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Service provision in the wake of a new funding model for community pharmacy

BACKGROUND: Recently, New Zealand has taken a system wide approach providing the biggest reform to New Zealand community pharmacy for 70 years with the aim of providing more clinically orientated patient centred services through a new funding model. The aim of this study was to understand the types...

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Autores principales: Smith, Alesha J., Scahill, Shane L., Harrison, Jeff, Carroll, Tilley, Medlicott, Natalie J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930839/
https://www.ncbi.nlm.nih.gov/pubmed/29716610
http://dx.doi.org/10.1186/s12913-018-3120-z
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author Smith, Alesha J.
Scahill, Shane L.
Harrison, Jeff
Carroll, Tilley
Medlicott, Natalie J.
author_facet Smith, Alesha J.
Scahill, Shane L.
Harrison, Jeff
Carroll, Tilley
Medlicott, Natalie J.
author_sort Smith, Alesha J.
collection PubMed
description BACKGROUND: Recently, New Zealand has taken a system wide approach providing the biggest reform to New Zealand community pharmacy for 70 years with the aim of providing more clinically orientated patient centred services through a new funding model. The aim of this study was to understand the types of services offered in New Zealand community pharmacies since introduction of the new funding model, what the barriers are to providing these services. METHOD: A survey of all community pharmacies were undertaken between August, 2014 and February, 2015. Basic descriptive statistics were completed and group comparisons were made using the chi squared test with significance set at p < 0.05. RESULTS: 528 responses were received. Education and advice on prescription and non-prescription medicines were the two top listed services provided. There were no significant differences in service provision between rural and metro based pharmacies. Many pharmacies were considering introducing new patient centred services. Four of the top ten frequently provided services have no public funding attached. Costs and staff availability are the most common barriers to undertake services, more predominantly in patient centred services. CONCLUSION: This study was the first to provide an evaluation of service provision in response to a new funding model for New Zealand Community Pharmacies. A broad range of services are being undertaken in New Zealand community pharmacies including patient-centred services. A number of barriers to service provision were identified. This study provides a baseline for the current levels of service provision upon which future studies can compare to and evaluate any changes in service provision with differing funding models going forward.
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spelling pubmed-59308392018-05-09 Service provision in the wake of a new funding model for community pharmacy Smith, Alesha J. Scahill, Shane L. Harrison, Jeff Carroll, Tilley Medlicott, Natalie J. BMC Health Serv Res Research Article BACKGROUND: Recently, New Zealand has taken a system wide approach providing the biggest reform to New Zealand community pharmacy for 70 years with the aim of providing more clinically orientated patient centred services through a new funding model. The aim of this study was to understand the types of services offered in New Zealand community pharmacies since introduction of the new funding model, what the barriers are to providing these services. METHOD: A survey of all community pharmacies were undertaken between August, 2014 and February, 2015. Basic descriptive statistics were completed and group comparisons were made using the chi squared test with significance set at p < 0.05. RESULTS: 528 responses were received. Education and advice on prescription and non-prescription medicines were the two top listed services provided. There were no significant differences in service provision between rural and metro based pharmacies. Many pharmacies were considering introducing new patient centred services. Four of the top ten frequently provided services have no public funding attached. Costs and staff availability are the most common barriers to undertake services, more predominantly in patient centred services. CONCLUSION: This study was the first to provide an evaluation of service provision in response to a new funding model for New Zealand Community Pharmacies. A broad range of services are being undertaken in New Zealand community pharmacies including patient-centred services. A number of barriers to service provision were identified. This study provides a baseline for the current levels of service provision upon which future studies can compare to and evaluate any changes in service provision with differing funding models going forward. BioMed Central 2018-05-02 /pmc/articles/PMC5930839/ /pubmed/29716610 http://dx.doi.org/10.1186/s12913-018-3120-z Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Smith, Alesha J.
Scahill, Shane L.
Harrison, Jeff
Carroll, Tilley
Medlicott, Natalie J.
Service provision in the wake of a new funding model for community pharmacy
title Service provision in the wake of a new funding model for community pharmacy
title_full Service provision in the wake of a new funding model for community pharmacy
title_fullStr Service provision in the wake of a new funding model for community pharmacy
title_full_unstemmed Service provision in the wake of a new funding model for community pharmacy
title_short Service provision in the wake of a new funding model for community pharmacy
title_sort service provision in the wake of a new funding model for community pharmacy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930839/
https://www.ncbi.nlm.nih.gov/pubmed/29716610
http://dx.doi.org/10.1186/s12913-018-3120-z
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