Taylor Brooke, Mehta Bella
The Ohio State University College of Pharmacy.
Innov Pharm. 2020 Apr 30;11(2). doi: 10.24926/iip.v11i2.3325. eCollection 2020.
The practice of pharmacy and role of pharmacists has evolved over the decades but markedly since the introduction of the Affordable Care Act (ACA) in 2010. The ACA allowed patients to have increased access to community pharmacy services, such as medication therapy management, leading to an increase in the clinical services provided by pharmacists. This expansion of pharmacist's roles has led to pharmacists to feel an increase in workload which negatively impacts the time spent with patients. One way for this shift to occur without continuing to increase the pharmacist's workload is by using technicians as pharmacist extenders to take on more technical tasks.
The role of pharmacy technicians has been slow to expand from fear of public safety due to the lack of required education and training. Today, state requirements to practice as a pharmacy technician have become stricter with state requiring licensing, registration or certification. This increase in requirements as led to the expansion of pharmacy technician duties. Studies show that pharmacy technicians are able to perform technician accuracy checking, provide immunization and perform Clinical Laboratory Improvement Amendments (CLIA)-waived screenings. In addition to these duties, pharmacy technicians are being utilized in more novel ways such as collecting medication information in primary care and telepharmacy settings.
In order for pharmacy to continue to grow as a profession, pharmacists need to use pharmacy technicians as extenders. As pharmacy technicians begin to take on more of the technical duties, pharmacists are able to increase the time spent with patients.
在过去几十年中,药学实践和药剂师的角色不断演变,自2010年《平价医疗法案》(ACA)出台后变化尤为显著。ACA使患者能够更多地获得社区药房服务,如药物治疗管理,这导致药剂师提供的临床服务有所增加。药剂师角色的这种扩展使他们感到工作量增加,这对与患者相处的时间产生了负面影响。在不继续增加药剂师工作量的情况下实现这种转变的一种方法是将技术人员作为药剂师的延伸,让他们承担更多技术任务。
由于缺乏所需的教育和培训,担心公共安全,药学技术人员角色的扩展一直较为缓慢。如今,各州对药学技术人员执业的要求变得更加严格,要求获得许可、注册或认证。要求的提高导致了药学技术人员职责的扩展。研究表明,药学技术人员能够进行技术准确性检查、提供免疫接种并开展免于临床实验室改进修正案(CLIA)监管的筛查。除了这些职责外,药学技术人员还以更新颖的方式被利用,如在初级保健和远程药学环境中收集用药信息。
为了使药学作为一门职业继续发展,药剂师需要将药学技术人员作为延伸力量。随着药学技术人员开始承担更多技术职责,药剂师能够增加与患者相处的时间。