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Economic Evaluation of the Portuguese Needle Exchange Program in Community Phar...

Gouveia, M; Carneiro, AV; Costa, S; Guerreiro, J; Cary, M; Jesus, G; Gouveia, M; Borges, M

ObjectivesTo conduct a cost-effectiveness analysis comparing two scenarios of the Needle Exchange Program (NEP) in Portugal: with and without community pharmacies (CP). Methods Health gains were measured by the number of HIV and HCV infections avoided. The number of infections in each scenario was estimated based on a standard model in the literature (Jacobs et al, 1994) calibrated to the national epidemiologic...


Social and Economic Value of Portuguese Community Pharmacies in Health Care

Félix, J; Ferreira, D; Afonso-Silva, M; Vargas Gomes, M; Ferreira, C; Vandewalle, B; Marques, S; Mota, M; Costa, S; Cary, M; Teixeira, I; Paulino, E

BackgroundCommunity pharmacies are major contributors to health care systems across the world. Several studies have been conducted to evaluate community pharmacies services in health care. The purpose of this study was to estimate the social and economic benefits of current and potential future community pharmacies services provided by pharmacists in health care in Portugal. Methods The social and economic valu...


Dispensing of Specialist HIV Drugs in Community Pharmacies-Evaluation of Effect...

Gouveia, M; Rodrigues, AT; Borges, M; Costa, J; Fiorentino, F; Jesus, J; Rodrigues, AT; Cary, M; Guerreiro, J; Heudtlass, P; Costa, S; Carneiro, AV

BackgroundThe prospect of chronic HIV patients obtaining their ART medication in community settings has considerable interest for health authorities. In Portugal, the Health Ministry promoted a pilot study randomizing the dispensing of ART therapy to hospital pharmacies and to community pharmacies in order to assess the impact of a transfer of dispensing from the current hospital setting. This study “piggy back...


Diabetes Policies and Pharmacy- -based Diabetes Interventions in Portugal: A Co...

Costa, S; Horta, MR; Santos, R; Mendes, Z; Jacinto, I; Guerreiro, J; Cary, M; Miranda, A; ., Helling; Martins, AP

BackgroundPharmacy-based interventions are complex public health endeavors which include, but are not restricted to, the conventional medication supply role. In diabetes, such interventions may improve patients’ outcomes. The aim of this study was to review relevant policies and research developed in Portugal directed at pharmacy-based diabetes interventions, and to inform future policies, practice and research...


An Overview of Systematic Reviews of Economic Evaluations of Pharmacy-based Pub...

Costa, S; Cary, M; Helling, D; Pereira, J; Mateus, C

BackgroundPharmacy interventions are a subset of public health interventions and its research is usually performed within the scope of a trial. The economic evaluation of pharmacy interventions requires certain considerations which have some similarities to those of public health interventions and to economic evaluations alongside trials. The objective of this research is to perform an overview of systematic re...


Effectiveness of a Collaborative Care Intervention Between Pharmacies and Prima...

Costa, S; Rodrigues, AT; Biscaia, JS; Romano, S; Guerreiro, JP; Heudtlass, P; Cary, M; Romão, M; Rodrigues, AT; Miranda, AC; Martins, AP; Bento, AS

Context: The Study Team integrates researchers of: National Association of Pharmacies (ANF); NHS Primary Care Unit USF S. Julião of Agrupamento dos Centros de Saúde (ACeS) Baixo Mondego; National Oncology Registry (IPO Lisboa); Faculty of Pharmacy University of Lisbon; and Skaggs School of Pharmacy University of Colorado. The trial involves primary care and local pharmacies vs. usual fragmented care. Population...


Social and economic value of Portuguese community pharmacies in health care

Felix, J; Ferreira, D; Afonso Silva, M; Gomes, MV; Ferreira, C; Vandewalle, B; Marques, S; Mota, M; Costa, S; Cary, M; Teixeira, I; Paulino, E

Background: Community pharmacies are major contributors to health care systems across the world. Several studies have been conducted to evaluate community pharmacies services in health care. The purpose of this study was to estimate the social and economic benefits of current and potential future community pharmacies services provided by pharmacists in health care in Portugal. Methods: The social and economic v...


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