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Diabetes Screening Through Community Pharmacies in England: A Cost-Effectiveness Study

Wright, David; Little, Richard; Turner, David; Thornley, Tracey

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Authors

David Wright

Richard Little

David Turner



Abstract

Community pharmacies are commonly used to screen for patients with diabetes. The aim of this paper is to estimate the cost per test and cost per appropriately referred patient from a pharmacy perspective using a one-year decision tree model. One-way sensitivity analysis was performed to estimate the effect of geographical location and patient self-referral rate. Data was used from 164 patients screened and located in an area with average social deprivation and largely white European inhabitants and 172 patients in an area with higher social deprivation (lower than average ability to access society’s resources) and a mixed ethnicity population in England. The diabetes screening consisted of initial risk assessment via questionnaire followed by HbA1c test for those identified as high risk. The cost per person screened was estimated as £28.65. The cost per appropriately referred patient with type 2 diabetes was estimated to range from £7638 to £11,297 in deprived mixed ethnicity and non-deprived areas respectively. This increased to £12,730 and £18,828, respectively, if only 60% of patients referred chose to inform their general practitioner (GP). The cost per test and identification rates through community pharmacies was similar to that reported through medical practices. Locating services in areas of suspected greater diabetes prevalence and increasing the proportion of patients who follow pharmacist advice to attend their medical practice improves cost-effectiveness.

Journal Article Type Article
Acceptance Date Mar 18, 2019
Online Publication Date Mar 22, 2019
Publication Date Mar 1, 2019
Deposit Date Jan 16, 2023
Publicly Available Date Jan 18, 2023
Journal Pharmacy
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 7
Issue 1
Article Number 30
DOI https://doi.org/10.3390/pharmacy7010030
Public URL https://nottingham-repository.worktribe.com/output/15940619
Publisher URL https://www.mdpi.com/2226-4787/7/1/30

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