Positioning pharmacists’ roles in primary health care: a discourse analysis of the compensation plan in Alberta, Canada

Hughes, Christine; Breault, René R.; Hicks, Deborah; Schindel, Theresa J.

doi:10.1186/s12913-017-2734-x

Cited by 26 publications

(21 citation statements)

References 53 publications

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“…To our knowledge, this is the first study to assess how the public’s agenda for the pharmacy profession is set using news media headlines in any international setting. Related studies appear to show more in-depth discourse regarding professional roles and services in other settings yet are difficult to compare due to analysis beyond what is presented in news headlines 16,28,29. Our findings that headlines are focused on more ‘eye-catching’ concepts such as achievement and engagement do align with other headline studies showing the same 23,24.…”

Section: Discussionsupporting

confidence: 46%

Setting the agenda for clinical pharmacy in Qatar: thematic and content analyses of news media headlines

Diab

Wilby

2019

Pharm Pract (Granada)

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Background: Public awareness of the role of pharmacists and availability of pharmacy services in Qatar is low. As per agenda-setting theory, mass media may be contributing toward this problem by selecting and disseminating headlines and stories according their own objectives and not those of the profession. Objectives: The objective of this study was to examine the agenda set by mass media organizations in Qatar pertaining to the profession of pharmacy and to determine the frequency of professional identifiers that appear within news headlines. Methods: Publicly available news headlines published between November 2016 and November 2018 were obtained from local news websites. Thematic analysis was performed using agenda-setting theory to explore how the public’s agenda was set for pharmacy practice in Qatar. Content analysis was used to determine the proportion of headlines that contained a professional identifier linking the news report to the pharmacy profession. Results: A total of 81 headlines were included in the analysis. The agenda for pharmacy practice in Qatar was set according to two themes: achievement and outreach/engagement. Achievement related to awards, use of new technologies, interprofessional education, and novel student training accomplishments. Outreach/engagement reported student and pharmacist involvement upon completion of a health awareness event. Approximately half (47%) of headlines contained a professional identifying word linking the headline to the profession of pharmacy. Conclusions: The findings of this study demonstrate that the mass media’s agenda for the pharmacy profession in Qatar does not inform the public of pharmacist’s services or expanded scopes of practice. Furthermore, a lack of professional identifiers within headlines likely limits the public’s agenda of pharmacist roles. The pharmacy profession must work collaboratively with news media to better align the public’s agenda with pharmacists’ roles and services.

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Section: Discussionsupporting

confidence: 46%

Setting the agenda for clinical pharmacy in Qatar: thematic and content analyses of news media headlines

Diab

Wilby

2019

Pharm Pract (Granada)

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“…Insufficient funding/reimbursement for PP : This issue was identified as a barrier to PP practice in 15 studies (from the UK, Canada, NZ and Australia). Among those qualified pharmacist prescribers who did not use their prescribing qualification, insufficient funding was a key reason in the UK and Canada despite compensation policies offered in Canada from 2016 . The question of who would incur potential costs generated by PP services was raised in NZ and Australia – pharmacists or patients?…”

Section: Resultsmentioning

confidence: 99%

Barriers to pharmacist prescribing: a scoping review comparing the UK, New Zealand, Canadian and Australian experiences

Zhou

Desborough

Parkinson

et al. 2019

International Journal of Pharmacy Practice

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Objectives Non‐medical prescribers, including pharmacists, have been found to achieve comparable clinical outcomes with doctors for certain health conditions. Legislation supporting pharmacist prescribing (PP) has been implemented in the United Kingdom (UK), Canada and New Zealand (NZ); however, to date, Australian pharmacists have not been extended prescribing rights. The purpose of this review was to describe the barriers to PP found in the literature from the UK, Canada, NZ and Australia, and examine the implications of these for the development of PP in Australia. Methods We conducted a scoping review, which included peer‐reviewed and grey literature, and consultation with stakeholders. Sources – Scopus, PubMed and CINAHL; Google Scholar, OpenGrey and organisational websites from January 2003 to March 2018 in the UK, Canada, NZ and Australia. Inclusion criteria – articles published in English, related to implementation of PP and articulated barriers to PP. Key findings Of 863 unique records, 120 were reviewed and 64 articles were eligible for inclusion. Three key themes emerged: (1) Socio‐political context, (2) Resourcing issues and (3) Prescriber competence. The most common barriers were inadequate training regarding diagnostic knowledge and skills, inadequate support from authorities and stakeholders, and insufficient funding/reimbursement. Conclusions If implementation of PP is to occur, attention needs to be focused on addressing identified barriers to PP implementation, including fostering a favourable socio‐political context and prescriber competence. As such, a concerted effort is required to develop clear policy pathways, including targeted training courses, raising stakeholder recognition of PP and identifying specific funding, infrastructure and resourcing needs to ensure the smooth integration of pharmacist prescribers within interprofessional clinical teams.

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“…erefore, it could be important to consider the context in which the different quality indicators were developed in the reviewed studies to inform decisions on their transferability to other healthcare settings in different countries. Another important factor to consider is the jurisdictions in which these quality indicators were developed and the ones to which they are intended to be transferred in the light of what services pharmacists are legally allowed to provide [63][64][65].…”

Section: Discussionmentioning

confidence: 99%

Quality Indicators of Pharmaceutical Care for Integrative Healthcare: A Scoping Review of Indicators Developed Using the Delphi Technique

Shawahna

2020

Evidence-Based Complementary and Alternative Medicine

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Background. Recently, measuring and benchmarking provision of healthcare services has drawn a considerable attention. This scoping review was conducted to identify, describe, and summarize studies in which the Delphi technique was used to develop quality indicators of pharmaceutical care. The study also aimed to identify activities and services that could be used to capture the impact of pharmacist in integrative medicine. Methods. Databases were searched from inception to February 2020 using key terms that were combined using Boolean operators. Studies were included if they were relevant to development of quality indicators of pharmaceutical care with regard to medications or complementary and alternative medicine (CAM) modalities. Full text of the selected studies was imported into EndNote. Studies were screened and data were extracted into a standard extraction form. Results. Data were extracted from 31 studies. Of those, 24 (77.4%) were related to provision of pharmaceutical services relevant to medications and 7 (22.6%) were related to provision of care using CAM modalities. Most of the studies (67.7%) were published in 2010 and beyond. Almost half of the studies (48.4%) originated from the United States, United Kingdom, and Canada. A total of 42 different activities and services that could be used as quality indicators were identified from the studies included in this review. Activities and services were related to history taking, performing reconciliations, identifying and resolving therapy problems, providing collaborative care, designing care plans, optimal performance, and continuing education. Conclusions. Although there is an increasing interest in improving healthcare delivery, quality indicators of pharmaceutical services and those relevant to CAM provision in healthcare facilities adopting the integrated healthcare paradigm are still limited. Future studies are needed to develop validated quality indicators that could be successfully used in measuring and benchmarking quality of services in integrated healthcare facilities.

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Positioning pharmacists’ roles in primary health care: a discourse analysis of the compensation plan in Alberta, Canada

Cited by 26 publications

References 53 publications

Setting the agenda for clinical pharmacy in Qatar: thematic and content analyses of news media headlines

Setting the agenda for clinical pharmacy in Qatar: thematic and content analyses of news media headlines

Barriers to pharmacist prescribing: a scoping review comparing the UK, New Zealand, Canadian and Australian experiences

Quality Indicators of Pharmaceutical Care for Integrative Healthcare: A Scoping Review of Indicators Developed Using the Delphi Technique

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