Positioning pharmacists' roles in primary health care: a discourse analysis of the compensation plan in Alberta, Canada.

Abstract:

BACKGROUND:A comprehensive Compensation Plan for pharmacy services delivered by community pharmacists was implemented in Alberta, Canada in July 2012. Services covered by the Compensation Plan include care planning services, prescribing services such as adapting prescriptions, and administering a drug or publicly-funded vaccine by injection. Understanding how the Compensation Plan was framed and communicated provides insight into the roles of pharmacists and the potential influence of language on the implementation of services covered by the Compensation Plan by Albertan pharmacists. The objective of this study is to examine the positioning of pharmacists' roles in documents used to communicate the Compensation Plan to Albertan pharmacists and other audiences. METHODS:Publicly available documents related to the Compensation Plan, such as news releases or reports, published between January 2012 and December 2015 were obtained from websites such as the Government of Alberta, Alberta Blue Cross, the Alberta College of Pharmacists, the Alberta Pharmacists' Association, and the Blueprint for Pharmacy. Searches of the Canadian Newsstand database and Google identified additional documents. Discourse analysis was performed using social positioning theory to explore how pharmacists' roles were constructed in communications about the Compensation Plan. RESULTS:In total, 65 publicly available documents were included in the analysis. The Compensation Plan was put forward as a framework for payment for professional services and formal legitimization of pharmacists' changing professional roles. The discourse associated with the Compensation Plan positioned pharmacists' roles as: (1) expanding to include services such as medication management for chronic diseases, (2) contributing to primary health care by providing access to services such as prescription renewals and immunizations, and (3) collaborating with other health care team members. Pharmacists' changing roles were positioned in alignment with the aims of primary health care. CONCLUSIONS:Social positioning theory provides a useful lens to examine the dynamic and evolving roles of pharmacists. This study provides insight into how communications regarding the Compensation Plan in Alberta, Canada positioned pharmacists' changing roles in the broader context of changes to primary health care delivery. Our findings may be useful for other jurisdictions considering implementation of remunerated clinical services provided by pharmacists.

journal_name

BMC Health Serv Res

authors

Hughes CA,Breault RR,Hicks D,Schindel TJ

doi

10.1186/s12913-017-2734-x

subject

Has Abstract

pub_date

2017-11-23 00:00:00

pages

770

issue

1

issn

1472-6963

pii

10.1186/s12913-017-2734-x

journal_volume

17

pub_type

杂志文章
  • Perceptions, attitudes and knowledge of evidence-based medicine in primary care in Spain: a study protocol.

    abstract:BACKGROUND:The philosophy of evidence-based medicine (EBM) was introduced in the early 90s as a new approach to the practice of medicine, using the best available evidence to make decisions about health care. Despite ongoing controversy, EBM has developed enormously and physicians' attitude towards it is generally posi...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-9-80

    authors: Alonso-Coello P,Solà I,Rotaeche R,González AI,Marzo-Castillejo M,Louro-González A,Carrillo R,Velázquez P,García-Velasco G,Calderón C

    更新日期:2009-05-15 00:00:00

  • Patient experiences and health system responsiveness in South Africa.

    abstract:BACKGROUND:Patients' views are being given more and more importance in policy-making. Understanding populations' perceptions of quality of care is critical to developing measures to increase the utilization of primary health care services. Using the data from the South African World Health Survey (WHS), the current stu...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-9-117

    authors: Peltzer K

    更新日期:2009-07-14 00:00:00

  • Access to appropriate health care for non-English speaking migrant families with a newborn/young child: a systematic scoping literature review.

    abstract:BACKGROUND:Recently arrived culturally and linguistically diverse migrant mothers in Western Industrialised Nations are less likely to access health care and are more likely to report negative healthcare experiences than more established migrant or non-migrant populations. This is particularly an issue in Australia whe...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-020-05157-x

    authors: Dougherty L,Lloyd J,Harris E,Caffrey P,Harris M

    更新日期:2020-04-15 00:00:00

  • A quality indicator set for use in rehabilitation team care of people with rheumatic and musculoskeletal diseases; development and pilot testing.

    abstract:BACKGROUND:Systems for monitoring effectiveness and quality of rehabilitation services across health care levels are needed. The purpose of this study was to develop and pilot test a quality indicator set for rehabilitation of rheumatic and musculoskeletal diseases. METHODS:The set was developed according to the Rand/...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4091-4

    authors: Johansen I,Klokkerud M,Anke A,Børke JB,Glott T,Hauglie U,Høyem A,Klovning A,Lande KA,Larsen M,Nordvik JE,Wigers SH,Øyeflaten I,Hagen KB,Kjeken I

    更新日期:2019-04-29 00:00:00

  • Day care cataract surgery in Central and Southern Italy: a multicentric survey.

