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.