Assessment of the impact of the use single-dose medications in 2 primary care centres

作者：Sega Tolsa Jose Luis; Rubio Dalmau Ana; Perez Lopez Sonia; Fernandez Roure Jose Luis; Serrat Torres Josep; Modamio Charles Pilar; Marino Hernandez Eduardo

来源：Atencion Primaria, 2013, 45(9): 451-460.

DOI：10.1016/j.aprim.2013.02.003

• Single-dose
• Prescription
• Efficiency

Objective: To evaluate the economical impact of using medications packaged in a single dose non-reusable container (Onedose (R)), compared to prescribing preparations in the usual multi-dose containers. %26lt;br%26gt;Design: We performed a cost-minimization analysis from a prescribing center%26apos;s perspective. The observational study design is retrospective and analyzes 23 products in prescriptions made between January and April 2012. %26lt;br%26gt;Setting: Two Spanish Primary Care Centers located in the province of Barcelona. The first covered an urban area with a population of 24.500 people, and the second a semi-urban area with 10.000 people. %26lt;br%26gt;Primary outcome measures: Each examined product was measured between January and April 2012 and extrapolated annually, based on the defined substitution scenarios results of total Euro savings in non-prescribed doses and price differences. %26lt;br%26gt;Results: The Savings related to the substitution of the prescribed packaging presentations with Onedose (R) were 45.000 Euros (24%) in the months of analysis and 133.000 Euros annually, avoiding the use of 212.000 doses (14%) in the period analyzed and 669.000 doses annually. %26lt;br%26gt;Conclusions: The use of single dose non-reusable container packaging (Onedose (R)) in the analyzed health centers reduced prescription-related expenses without increasing dispensing costs, thus reducing the household stock of those medicines which are not objectively suitable to be used without a previous diagnosis.

• 出版日期2013-11