Community-Based Pharmacists' Perspectives on Prescribing Authority for the Minor Ailments and Contraception Service in British Columbia.

Innovations in pharmacy Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI:10.24926/iip.v15i3.6230
Karen Dahri, Yiu-Ching Jennifer Wong, Peter Loewen, Jiven Basi, Sohail Sidhu, Parkash Ragsdale, Arden Barry, Rob Pammett
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Abstract

Background: Recent changes to legislation in British Columbia (BC) have expanded the scope of pharmacist-provided services to include pharmacist prescribing for minor ailments and contraception (PPMAC). The purpose of this study was to gather community-based pharmacists' perspectives on these changes to practice. Methods: This was a cross-sectional online survey study. The study population was pharmacists practicing in community settings in BC. A 28-question survey was developed to capture the uptake of prescribing in the pharmacists' practices, their views on PPMAC, educational supports, and workplace-specific questions. Invitations to participate were disseminated by using fax, social media platform posts, and email. Results: A total of 246 respondents completed all or part of the survey. A majority felt they should be able to assess and prescribe for minor ailments and contraception, and were satisfied with the regulatory changes. Pharmacists had varying degrees of comfort with prescribing for specific patient populations, with the highest for patients >75 years of age and lowest for patients with renal disease. Respondents felt that patients who were without a primary care provider or did not have easy access to walk-in clinics would benefit the most from PPMAC. Pharmacists expressed concerns about their workplace's level of support for their providing these new services to patients. Discussion: Most pharmacist respondents were supportive of and have begun prescribing for minor ailments and contraception in their practices. While they identified many perceived benefits to patient care, workplace barriers may hinder full provision of pharmacist prescribing in their practice.

不列颠哥伦比亚省社区药剂师对轻微疾病和避孕服务处方权的看法》(Community-Based Pharmacists' Perspectives on Prescribing Authority for the Minor Ailments and Contraception Service in British Columbia)。
背景:不列颠哥伦比亚省(BC 省)最近对立法进行了修改,扩大了药剂师提供服务的范围,将药剂师开具小病处方和避孕处方 (PPMAC) 包括在内。本研究旨在收集社区药剂师对这些实践变化的看法。调查方法这是一项横断面在线调查研究。研究对象为不列颠哥伦比亚省社区执业药剂师。我们编制了一份包含 28 个问题的调查问卷,以了解药剂师在执业过程中开具处方的情况、他们对 PPMAC 的看法、教育支持以及工作场所的具体问题。通过传真、社交媒体平台帖子和电子邮件发出了参与邀请。结果:共有 246 位受访者完成了全部或部分调查。大多数人认为他们应该能够评估和开具轻微疾病和避孕处方,并对监管变化表示满意。药剂师对为特定患者群体开处方的舒适度各不相同,其中为 75 岁以上患者开处方的舒适度最高,为肾病患者开处方的舒适度最低。受访者认为,那些没有初级医疗服务提供者或不方便到诊所就诊的患者将从 PPMAC 中获益最多。药剂师对其工作场所是否支持他们为患者提供这些新服务表示担忧。讨论:大多数受访药剂师支持并已开始在其诊所开具小病处方和避孕处方。虽然他们认为这对患者护理有许多好处,但工作场所的障碍可能会阻碍药剂师在其执业过程中全面提供处方服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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