Uptake of the Medication Assessment Program in Saskatchewan: Tracking claims during the first year

Kosar, Lynette; Hu, Nianping; Lix, Lisa M.; Shevchuk, Yvonne; Teare, Gary; Champagne, Anne; Blackburn, David

doi:10.1177/1715163517744228

Cited by 3 publications

(3 citation statements)

References 5 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While pharmacists are one of the most accessible primary care health care providers, based on the number of patient visits compared with primary care physicians, a limited range of prescribing authority combined with lack of appropriate remuneration potentially impacts patient perception of the pharmacist’s role and the pharmacist’s full adoption of services into practice [ 31 ]. Previous research supports these research findings that identify pharmacist’s perceived barriers to greater adoption of services into practice to include a lack of support from employers, a lack of appropriate remuneration, and a need for personalized education and practice as factors affecting the application of new scopes of practice [ 9 , 10 , 32 ].…”

Section: Discussionmentioning

confidence: 80%

Training Needs of Manitoba Pharmacists to Increase Application of Assessment and Prescribing for Minor Ailments into Practice: A Qualitative and Quantitative Survey

Shearer

Dunford

et al. 2018

Pharmacy

View full text Add to dashboard Cite

Current literature demonstrates the positive impact of pharmacists prescribing medication on patient outcomes and pharmacist perceptions of the practice. The aim of this study was to understand the factors affecting prescribing practices among Manitoba pharmacists and identify whether additional training methods would be beneficial for a practice behavior change. A web-based survey was developed and participation was solicited from pharmacists in Manitoba. Descriptive statistics were calculated to summarize the frequency of demographic characteristics. Chi-square tests were used to explore possible correlations between variables of interest and thematic analysis of qualitative data was completed. A total of 162 participants completed the survey. The response rate was 12.3%. Of those who had met the requirements to prescribe, none were doing so on a daily basis and 23.5% had not assessed or prescribed since being certified. Respondents identified the top barriers for providing this service as a lack of sufficient revenue and a lack of time. Qualitative analysis of responses identified additional barriers including a limiting scope and inadequate tools. Approximately half (54.4%) of respondents expressed that additional training would be of value. The themes identified from the survey data suggest that practice-based education would help pharmacists apply skills. In addition, expansion of prescribing authority and strategies addressing remuneration issues may help overcome barriers to pharmacists prescribing within Manitoba.

show abstract

Section: Discussionmentioning

confidence: 80%

Training Needs of Manitoba Pharmacists to Increase Application of Assessment and Prescribing for Minor Ailments into Practice: A Qualitative and Quantitative Survey

Shearer

Dunford

et al. 2018

Pharmacy

View full text Add to dashboard Cite

show abstract

Section: Primary Care Services Offered By Community Pharmaciesmentioning

confidence: 99%

“…45 Utilization of these services to target those most likely to benefit overall, such as older adults or people taking numerous medications, has been mixed, yet recent Canadian research has demonstrated that medication reviews are associated with a small reduced risk of readmissions to hospital and death. 44,46,47 Minor/common ailment management Many Canadian provinces have expanded pharmacists' scope of practice by authorizing community pharmacists to assess and prescribe for many common medical conditions such as uncomplicated cystitis and allergic rhinitis, which benefit from treatment with prescription medications not previously within the pharmacist's scope to prescribe. Some provinces delineate specific prescription medications that can be prescribed, and some require pharmacists to prescribe within treatment algorithms.…”

Section: Medication Reviewsmentioning

confidence: 99%

Community pharmacists’ evolving role in Canadian primary health care: a vision of harmonization in a patchwork system

Raiche

Pammett

Dattani

et al. 2020

Pharm Pract (Granada)

