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Cost-benefit Analysis of Clinical Preventive Services: Perspective of Pharmacists in Tertiary Hospitals in South-Eastern Nigeria
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| Author:
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ANOSIKE, CHIBUEZE*, ADIBE. MAXWELL OGOCHUKWU, IGBOELI, NNEKA UCHENNA
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| Abstract:
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Aim: This study aimed to conduct a cost-benefit analysis of hospital pharmacists provided clinical preventive services in tertiary hospitals in South-Eastern Nigeria.
Methods: A cross-sectional study was conducted among out-patients in two tertiary hospitals. Using contingent valuation, we elicited respondents’ willingness to pay (WTP) for pharmacists provided clinical preventive services (CPS). The cost of providing CPS was calculated from the perspective of pharmacists. Benefit-cost ratio (BCR) and price elasticity of demand for CPS were calculated. Descriptive statistics was used to present patients’ sociodemographic characteristics. The predictors of WTP and WTP amount for CPS was modelled using multivariate regression. P values < 0.05 were considered statistically significant.
Results: Of the 466 participants, about 71% of the respondents were willing to pay an average of US$0.85 ± 1.16 for CPS. BCR for CPS was 2.38 (95% CI 2.25-6.99). Price elasticity of demand for CPS was inelastic. Patients with self-reported “average health status” had 66.7% higher WTP odds for CPS than those with “good health status.” Every unit increase in monthly income led to US$0.27 increase in WTP amount for CPS.
Conclusion: Our findings showed high patient acceptance of CPS, as a substantial proportion were willing to pay for the service. Pharmacists provided CPS was cost-beneficial as every dollar spent returns about US$2.4 for the service providers. However, income level and health status were major contributors of patients’ WTP for the service.
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| Keyword:
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Clinical preventive service, hospital pharmacists, cost-benefit analysis, contingent valuations
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| EOI:
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| DOI:
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