Repository logo

Browsing by Author "Soares, Maria Inês Branco Gonçalves"

Now showing 1 - 1 of 1
  • Availability, implementation and remuneration of pharmacist-led cognitive services in Europe
    Publication . Soares, Maria Inês Branco Gonçalves; Costa, Filipa Alves da; Hersberger, Kurt
    Introduction: Pharmacist-led cognitive services (PLCS) comprise a range of activities provided by pharmacists to the local community focusing on patient-centredness. However, the implementation level and remuneration models of PLCS are either absent or superficially described in the literature. Objectives: To review the implementation of PLCS in primary care across Europe and to explore the associated third-party paid remuneration models. Methodology: A cross-sectional study was conducted using an online survey sent to representatives of 44 European countries/regions (between November 2016 and October 2017). The survey listed 22 PLCS and asked respondents to report the availability of the service, the rate of implementation and the existence of remuneration. Data triangulation was sought using three representatives per country/region, representing backgrounds of community pharmacy, pharmacy practice research and health policy. Subsequent consensus was sought. Data was analysed using excel, 2010. The project was approved by the Research Ethics Committee of Egas Moniz (Proc. 515) Results: Data from 34 different countries/regions across Europe (79%) were obtained. Provision of medicines’ information (94.1%), generic substitution (85.3%), medication review (79.4%), provision of emergency oral contraception (70.6%) and point-of-care testing (67.7%) were the most frequently reported services. The highest implementation rates were found for medication review, adherence support and monitoring, prescription renewal, opioid substitution and travel medicine. Some type of remuneration model was mentioned in half of the participating countries/regions, predominantly based on a feefor- service, with less frequent reports of pay-for-performance or mixed models. Conclusion: The availability of PLCS is increasing and varying in scope across Europe. The wide range of reported implementation levels suggests there is lack or limited public information for monitoring service implementation. Remuneration of PLCS is spreading, although no clear patterns were found between service provision and payment.
    2018-06Master thesis Open access Show more