    abstract:BACKGROUND:Cataract day surgery has rapidly gained worldwide acceptance, because the new surgical techniques and costs are generally lower than those involved in ordinary hospitalization. Cataract surgery serves as a proxy indicator of the trend towards day surgery hospitalization in Italy and, therefore, of regional v...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-16

    authors: Cillino S,Casuccio A,Di Pace F,Pillitteri F,Cillino G,Lodato G

    更新日期:2007-02-01 00:00:00

  • 'Waiting for' and 'waiting in' public and private hospitals: a qualitative study of patient trust in South Australia.

    abstract:BACKGROUND:Waiting times for hospital appointments, treatment and/or surgery have become a major political and health service problem, leading to national maximum waiting times and policies to reduce waiting times. Quantitative studies have documented waiting times for various types of surgery and longer waiting times ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2281-5

    authors: Ward PR,Rokkas P,Cenko C,Pulvirenti M,Dean N,Carney AS,Meyer S

    更新日期:2017-05-05 00:00:00

  • Does the presence of a pharmacist in primary care clinics improve diabetes medication adherence?

    abstract:BACKGROUND:Although oral hypoglycemic agents (OHAs) are an essential element of therapy for the management of type 2 diabetes, OHA adherence is often suboptimal. Pharmacists are increasingly being integrated into primary care as part of the move towards a patient-centered medical home and may have a positive influence ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-391

    authors: Kocarnik BM,Liu CF,Wong ES,Perkins M,Maciejewski ML,Yano EM,Au DH,Piette JD,Bryson CL

    更新日期:2012-11-13 00:00:00

  • Alternative models for academic family practices.

    abstract:BACKGROUND:The Future of Family Medicine Report calls for a fundamental redesign of the American family physician workplace. At the same time, academic family practices are under economic pressure. Most family medicine departments do not have self-supporting practices, but seek support from specialty colleagues or hosp...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-6-38

    authors: Michener JL,Østbye T,Kaprielian VS,Krause KM,Yarnall KS,Yaggy SD,Gradison M

    更新日期:2006-03-20 00:00:00

  • Design of a randomized controlled trial to assess the comparative effectiveness of a multifaceted intervention to improve adherence to colorectal cancer screening among patients cared for in a community health center.

    abstract:BACKGROUND:Colorectal cancer (CRC) is common and leads to significant morbidity and mortality. Although screening with fecal occult blood testing (FOBT) or endoscopy has been shown to decrease CRC mortality, screening rates remain suboptimal. Screening rates are particularly low for people with low incomes and members ...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-13-153

    authors: Baker DW,Brown T,Buchanan DR,Weil J,Cameron KA,Ranalli L,Ferreira MR,Stephens Q,Balsley K,Goldman SN,Wolf MS

    更新日期:2013-04-29 00:00:00

  • Fetal Down syndrome screening models for developing countries; Part II: Cost-benefit analysis.

    abstract:BACKGROUND:To identify the most cost-beneficial model as a national policy of screening and diagnosis of fetal Down syndrome (DS) in developing countries. METHODS:Cost-benefit analysis (CBA) was performed based on the effectiveness and probabilities derived from a large prospective study on MSS (maternal serum screeni...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4699-4

    authors: Wanapirak C,Buddhawongsa P,Himakalasa W,Sarnwong A,Tongsong T

    更新日期:2019-11-27 00:00:00

  • The NHS Diabetes Prevention Programme: an observational study of service delivery and patient experience.

    abstract:BACKGROUND:The NHS Diabetes Prevention Programme (NHS-DPP) is a nine-month, group-based behavioural intervention for adults in England at risk of developing Type 2 diabetes. Four independent providers were commissioned to deliver versions of the NHS-DPP, in line with NHS England specifications. This observational study...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05951-7

    authors: Hawkes RE,Cameron E,Cotterill S,Bower P,French DP

    更新日期:2020-11-27 00:00:00

  • Explaining culturally and linguistically diverse (CALD) parents' access of healthcare services for developmental surveillance and anticipatory guidance: qualitative findings from the 'Watch Me Grow' study.

    abstract:BACKGROUND:Regular health visits for parents with young children provide an opportunity for developmental surveillance and anticipatory guidance regarding common childhood problems and help to achieve optimal developmental progress prior to school entry. However, there are few published reports from Australian cultural...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2143-1

    authors: Garg P,Ha MT,Eastwood J,Harvey S,Woolfenden S,Murphy E,Dissanayake C,Jalaludin B,Williams K,McKenzie A,Einfeld S,Silove N,Short K,Eapen V

    更新日期:2017-03-22 00:00:00

  • A multicenter, prospective study evaluating the impact of the clinical pharmacist-physician counselling on warfarin therapy management in Lebanon.

