The economics of pharmaceutical services for methadone services in a public clinic and community pharmacies
|Chief Investigator:||Professor Bruce Sunderland|
The purpose of the project is to quantify and compare the costs associated with the delivery of pharmacy-based methadone maintenance treatment (MMT) from a public methadone clinic and community pharmacies. Data regarding costs are important for community pharmacy bodies for negotiation with governments regarding funding the establishment of these programs in pharmacies. In addition these data provide a sound basis for calculating a daily dispensing and supervised administration fee for methadone patients, which is necessary if part or whole of this fee was to be subsidised. Questionnaires and random activity methodologies will be administered in community pharmacies and a clinic. Overhead costs will be obtained from the Guild Digest and the Next Step Clinic. Patients will be categorised in each setting and followed for 90 days from the first day of treatment. It is expected costs incurred in the first 30 days will mainly represent costs of methadone induction and in the last 30 days costs of maintenance with methadone.