Reyes Liesl D, Hong Jenny, Lin Christine, Hamper Jeffrey, Kroon Lisa
Albertsons Companies, Pleasanton, CA 94588, USA.
School of Pharmacy, University of California, San Francisco, CA 94143, USA.
Pharmacy (Basel). 2020 Aug 14;8(3):145. doi: 10.3390/pharmacy8030145.
Recently, California (CA) pharmacists' scope of practice has expanded to include independently prescribing self-administered hormonal contraceptives, nicotine replacement therapy medications, travel health medications, routine vaccinations, naloxone hydrochloride, and HIV preexposure and postexposure prophylaxis. However, previous reports indicate that practicing within this expanded scope has remained limited. Therefore, a 26-item, web-based survey was emailed to CA community pharmacists to assess pharmacists' knowledge, intent, and barriers to prescribing and billing for these patient care services. A total of 216 chain, supermarket-based, independent, mass merchant, and health-system outpatient pharmacists were included. The primary services provided and medications prescribed are for vaccinations and naloxone. Most pharmacists agree that engagement in and implementation of new strategies to enhance patients' access to care is important. Common barriers include patient unawareness of pharmacist-provided services, lack of payment for services, and difficulty incorporating services within pharmacy workflow. Pharmacists are confident in their ability to provide patient care services but are less knowledgeable and confident about billing for them. Enhancing promotion of pharmacist-provided services to patients, developing strategies to efficiently incorporate them into the workflow, and payment models can help overcome barriers to providing these services.
最近，加利福尼亚州（CA）药剂师的执业范围已扩大到包括独立开具自我给药的激素避孕药、尼古丁替代疗法药物、旅行健康药物、常规疫苗接种、盐酸纳洛酮以及HIV暴露前和暴露后预防药物。然而，先前的报告表明，在此扩大的范围内执业仍然有限。因此，通过电子邮件向加州社区药剂师发送了一份包含26个项目的网络调查问卷，以评估药剂师对这些患者护理服务进行开方和计费的知识、意愿及障碍。总共纳入了216名连锁药店、超市药店、独立药店、大型商场药店和医疗系统门诊药店的药剂师。提供的主要服务和开具的药物是用于疫苗接种和纳洛酮。大多数药剂师都认为，参与并实施新策略以增加患者获得护理的机会很重要。常见的障碍包括患者不了解药剂师提供的服务、服务缺乏支付以及难以将服务纳入药房工作流程。药剂师对自己提供患者护理服务的能力有信心，但对这些服务的计费知识较少且信心不足。加强向患者宣传药剂师提供的服务、制定将这些服务有效纳入工作流程的策略以及支付模式有助于克服提供这些服务的障碍。
