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Table 3 Cost-benefit analysis of prescription intervention by pharmacists

From: Clinical and economic impact of pharmacist interventions on sampled outpatient prescriptions in a Chinese teaching hospital

 

2011

2012

2013

2014

2015

2016

Hourly salary (Dollar)

4.10

4.66

5.22

5.75

6.31

6.47

Total pharmacist time (Hour) a

1216

1216

1216

1216

1216

1216

Time for reviewing and contacting (Hour) (4 h per working day*250 working days per year)

1000

1000

1000

1000

1000

1000

Time for summarizing and analyzing (Hour) (16 h per month *12 months per year)

192

192

192

192

192

192

Time for education (Hour) (2 h per month *12 months per year)

24

24

24

24

24

24

Total cost of pharmacist time (Dollar)b

4984

5666

6352

6987

7673

7868

Total cost of inappropriate prescriptions (Dollar)c

43,500

36,718

29,627

15,354

8723

8978

Direct benefit-to-cost ratio d

8.73

6.48

4.66

2.20

1.14

1.14

  1. aTotal pharmacist time = (Time for reviewing and contacting) + (Time for summarizing and analyzing) + (Time for education);
  2. bTotal cost of pharmacist time = (Total pharmacist time)* (Hourly salary);
  3. cTotal cost of inappropriate prescriptions = the sum of costs of all inappropriate items;
  4. dDirect benefit-to-cost ratio = (Total cost of inappropriate prescriptions)/(Total cost of pharmacist time);