Assessing Risk for Loss of Rural Pharmacy Services in Minnesota
| Autor: | Todd D. Sorensen, Andrew P. Traynor |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Rural Population
Pharmacology medicine.medical_specialty Framingham Risk Score business.industry Minnesota Pharmacist Pharmacology (nursing) Pharmacy Community Pharmacy Services Risk Assessment Metropolitan area Clinical pharmacy Cross-Sectional Studies Family medicine Pharmaconomist Revenue Medicine Rural Health Services Medical prescription business |
| Zdroj: | Journal of the American Pharmacists Association. 45:684-693 |
| ISSN: | 1544-3191 |
| DOI: | 10.1331/154434505774909517 |
| Popis: | Objective To quantify rural communities' risks for losing access to local pharmacy services using a newly developed risk-assessment tool. Design Cross-sectional study. Setting Minnesota in June through August 2003. Participants Pharmacy owners and managers in rural communities with populations less than 5,000 residents and only one community pharmacy. Intervention Self-administered questionnaire completed by study participants. Main Outcome Measures Each answer was given a score based on the related factor's ability to affect risk of pharmacy closure. Scores were summed to give a comparative risk score with a positive score indicating higher risk; these scores could range from −13.5 to +30.75, depending on responses. Results From 126 communities outside of the Minneapolis–St. Paul metropolitan area with populations of fewer than 5,000 residents and only one community pharmacy, 81 (64.3%) usable responses were received. The calculated risk scores ranged from −7 to +12.3, with mean (± SD) scores of 1.55±4.17. Factors that contributed most to rural pharmacies' risk index were dramatic decreases in community populations within 5years, poor community support for the pharmacy, owner's intent to sell pharmacy within 2years, less than $750,000 in annual prescription revenue, perceived erosion of total market share of prescriptions, difficulties in recruiting full-time pharmacist-employees, lack of access to local primary care, and perceived likelihood that local primary care clinics would not be active in 5years. Approximately 26% of pharmacy owners responding expressed interest in selling their pharmacy within 3years, and 62% were interested in selling within 10years. Conclusion The tool developed for this study allows prospective assessment of risk, which can facilitate a greater awareness by local and regional officials and consumers of the possibility of loss of rural pharmacies, assist in targeting resources to areas most in need, and serve as a bridge to collaborative relationships aimed at ensuring local access to both pharmacy services and the knowledge of a pharmacist. |
| Databáze: | OpenAIRE |
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