View full text Add to dashboard Cite

Canada’s universal public health care system provides physician, diagnostic, and hospital services at no cost to all Canadians, accounting for approximately 70% of the 264 billion CAD spent in health expenditure yearly. Pharmacy-related services, including prescription drugs, however, are not universally publicly insured. Although this system underpins the Canadian identity, primary health care reform has long been desired by Canadians wanting better access to high quality, effective, patient-centred, and safe primary care services. A nationally coordinated approach to remodel the primary health care system was incited at the turn of the 21st century yet, twenty years later, evidence of widespread meaningful improvement remains underwhelming. As a provincial/territorial responsibility, the organization and provision of primary care remains discordant across the country. Canadian pharmacists are, now more than ever, poised and primed to provide care integrated with the rest of the primary health care system. However, the self-regulation of the profession of pharmacy is also a provincial/territorial mandate, making progress toward integration of pharmacists into the primary care system incongruent across jurisdictions. Among 11,000 pharmacies, Canada’s 28,000 community pharmacists possess varying authority to prescribe, administer, and monitor drug therapies as an extension to their traditional dispensing role. Expanded professional services offered at most community pharmacies include medication reviews, minor/common ailment management, pharmacist prescribing for existing prescriptions, smoking cessation counselling, and administration of injectable drugs and vaccinations. Barriers to widely offering these services include uncertainties around remuneration, perceived skepticism from other providers about pharmacists’ skills, and slow digital modernization including limited access by pharmacists to patient health records held by other professionals. Each province/territory enables pharmacists to offer these services under specific legislation, practice standards, and remuneration models unique to their jurisdiction. There is also a small, but growing, number of pharmacists across the country working within interdisciplinary primary care teams. To achieve meaningful, consistent, and seamless integration into the interdisciplinary model of Canadian primary health care reform, pharmacy advocacy groups across the country must coordinate and collaborate on a harmonized vision for innovation in primary care integration, and move toward implementing that vision with ongoing collaboration on primary health care initiatives, strategic plans, and policies. Canadians deserve to receive timely, equitable, and safe interdisciplinary care within a coordinated primary health care system, including from their pharmacy team.

show abstract

Medication reviews in community pharmacy: a scoping review of policy, practice and research in Canada

Olufemi-Yusuf

Kung

Guirguis

2021

Journal of Pharmaceutical Health Services Research

View full text Add to dashboard Cite

Objectives This scoping review aims to systematically map the empirical evidence on publicly funded medication reviews provided by community pharmacists in Canada and identify gaps that could inform future research directions. Methods We used a scoping review framework and PRISMA guidelines for Scoping Reviews to conduct the study. Three electronic databases were searched for papers published between January 2000 until August 2020. Data was charted on study characteristics, and a thematic synthesis was performed. Key findings Of 41 original studies included, most were conducted in Ontario (n = 21). Majority of the studies employed quantitative designs (70%). Five major themes identified were program uptake, patient health outcomes, stakeholder beliefs and attitudes, processes and collaboration and pharmacy workplace culture, which varied considerably. At the individual, organizational and policy levels, many factors were interrelated and influenced the implementation of reimbursed medication reviews by community pharmacists. Gaps in eligibility policy highlighted some patients who may have complex needs are excluded. Variation in clinical outcomes may relate to different types of medication review and pharmacist practice across Canada. Few researchers evaluated eligibility criteria, the impact of policy changes, strategies to engage patients and healthcare professionals, patient–pharmacist communication or compared practice models of medication reviews. About 12% of the research applied a theoretical framework. Summary Publicly funded medication reviews in Canadian community pharmacies reduce medication-related problems and potentially improve patient health outcomes. Future research and policies could consider addressing barriers and exploring models for sustainable delivery of high-quality medication reviews internationally.

show abstract

Uptake of the Medication Assessment Program in Saskatchewan: Tracking claims during the first year

Cited by 3 publications

References 5 publications

Training Needs of Manitoba Pharmacists to Increase Application of Assessment and Prescribing for Minor Ailments into Practice: A Qualitative and Quantitative Survey

Training Needs of Manitoba Pharmacists to Increase Application of Assessment and Prescribing for Minor Ailments into Practice: A Qualitative and Quantitative Survey

Community pharmacists’ evolving role in Canadian primary health care: a vision of harmonization in a patchwork system

Medication reviews in community pharmacy: a scoping review of policy, practice and research in Canada

Contact Info

Product

Resources

About