Background A comprehensive approach to pharmaceutical delivery was necessary to improve the efficiency, safety, health and economic outcomes in the process of using medicines, nutrition and health products in a Socio-Sanitary Centre (SSC).
Purpose An economic analysis was performed for the difference in cost between the supply of medicines to a SSC from a Hospital Pharmacy Service (HPS) versus a Community Pharmacy (CP) for a period of 8 months.
Material and methods A retrospective study of 8 months in a SSC with 84 residents, which compares the cost of the pharmaceutical supply through the model of prescription and dispensation of PC, with direct supply of HPS. The data of dispensation and expenditure of the HPS, were obtained through the application of Farmatools and the cost of medicines in CP through the application of Portalfarma. The cost of the drugs for the HPS are negotiated with the supplier laboratory. While in the CP it is the official price of sale to the public plus the social security discount. To estimate the price difference, the cost in CP and HPS was calculated, the difference was obtained and the percentage in savings of all the products obtained, then we add by obtaining the total savings.
Results During 23 months, 231 specialties were dispensed corresponding to 185 active principles. A total of 1 89 365 units of the different dosage forms were dispensed. The cost of the products dispensed through OF would reach €1 39 445. The cost of the same through dispensing by the SFH was €97 514. The total saving was €41 931 euros. It is estimated that the average percentage of savings is around 40%.
Conclusion The dispensation to a CSS from the SFH has achieved savings for our SFH during the analysed period of 40%, which is a total of €41 931. This reduction is based on a direct purchase management system integrated in the SFH, thus contributing to the sustainability of the Public Health System.
References and/or Acknowledgements Estrategia para el Abordaje de la Cronicidad en el Sistema Nacional de Salud. Estrategia aprobada por el Consejo Interterritorial del SNS el27–6–2012. Ministerio de Sanidad,Servicios Sociales e Igualdad.
Real Decreto16/2012de medidas urgentes para garantizar la sostenibilidad del Sistema Nacional de Salud y mejorar la calidad y seguridad de sus prestaciones.
No conflict of interest
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