    abstract:BACKGROUND:Health care professionals (HCP) are known key elements of effective patient's counselling and education. For patients taking warfarin, education about the dose, side effects, and toxicity is clearly identified as a cornerstone of achieving improved health and quality of life. The study objective was to evalu...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-018-2874-7

    authors: Choumane NS,Malaeb DN,Malaeb B,Hallit S

    更新日期:2018-02-01 00:00:00

  • Measuring safety culture in Dutch primary care: psychometric characteristics of the SCOPE-PC questionnaire.

    abstract:BACKGROUND:Patient safety has been a priority in primary healthcare in the last years. The prevailing culture is seen as an important condition for patient safety in practice and several tools to measure patient safety culture have therefore been developed. Although Dutch primary care consists of different professions,...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-354

    authors: Verbakel NJ,Zwart DL,Langelaan M,Verheij TJ,Wagner C

    更新日期:2013-09-17 00:00:00

  • Dementia care and service systems - a mapping system tested in nine Swedish municipalities.

    abstract:BACKGROUND:In dementia care, it is crucial that the chain of care is adapted to the needs of people with dementia and their informal caregivers throughout the course of the disease. Assessing the existing dementia care system with regard to facilities, availability and utilization may provide useful information for ens...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3592-x

    authors: Lethin C,Giertz L,Vingare EL,Hallberg IR

    更新日期:2018-10-16 00:00:00

  • An investigation of stigmatizing attitudes towards people living with HIV/AIDS by doctors and nurses in Vientiane, Lao PDR.

    abstract:BACKGROUND:Despite global efforts, HIV-related stigma continues to negatively impact the health and well-being of people living with HIV/AIDS. Even in healthcare settings, people with HIV/AIDS experience discrimination. Anecdotal evidence suggests that healthcare professionals in the Lao People's Democratic Republic, a...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2068-8

    authors: Vorasane S,Jimba M,Kikuchi K,Yasuoka J,Nanishi K,Durham J,Sychareun V

    更新日期:2017-02-10 00:00:00

  • The involvement of medical doctors in hospital governance and implications for quality management: a quick scan in 19 and an in depth study in 7 OECD countries.

    abstract:BACKGROUND:Hospital governance is broadening its orientation from cost and production controls towards 'improving performance on clinical outcomes'. Given this new focus one might assume that doctors are drawn into hospital management across OECD countries. Hospital performance in terms of patient health, quality of ca...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1396-4

    authors: Rotar AM,Botje D,Klazinga NS,Lombarts KM,Groene O,Sunol R,Plochg T

    更新日期:2016-05-24 00:00:00

  • Prevention of mother-to-child transmission of HIV in Kenya: challenges to implementation.

    abstract:BACKGROUND:The prevention of mother-to-child transmission of human immunodeficiency virus (HIV) is lauded as one of the more successful HIV prevention measures. However, despite some gains in the prevention of mother-to-child transmission of HIV (PMTCT) in sub-Saharan Africa, mother-to-child transmission rates are stil...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-14-S1-S10

    authors: du Plessis E,Shaw SY,Gichuhi M,Gelmon L,Estambale BB,Lester R,Kimani J,Avery LS

    更新日期:2014-01-01 00:00:00

  • Collaborating with front-line healthcare professionals: the clinical and cost effectiveness of a theory based approach to the implementation of a national guideline.

    abstract:BACKGROUND:Clinical guidelines are an integral part of healthcare. Whilst much progress has been made in ensuring that guidelines are well developed and disseminated, the gap between routine clinical practice and current guidelines often remains wide. A key reason for this gap is that implementation of guidelines typic...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-014-0648-4

    authors: Taylor N,Lawton R,Moore S,Craig J,Slater B,Cracknell A,Wright J,Mohammed MA

    更新日期:2014-12-21 00:00:00

  • Brief screening items to identify spanish-speaking adults with limited health literacy and numeracy skills.

    abstract:BACKGROUND:Limited health literacy (HL) and numeracy have been shown to be associated with a wide array of poor health-related outcomes, knowledge, and behaviors. The purpose of this study was to evaluate the clinical utility of brief HL and numeracy screening items in identifying Spanish-speaking adults' HL and numera...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-1046-2

    authors: Singh R,Coyne LS,Wallace LS

    更新日期:2015-09-14 00:00:00

  • Evaluating fidelity of community health worker roles in malaria prevention and control programs in Livingstone District, Zambia-A bottleneck analysis.

    abstract:BACKGROUND:Community Health Workers (CHWs) are an important human resource in improving community malaria intervention coverages and success in reducing malaria incidence has been attributed to them. However, despite this attribution, malaria resurgence cases have been reported in various countries including Zambia. Th...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05458-1

    authors: Chipukuma HM,Halwiindi H,Zulu JM,Azizi SC,Jacobs C

    更新日期:2020-07-02 00:00:00

  • Addressing potentially inappropriate prescribing in older patients: development and pilot study of an intervention in primary care (the OPTI-SCRIPT study).

    abstract:BACKGROUND:Potentially inappropriate prescribing (PIP) in older people is common in primary care and can result in increased morbidity, adverse drug events, hospitalizations and mortality. The prevalence of PIP in Ireland is estimated at 36% with an associated expenditure of over €45 million in 2007. The aim of this pa...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/1472-6963-13-307

    authors: Clyne B,Bradley MC,Hughes CM,Clear D,McDonnell R,Williams D,Fahey T,Smith SM,OPTI-SCRIPT study team.

