Time Driven Activity Based Costs of Community Pharmacy Drug Dispensing Services at Burapha University Hospital

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Ramanya Pinpone
Nattanichcha Kulthanachairojana
Phakdee Sukpornsawan
Yutthapoom Meepradist

บทคัดย่อ

   Background: Community pharmacy drug dispensing services (CPDDS) aim to enhance access to medical services. The service reduced hospital resource consumption. This study aimed to compare the cost of hospital pharmacy drug dispensing services (HPDDS) and CPDDS for stable hypertensive patients at Burapha University Hospital from a provider perspective.
           Method: The costs were calculated using the Time-Driven Activity-Based Costing (TDABC) approach. Data were collected at hospital and drugstore through interviews and observation. The resource usage of HPDDS and CPDDS for stable hypertension treatment was identified.
          Result: The processes of HPDDS and CPDDS included doctor services, nurse services, pharmacy services. By shifting patients from HPDDS to CPDDS, the hospital cost savings would be 294.68 THB per patient per year but drugstores would increase costs of 413.24 THB per patient per year.
           Conclusion: From a hospital perspective, CPDDS is a cost-saving strategy compared with HPDDS for stable hypertensive treatment.

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