Challenges in applying pharmacoeconomics at the hospital level: Experts based approach

Background: Pharmacoeconomics (PE) is a useful tool that aid decision makers in evaluating the affordability of and access to rational drug use.­ Despite the potential value of PE there are several challenges with the application of this concept. In this article we enlisted various stakeholders involved in pharmaceutical expenditure decision making at various levels of the healthcare sector to identify the challenges associated with PE application and help with recommendations to overcome these challenges at the hospital level. Methods: A team of experts with extensive clinical, administrative and PE experience was assembled. A framework analysis method was used to identify the challenges. The panelist discussed and categorized the involved areas into specific groups. Potential action steps for each group were listed and grouped into categories. Results: The panelists identified and categorized the challenges and the potential actions for each stakeholder. Conclusions: Panelists recommendations are a guide for individuals and entities approaching PE application. Considering the role of each stakeholder listed in this article will assure better utilization of these recommendations.