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. 2020 Sep 24;54:94. doi: 10.11606/s1518-8787.2020054001895

Table 2. Direct costs (US$) of adhered to and non-adhered to interventions to the hospital and PHS perspective.

Intervention Avoided outpatient cost of co-morbidity Avoided cost of hospitalization of co-morbidity Sum of avoided outpatient costs and hospitalization costs CP service marginal cost (hospital perspective) (SD) Avoided cost (PHS perspective) (SD)
Adhered 4,073 73,081 77,154 547 76,609
Non-adhered 1,518 32,000 33,518 1,007 32,511
Conciliation adhered to 266 4,352 4,618 0 4,618
Conciliation non-adhered to 128 3,189 3,317 0 3,317
Total per year 1,995 36,479 39,536 518 (83) 39,019 (4,755)
Per patient year 6.0 109.2 118.4 1.5 (0.6) 116.8 (21)

CP: clinical pharmacy; PHS: Public Health System; SD: standard deviation.

Note: The marginal cost from the hospital perspective was estimated as the cost with the intervention minus the cost without intervention. For estimating the avoided cost to the PHS perspective was made: Sum of avoided outpatient and hospitalization costs – marginal costs of CP service). Thus, a positive marginal cost means no benefits of CP service and a positive avoided cost for the PHS means a real monetary benefit. Negative values for the marginal cost indicate that the cost margin was converted in favor of the intervention, characterizing the monetary benefit, or an expense that was avoided.