Abstract:
BACKGROUND:In view of the increasing cost of general practice of drug prescribing, it is important to look at ways of reducing drug wastage and thereby improve the cost-effectiveness of prescribing. OBJECTIVE:To determine the costs and cost savings to the NHS of instalment dispensing for newly prescribed medicines and to quantify the extra costs incurred by patients. METHODS:Patients were randomized to receive either a normal (n = 103) or an instalment (n = 101) prescription. RESULTS:The difference between prescribed and dispensed drug costs in the intervention group was 0.98 UK pounds per patient (95% confidence interval 0.14-1.82 UK pounds), giving a 7% reduction in drug costs. The costs of the additional pharmacy time required to implement the intervention was calculated to be 5.02 UK pounds per patient. CONCLUSIONS:Introduction of a system of instalment dispensing produced savings in the general practice of drugs bill, but these were not large enough to offset additional costs for pharmacists.
journal_name
Fam Practjournal_title
Family practiceauthors
Millar J,McNamee P,Heaney D,Selvaraj S,Bond C,Lindsay S,Morton Mdoi
10.1093/fampra/cmn100subject
Has Abstractpub_date
2009-04-01 00:00:00pages
163-8issue
2eissn
0263-2136issn
1460-2229pii
cmn100journal_volume
26pub_type
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