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Pharmacists’ Expanded Scope of Practice in Canada as of Oct 2014
Source: Canadian Pharmacists Association
Pharmacist-led Minor Ailment Assessment Service
Advantages
• Faster access to care and treatment
• Faster access to care and treatment
Plan
Mem
ber B
enefi
ts
• Appointment required to see family physician (absenteeism if during work hours)
• Avg wait time for a family physician for non-urgent care is over 3 weeks (urgent 1.35 days)
• 15% of Canadians 12+ don’t have a family physician• Pharmacy offers convenient walk-in access to care
Pharmacists as Solution
• Quicker resolution of symptoms
• Quicker resolution of symptoms
Minor Ailments are “common” or “uncomplicated conditions” that can often be treated with pharmacists-led assessments resulting in recommendation for over the counter (OTC) product or prescription medication. Estimated 15% of physician visits are for minor ailments
Minor Ailments are a contributing
factor to absenteeism
Some studies suggest that cost of
presenteeism is even higher
Employees often make walk-in or
doctor appointments
during work hours
If symptoms don’t resolve, can lead to absenteeism
and presenteeism and more
expensive therapy
• Pharmacists process includes monitoring and follow-up with patient to track symptoms
• Data from Scotland shows 68% to 95% symptom resolution with Pharmacists’ as first point of contact
• Lower “re-consultation” rates with Pharmacists (2.4%) vs 3.8% for physicians
• Pharmacists can suggest an alternate treatment if initial treatment not successful
Pharmacist-led Medication Review Service
Prevent Costly Adverse Drug Reactions
Improve Medication Adherence = Better Health
Employees Engagement in Health
Reduce Drug Interactions
Reduce Side Effects
Identify Duplication of
Therapy
Changes to Therapy
Role of Medications
Improved Understanding
Patients’ Need for Service
Interactions between prescription, OTC and natural health products are commonly detected during a Medication Review
During a Medication Review, pharmacist can recommend change in therapy or adapt the prescription (lower dose etc)
Pharmacist often recommend discontinuation of duplicate or unsafe medications or recommend generic alternatives
In a recent survey, 1 in 2 Canadians said their pharmacist made at least one medication related intervention as a result of a medication review
In the same survey, 91% had a better sense of medication’s role in health management
83% found it easier to remember how to take medications
In a recent survey, 2 in 3 (67%) of patients showed an improvement in understanding of their medications as a result of a medication review
27% of Canadians want to have a medication review on annual basis
Reduce Risk of Complications
Adverse drug reactions can result in costly hospitalizations and absenteeism plus lead to added cost of complications
One-on-one consultation between a pharmacist and an individual to assess whether medications are taken as prescribed and to addresses any problems that may prevent safe and effective medication use
BENEFITS OF MEDICATION REVIEWS
Potential benefits driven by Medication Reviews:
reduce short- and long-term disability
Avoid cost of additional medications
reduce absenteeism
Questions?