Barriers to implementing pharmacoeconomics: interview study

Expert Rev Pharmacoecon Outcomes Res. 2021 Feb;21(1):93-104. doi: 10.1080/14737167.2020.1766969. Epub 2020 May 29.

Abstract

Background: Pharmacoeconomics estimates the value of pharmaceutical products and services and provides healthcare decision-makers with valuable information. Pharmacoeconomic evaluations have not been found to be influential in the Jordanian health care system. Although pharmacoeconomics as a concept is becoming more recognized in the pharmaceutical world, there are still some barriers to its implementation. Objective: To establish the perceived barriers to the implementation of pharmacoeconomics in Jordan. Method: A qualitative study with semi-structured interviews was conducted. Participants were chosen if they might benefit from the application of pharmacoeconomics; such as members of Pharmacy and Therapeutics Committees (PTCs) in public, private, and teaching hospitals; administrative pharmacists on drug pricing committees; those who produce pharmacoeconomic data such as academics; and administrative pharmacists in the Joint Procurement Department (JPD). The interviews were recorded and transcribed. Transcripts were analyzed using a thematic analysis approach. Result: Three main barriers to the implementation of pharmacoeconomics were identified. These were related to the nature of the decision-making process, the lack of pharmacoeconomic data, and inadequate knowledge about pharmacoeconomics. Conclusion: The current use and impact of pharmacoeconomic evaluations in Jordanian healthcare decision-making is restricted, in part, due to the barriers outlined by the respondents.

Keywords: Barriers; interview; pharmacoeconomics; qualitative research.

MeSH terms

  • Adult
  • Decision Making*
  • Delivery of Health Care / economics
  • Delivery of Health Care / organization & administration*
  • Economics, Pharmaceutical*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interviews as Topic
  • Jordan
  • Male
  • Middle Aged
  • Pharmacists / statistics & numerical data
  • Pharmacy and Therapeutics Committee / statistics & numerical data