Costs and consequences of the Portuguese needle-exchange program in community pharmacies

Detalhes bibliográficos
Autor(a) principal: Borges, Margarida
Data de Publicação: 2020
Outros Autores: Gouveia, Miguel, Fiorentino, Francesca, Jesus, Gonçalo, Cary, Maria, Guerreiro, José Pedro, Costa, Suzete, Carneiro, António Vaz
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/44073
Resumo: © The Author(s) 2020. Article reuse guidelines: sagepub.com/journals-permissions
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spelling Costs and consequences of the Portuguese needle-exchange program in community pharmacies© The Author(s) 2020. Article reuse guidelines: sagepub.com/journals-permissionsBackground: Needle-exchange programs (NEPs) reduce infections in people who inject drugs. This study assesses the impact community pharmacies have had in the Needle-Exchange Program in Portugal since 2015. Methods: Health gains were measured by the number of human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infections averted, which were estimated, in each scenario, based on a standard model in the literature, calibrated to national data. The costs per infection were taken from national literature; costs of manufacturing, logistics and incineration of injection materials were also considered. The results were presented as net costs (i.e., incremental costs of the program with community pharmacies less the costs of additional infections avoided). Results: Considering a 5-year horizon, the Needle Exchange Program with community pharmacies would account for a 6.8% (n = 25) and a 6.5% reduction (n = 22) of HCV and HIV infections, respectively. The present value of net savings generated by the participation of community pharmacies in the program was estimated at €2,073,347. The average discounted net benefit per syringe exchanged is €3.01, already taking into account a payment to community pharmacies per needle exchanged. Interpretation: We estimate that the participation of community pharmacies in the Needle Exchange Program will lead to a reduction of HIV and HCV infections and will generate over €2 million in savings for the health system. Conclusions: The intervention is estimated to generate better health outcomes at lower costs, contributing to improving the efficiency of the public health system in Portugal.SAGE PublicationsRepositório da Universidade de LisboaBorges, MargaridaGouveia, MiguelFiorentino, FrancescaJesus, GonçaloCary, MariaGuerreiro, José PedroCosta, SuzeteCarneiro, António Vaz2020-07-21T11:06:17Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/44073engCan Pharm J (Ott). 2020;153(3):170-1781715-163510.1177/17151635209157441913-701Xinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:44:40Zoai:repositorio.ul.pt:10451/44073Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:56:39.417594Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Costs and consequences of the Portuguese needle-exchange program in community pharmacies
title Costs and consequences of the Portuguese needle-exchange program in community pharmacies
spellingShingle Costs and consequences of the Portuguese needle-exchange program in community pharmacies
Borges, Margarida
title_short Costs and consequences of the Portuguese needle-exchange program in community pharmacies
title_full Costs and consequences of the Portuguese needle-exchange program in community pharmacies
title_fullStr Costs and consequences of the Portuguese needle-exchange program in community pharmacies
title_full_unstemmed Costs and consequences of the Portuguese needle-exchange program in community pharmacies
title_sort Costs and consequences of the Portuguese needle-exchange program in community pharmacies
author Borges, Margarida
author_facet Borges, Margarida
Gouveia, Miguel
Fiorentino, Francesca
Jesus, Gonçalo
Cary, Maria
Guerreiro, José Pedro
Costa, Suzete
Carneiro, António Vaz
author_role author
author2 Gouveia, Miguel
Fiorentino, Francesca
Jesus, Gonçalo
Cary, Maria
Guerreiro, José Pedro
Costa, Suzete
Carneiro, António Vaz
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Borges, Margarida
Gouveia, Miguel
Fiorentino, Francesca
Jesus, Gonçalo
Cary, Maria
Guerreiro, José Pedro
Costa, Suzete
Carneiro, António Vaz
description © The Author(s) 2020. Article reuse guidelines: sagepub.com/journals-permissions
publishDate 2020
dc.date.none.fl_str_mv 2020-07-21T11:06:17Z
2020
2020-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/44073
url http://hdl.handle.net/10451/44073
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Can Pharm J (Ott). 2020;153(3):170-178
1715-1635
10.1177/1715163520915744
1913-701X
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SAGE Publications
publisher.none.fl_str_mv SAGE Publications
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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