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Funding pharmacists in general practice: a feasibility study to inform the design of future economic evaluations

Kosari, S, Deeks, LS, Naunton, M, Dawda, P, Postma, MJ, Tay, GH and Peterson, GM ORCID: 0000-0002-6764-3882 2021 , 'Funding pharmacists in general practice: a feasibility study to inform the design of future economic evaluations' , Research in Social and Administrative Pharmacy, vol. 17, no. 5 , pp. 1012-1016 , doi: 10.1016/j.sapharm.2020.07.030.

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Abstract

BackgroundFunding is a significant barrier to employing general practice pharmacists.Objective(s)To explore the feasibility of determining the cost-benefit of pharmacists in Australian general practice.MethodsTwo part-time pharmacists were employed by general practices in Canberra, Australia. Diaries of the pharmacists were analysed to determine time worked and participation in income-generating activities, including Government-funded programs: Asthma Cycle of Care, Home Medicine Reviews, and Health Care Assessments. Scenarios using different practice and business models were entered into value-cost models to determine the income generated by the pharmacists relative to their salary.ResultsOver 19 weeks, pharmacists A and B supported 47 and 23 Asthma Cycle of Care activities, generating income to the general practice of AU$4,700 and AU$2,300, respectively. The pharmacists spent 36.4 and 24.1 hours on activities usually conducted by general practitioners (GPs), allowing additional time for GP-patient consultations. Value-cost models determined AU$0.61 - AU$1.20 income generation by pharmacists per AU$1 salary.ConclusionsIt was feasible to determine the value-cost ratios of employing pharmacists in general practice using these methods. Future work should focus on developing a robust business model that includes health care system savings resulting from practice pharmacist interventions, determined from randomised controlled trials.

Item Type: Article
Authors/Creators:Kosari, S and Deeks, LS and Naunton, M and Dawda, P and Postma, MJ and Tay, GH and Peterson, GM
Keywords: pharmacists, general practice, general practitioners, primary care, economics
Journal or Publication Title: Research in Social and Administrative Pharmacy
Publisher: Elsevier Inc.
ISSN: 1551-7411
DOI / ID Number: 10.1016/j.sapharm.2020.07.030
Copyright Information:

Copyright 2020 Elsevier

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