrence and coping has ascertained beneficial in many circumstances, but a cost benefit calculation is a must to infer the feasibility of planning strategy and resource allocation. This study points to the Cost-Benefit Analysis (CBA) of flood management by District Disaster Management Kulgam. The assessment is established on secondary pooled data collected from administration offices, NGOs, published Journals, and local and national newspapers. It also characterised the strategy, the technique adopted, and the sources of flood damage cost information. The totalled benefits report for 78686.18 lakh of rupees, and that of total costs account for 2218.75lakh of rupees. The Benefit-Cost ratio greater than one (&gt;1) indicates that Flood Management in District Kulgam was economically feasible and successfully governed. The State of Jammu and Kashmir put up with necessary prevention and administration measures to break the spell of devastation due to floods to significant status.


2022 ◽  
Author(s):  
Dina Abushanab ◽  
Amaal Gulied ◽  
Anas Hamad ◽  
Palli Valappila Abdul Rouf ◽  
Moza Al Hail ◽  
...  

Abstract Background: Clinical pharmacists play a key role in ensuring the optimum use of cancer medicines. Yet, the economic benefit of this role has never been assessed in Qatar. Aim: To evaluate the overall economic impact of clinical pharmacist interventions in the main cancer care setting in Qatar. Methods: From the public healthcare perspective, this was an analysis of the total economic benefit and a cost-benefit analysis of the clinical pharmacy interventions. As a study sample size, patient records in March 2018, July/August 2018, and January 2019 were retrospectively reviewed at the National Center for Cancer Care & Research (NCCCR), Qatar. The total benefit from interventions was the total of the cost avoidance due to preventable adverse drug events (ADEs) plus the cost savings associated with therapeutic interventions. The interventions cost was based on salary and increased cost due to therapeutic interventions. The cost-benefit analysis results were presented via net benefit and benefit‐to‐cost ratio measures. Results : Total of 1,352 interventions occurred during the 3-month follow-up period. The total benefit was QAR 196,010,360 (USD53,834,206), constituting cost avoidance of QAR 194,764,534 (USD 53,492,040) and cost savings of QAR 1,245,826 (USD 342,166), mostly due to recommending additional medications and the medication dose reduction. The benefit-to-cost ratio was 174:1 and the annual net benefit was QAR 779,539,440 (USD 214,100,351). Sensitivity analyses confirmed the robustness of results. Conclusion: The clinical pharmacist intervention is a cost-beneficial practice in the NCCCR setting, associated with ADEs prevention and substantial economic benefits, including relative to the interventions cost.


Syntax Idea ◽  
2021 ◽  
Vol 3 (2) ◽  
pp. 383
Author(s):  
Siti Dwi Lazuardi ◽  
Akhdan Muhammad Muaz ◽  
Dina Fatimatuz Zahroh ◽  
Altalariq Pranantha Yudha Airlangga ◽  
Afyfah Ramadhani Dias Saputri

Kasus COVID-19 hingga saat ini terus mengalami peningkatan, terlalu banyaknya pasien yang membutuhkan perawatan intensif mengakibatkan rumah sakit mengalami kondisi overloaded capacity. Dalam rangka meminimalisir adanya pasien rawat mandiri dan berisiko adanya cluster keluarga, maka pemanfaatan container menjadi ruang isolasi apung sebagai alternatif bagi masyarakat untuk mendapat penanganan intensif COVID-19. Pemanfaatan container bekas 20 feet dipadukan dengan alas untuk mengapung berbahan HDPE (High-Density Polyethylene) dan alas pijakan WPC (Wood Plastic Composite). Dalam mempertimbangkan besaran biaya serta mengukur keoptimalan dari manfaat penelitian, maka penilitian ini menggunakan metode CBA (Cost-Benefit Analysis) dan metode BCR (Benefit Cost Ratio) untuk menguji kelayakan dari penelitian ini. Hasil penelitian menunjukan bahwa pemanfaatan container bekas menjadi ruang isolasi apung termasuk dalam kategori baik, dimana penelitian ini dapat menekan angka pasien isolasi mandiri sebesar 35% dan hasil perhitungan manfaat memiliki rasio sebesar 1,02 dan menghasilkan nilai NPV positif dengan batasan kelayakan yaitu BCR > 1, dan NPV > 1. Dari hasil penelitian tersebut, dapat disimpulkan bahwa, ruang isolasi apung ini layak untuk direalisasikan atau dioperasikan.


Author(s):  
Francesc López Seguí ◽  
Oriol Estrada Cuxart ◽  
Oriol Mitjà i Villar ◽  
Guillem Hernández Guillamet ◽  
Núria Prat Gil ◽  
...  

The epidemiological situation generated by COVID-19 has highlighted the importance of applying non-pharmacological measures. Among these, mass screening of the asymptomatic general population has been established as a priority strategy by carrying out diagnostic tests to limit the spread of the virus. In this article, we aim to evaluate the economic impact of mass COVID-19 screenings of an asymptomatic population through a Cost-Benefit Analysis based on the estimated total costs of mass screening versus health gains and associated health costs avoided. Excluding the value of monetized health, the Benefit-Cost ratio was estimated at approximately 0.45. However, if monetized health is included in the calculation, the ratio is close to 1.20. The monetization of health is the critical element that tips the scales in favour of the desirability of screening. Screenings with the highest return are those that maximize the percentage of positives detected.


Animals ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1297
Author(s):  
Juntae Kim ◽  
Hyo-Dong Han ◽  
Wang Yeol Lee ◽  
Collins Wakholi ◽  
Jayoung Lee ◽  
...  

Currently, the pork industry is incorporating in-line automation with the aim of increasing the slaughtered pork carcass throughput while monitoring quality and safety. In Korea, 21 parameters (such as back-fat thickness and carcass weight) are used for quality grading of pork carcasses. Recently, the VCS2000 system—an automatic meat yield grading machine system—was introduced to enhance grading efficiency and therefore increase pork carcass production. The VCS2000 system is able to predict pork carcass yield based on image analysis. This study also conducted an economic analysis of the system using a cost—benefit analysis. The subsection items of the cost-benefit analysis considered were net present value (NPV), internal rate of return (IRR), and benefit/cost ratio (BC ratio), and each method was verified through sensitivity analysis. For our analysis, the benefits were grouped into three categories: the benefits of reducing labor costs, the benefits of improving meat yield production, and the benefits of reducing pig feed consumption through optimization. The cost-benefit analysis of the system resulted in an NPV of approximately 615.6 million Korean won, an IRR of 13.52%, and a B/C ratio of 1.65.


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