alexa The Potential Cost-Effectiveness of Pharmacist Delivere
ISSN: 2329-9126

Journal of General Practice
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Research Article

The Potential Cost-Effectiveness of Pharmacist Delivered Brief Intervention for Alcohol Misuse

Héctor José Navarro1, Anthony Shakeshaft1*, Christopher M Doran2 and Dennis J Petrie3
1National Drug and Alcohol Research Centre (NDARC), UNSW (University of NSW), Australia
2Hunter Medical Research Institute and the University of Newcastle, Room 3016, HMRI Building, Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia
3Centre for Health Policy, Programs & Economics, Melbourne School of Population and Global Health, Level 4, 207 Bouverie Street, University of Melbourne, VIC, 3010, Australia
Corresponding Author : Anthony Shakeshaft
National Drug and Alcohol Research Centre (NDARC)
UNSW (University of NSW), Australia
Tel: 61-2-9385-0333
Email: [email protected]
Received August 14, 2014; Accepted September 22, 2014; Published September 29, 2014
Citation: Navarro HJ, Shakeshaft A, Doran CM, Petrie DJ (2014) The Potential Cost-Effectiveness of Pharmacist Delivered Brief Intervention for Alcohol Misuse. J Gen Practice 2:173. doi:10.4172/2329-9126.1000173
Copyright: © 2014 Shakeshaft A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

The provision of brief intervention (BI) for alcohol misuse in community pharmacies appears to be feasible, although little has been done in determining its impact. This research aims to model pharmacists’ delivered screening, BI and costs per additional risky drinker reducing alcohol consumption relative to current practice in rural Australia. A decision model was developed to assess costs and changes in outcomes from pharmacist-delivered screening and BI on alcohol consumption in 10 rural communities in New South Wales, Australia. Nine different scenarios were utilised to test the robustness of results to variations in key parameters. Based on evidence from current practice, approximately 22% of all risky drinkers in a defined community would reduce alcohol consumption annually, of which about 0.02% would do so because of pharmacist-delivered screening and BI and 1% would do so because of pharmacist screening only. Realistic increments of 10% and 20% in pharmacist-delivered screening and BI would reduce the proportion of risky drinkers by 0.5% and 1.6% at a cost of AUD$50 and AUD$40 respectively, per additional risky drinker reducing alcohol consumption. These findings suggest that increments in pharmacistdelivered screening and BI rates may result in potential cost-effective reductions in alcohol consumption, although its widespread adoption is unlikely to occur because almost all risky drinking pharmacy customers would need to be screened to achieve a reasonable effect size.

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