Breault Rene R, Whissell Jeff G, Hughes Christine A, Schindel Theresa J
J Am Pharm Assoc (2003). 2017 Jul-Aug;57(4):532-541. doi: 10.1016/j.japh.2017.05.004. Epub 2017 Jun 15.
To describe experiences with development and implementation of a compensation plan for pharmacy services delivered by pharmacists in community pharmacies.
Community pharmacy practice in Alberta, Canada.
Pharmacists in Alberta have one of the most progressive scopes of practice in North America. They have authority to prescribe drugs independently, administer drugs by injection, access electronic health records, and order laboratory tests.
A publicly funded compensation plan for pharmacy services was implemented in 2012. Principles that guided development of the compensation plan aimed to 1) ensure payment for pharmacy services, 2) support pharmacists in using their full scope of practice, 3) enable the development of long-term relationships with patients, 4) facilitate expansion of services delivered by pharmacists, and 5) provide access to pharmacy services for all eligible Albertans. Services covered by the compensation plan include care planning, prescribing, and administering drugs by injection.
The guiding principles were used to evaluate experiences with the compensation plan.
Claims for pharmacy services covered by the compensation plan increased from 30,000 per month in July 2012 to 170,000 per month in March 2016. From September 2015 to August 2016, 1226 pharmacies submitted claims for services provided by 3901 pharmacists. The number of pharmacists with authorization to prescribe and administer injections continued to increase following implementation of the plan.
Alberta's experiences with the development and implementation of the compensation plan will be of interest to jurisdictions considering implementation of remunerated pharmacy services. The potential impact of the plan on health and economic outcomes, in addition to the value of the services as perceived by the public, patients, pharmacists, and other health care providers, should also be explored.
描述社区药房药剂师所提供药学服务补偿计划的制定与实施经验。
加拿大艾伯塔省的社区药房实践。
艾伯塔省的药剂师拥有北美最先进的实践范围之一。他们有权独立开药、注射给药、访问电子健康记录并订购实验室检查。
2012年实施了一项由公共资金支持的药学服务补偿计划。指导补偿计划制定的原则旨在：1）确保为药学服务付费；2）支持药剂师充分发挥其实践范围；3）促进与患者建立长期关系；4）推动药剂师提供的服务扩展；5）让所有符合条件的艾伯塔人都能获得药学服务。补偿计划涵盖的服务包括护理计划、开药和注射给药。
使用指导原则评估补偿计划的经验。
补偿计划涵盖的药学服务索赔从2012年7月的每月30,000例增加到2016年3月的每月170,000例。从2015年9月到2016年8月，1226家药房提交了由3901名药剂师提供服务的索赔。计划实施后，获得开药和注射授权的药剂师数量持续增加。
考虑实施有偿药学服务的司法管辖区将对艾伯塔省补偿计划的制定和实施经验感兴趣。还应探讨该计划对健康和经济结果的潜在影响，以及公众、患者、药剂师和其他医疗服务提供者所感知的服务价值。
