Funding pharmacists in general practice: A feasibility study to inform the design of future economic evaluations
| Autor: | Marteen J. Postma, Paresh Dawda, Guan Han Tay, Sam Kosari, Gregory M. Peterson, Mark Naunton, Louise S Deeks |
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| Přispěvatelé: | Value, Affordability and Sustainability (VALUE), Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), Microbes in Health and Disease (MHD) |
| Rok vydání: | 2021 |
| Předmět: |
Economics
Cost-Benefit Analysis health care facilities manpower and services General Practice education Pharmaceutical Science Pharmacy Primary care Income generation Business model Pharmacists 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine General Practitioners health services administration Health care Humans 030212 general & internal medicine Salary health care economics and organizations Pharmacist intervention Medical education business.industry Australia Work (electrical) General practice Feasibility Studies business Psychology |
| Zdroj: | Research in Social and Administrative Pharmacy, 17(5), 1012-1016. ELSEVIER SCIENCE INC |
| ISSN: | 1551-7411 |
| DOI: | 10.1016/j.sapharm.2020.07.030 |
| Popis: | Background Funding is a significant barrier to employing general practice pharmacists. Objective(s) To explore the feasibility of determining the cost-benefit of pharmacists in Australian general practice. Methods Two part-time pharmacists were employed by general practices in Canberra, Australia. Diaries of the pharmacists were analysed to determine time worked and participation in income-generating activities, including Government-funded programs: Asthma Cycle of Care, Home Medicine Reviews, and Health Care Assessments. Scenarios using different practice and business models were entered into value-cost models to determine the income generated by the pharmacists relative to their salary. Results Over 19 weeks, pharmacists A and B supported 47 and 23 Asthma Cycle of Care activities, generating income to the general practice of AU$4,700 and AU$2,300, respectively. The pharmacists spent 36.4 and 24.1 hours on activities usually conducted by general practitioners (GPs), allowing additional time for GP-patient consultations. Value-cost models determined AU$0.61 - AU$1.20 income generation by pharmacists per AU$1 salary. Conclusions It was feasible to determine the value-cost ratios of employing pharmacists in general practice using these methods. Future work should focus on developing a robust business model that includes health care system savings resulting from practice pharmacist interventions, determined from randomised controlled trials. |
| Databáze: | OpenAIRE |
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