    更新日期:2013-08-14 00:00:00

  • Health care use and treatment-seeking for depression symptoms in rural India: an exploratory cross-sectional analysis.

    abstract:BACKGROUND:There is a large "treatment gap" for depression worldwide. This study aimed to better understand the treatment gap in rural India by describing health care use and treatment-seeking for depression. METHODS:Data were analysed from a two round cross-sectional community survey conducted in rural Madhya Pradesh...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05162-0

    authors: Roberts T,Shidhaye R,Patel V,Rathod SD

    更新日期:2020-04-06 00:00:00

  • Social determinants of health priorities of state Medicaid programs.

    abstract:BACKGROUND:Growing understanding of the influence of social determinants of health (SDH) on healthcare costs and outcomes for low income populations is leading State Medicaid agencies to consider incorporating SDH into their program design. This paper explores states' current approaches to SDH. METHODS:A mixed-methods...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-3977-5

    authors: Chisolm DJ,Brook DL,Applegate MS,Kelleher KJ

    更新日期:2019-03-14 00:00:00

  • Training providers: beyond the basics of electronic health records.

    abstract:BACKGROUND:Training is a critical part of health information technology implementations, but little emphasis is placed on post-implementation training to support day-to-day activities. The goal of this study was to evaluate the impact of post-implementation training on key electronic health record activities. METHODS:...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-503

    authors: Bredfeldt CE,Awad EB,Joseph K,Snyder MH

    更新日期:2013-12-02 00:00:00

  • Pediatric admissions that include intensive care: a population-based study.

    abstract:BACKGROUND:Pediatric admissions to intensive care outside children's hospitals are generally excluded from registry-based studies. This study compares pediatric admission to specialist pediatric intensive care units (PICU) with pediatric admissions to intensive care units (ICU) in general hospitals in an Australian pop...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3041-x

    authors: Ibiebele I,Algert CS,Bowen JR,Roberts CL

    更新日期:2018-04-10 00:00:00

  • Strengthening referral of sick children from the private health sector and its impact on referral uptake in Uganda: a cluster randomized controlled trial protocol.

    abstract:BACKGROUND:Uganda's under-five mortality is high, currently estimated at 66/1000 live births. Poor referral of sick children that seek care from the private sector is one of the contributory factors. The proposed intervention aims to improve referral and uptake of referral advice for children that seek care from privat...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12913-016-1885-5

    authors: Buregyeya E,Rutebemberwa E,LaRussa P,Mbonye A

    更新日期:2016-11-11 00:00:00

  • Quality indicators for the referral process from primary to specialised mental health care: an explorative study in accordance with the RAND appropriateness method.

    abstract:BACKGROUND:Communication between involved parties is essential to ensure coordinated and safe health care delivery. However, existing literature reveals that the information relayed in the referral process is seen as insufficient by the receivers. It is unknown how this insufficiency affects the quality of care, and va...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-016-1941-1

    authors: Hartveit M,Vanhaecht K,Thorsen O,Biringer E,Haug K,Aslaksen A

    更新日期:2017-01-03 00:00:00

  • Factors associated with use of community mental health services by schizophrenia patients using multilevel analysis.

    abstract:BACKGROUND:Persons with schizophrenia and related disorders may be particularly sensitive to a number of determinants of service use, including those related with illness, socio-demographic characteristics and organizational factors. The objective of this study is to identify factors associated with outpatient contacts...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-11-257

    authors: Moreno-Küstner B,Mayoral F,Rivas F,Angona P,Requena J,García-Herrera JM,Navas D,Moreno P,Serrano-Blanco A,Bellón JA

    更新日期:2011-10-07 00:00:00

  • Impact of rehabilitation on mortality and readmissions after surgery for hip fracture.

    abstract:BACKGROUND:Hip fracture in elderly patients is a rising global public health concern because of population ageing, and increasing frailty. Long-term morbidity related to poor management of hip fracture is associated with decreased quality of life, survival, and increase in healthcare costs. Receiving postoperative reha...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-018-3523-x

    authors: Tedesco D,Gibertoni D,Rucci P,Hernandez-Boussard T,Rosa S,Bianciardi L,Rolli M,Fantini MP

    更新日期:2018-09-10 00:00:00