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A survey to assess the availability, implementation rate and remuneration of pharmacist-led cognitive services throughout Europe

2019Journal article Restricted access
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dc.contributor.authorSoares, Inês Branco
dc.contributor.authorImfeld-Isenegger, Tamara L.
dc.contributor.authorMakovec, Urska Nabergoj
dc.contributor.authorHorvat, Nejc
dc.contributor.authorKos, Mitja
dc.contributor.authorArnet, Isabell
dc.contributor.authorHersberger, Kurt E.
dc.contributor.authorCosta, Filipa A.
dc.date.accessioned2019-11-20T17:10:08Z
dc.date.available2019-11-20T17:10:08Z
dc.date.issued2019
dc.description.abstractBackground: Pharmacist-led cognitive services (PLCS) are increasingly necessary in primary care as a response to patient-centered care. However, the implementation rate and remuneration models of PLCS are either absent or superficially described in the literature. Objective: The aim of this study is to review the implementation of PLCS in primary care across Europe and explore the associated third-party paid remuneration models. Methods: A cross-sectional study was conducted using an online survey sent to representatives of 44 European countries. The survey listed 21 PLCS and asked respondents to report the availability of the service, the rate of implementation and the existence of remuneration. To ensure credible data, data triangulation was sought using three representatives per country, representing backgrounds of community pharmacy, pharmacy practice research and health policy. Subsequently, data was validated, and consensus sought. Results: Data were collected between November 2016 and October 2017 from 34 different countries across Europe (79%). Provision of medicines’ information (94.1%), generic substitution (85.3%), provision of emergency oral contraception (70.6%) and point-of-care testing (67.7%) were the services reported as the most widely disseminated in European primary care. Medication review was the most disseminated among advanced services (55.9%). Medication review, adherence support and monitoring, prescription renewal, opioid substitution and travel medicine had the highest implementation rates reported. Half of the participating countries mentioned models of remuneration, predominantly based on a fee-for-service, with less frequent reports of pay-for-performance or mixed models of remuneration. Conclusions: The availability of PLCS is increasing and varying in scope across Europe. There is wide variation in the implementation level of services across Europe and a lack of valid data. Remuneration of PLCS is also spreading but no clear pattern was found that relates service provision to payment.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInês Branco Soares, et al., Research in Social and Administrative Pharmacy, https://doi.org/10.1016/j.sapharm.2019.02.002pt_PT
dc.identifier.doi10.1016/j.sapharm.2019.02.002pt_PT
dc.identifier.issn1551-7411
dc.identifier.urihttp://hdl.handle.net/10400.26/30230
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://doi.org/10.1016/j.sapharm.2019.02.002pt_PT
dc.subjectCommunity pharmacy servicespt_PT
dc.subjectPharmaceutical servicespt_PT
dc.subjectPharmaceutical carept_PT
dc.subjectHealth carept_PT
dc.subjectHealth servicespt_PT
dc.subjectEuropept_PT
dc.subjectRemunerationpt_PT
dc.titleA survey to assess the availability, implementation rate and remuneration of pharmacist-led cognitive services throughout Europept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleResearch in Social and Administrative Pharmacypt_PT
rcaap.embargofctPolítica de copyright da editorapt_PT
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT

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