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Cardiovascular Disease Risk Assessment in Australian Community Pharmacy

Citation

Mc Namara, KP and Peterson, GM and Hughes, J and Krass, I and Versace, V and Clark, RA and Dunbar, J, Cardiovascular Disease Risk Assessment in Australian Community Pharmacy, Heart Lung and Circulation, 26, (7) pp. 667-676. ISSN 1443-9506 (2017) [Refereed Article]

Copyright Statement

2016 Published by Elsevier B.V.

DOI: doi:10.1016/j.hlc.2016.10.016

Abstract

Background Population screening and monitoring of cardiovascular risk is suboptimal in Australian primary care. The role of community pharmacy has increased considerably, but without any policy framework for development. The aim of this study was to explore the nature of community pharmacy-based screening models in Australia, capacity to increase delivery of pharmacy screening, and barriers and enablers to increasing capacity. Methods An online survey weblink was emailed to pharmacy managers at every quality-accredited pharmacy in Australia by the Quality Pharmacy Care Program. The 122-item survey explored the nature of screening services, pharmacy capacity to deliver services, and barriers and enablers to service delivery in considerable detail. Adaptive questioning was used extensively to reduce the participant burden. Pharmacy location details were requested to facilitate geo-coding and removal of duplicate entries. A descriptive analysis of responses was undertaken. Results There were 294 valid responses from 4890 emails, a 6% response rate. Most pharmacies (79%) had private counselling areas. Blood pressure assessment was nearly universal (96%), but other common risk factor assessments were offered by a minority. Most did not charge for assessments, and 59% indicated capacity to provide multiple risk factor assessments. Fewer than one in five (19%) reported any formal arrangements with general practice for care coordination. Financial viability was perceived as a key barrier to service expansion, amid concerns of patient willingness to pay. Support from government and non-governmental organisations for their role was seen as necessary. Conclusion There appears to be a critical mass of pharmacies engaging in evidence-based and professional services. Considerable additional support appears required to optimise performance across the profession.

Item Details

Item Type:Refereed Article
Keywords:Community screening, Absolute risk, Disease prevention, Primary care, Community pharmacy
Research Division:Medical and Health Sciences
Research Group:Pharmacology and Pharmaceutical Sciences
Research Field:Clinical Pharmacy and Pharmacy Practice
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Public Health (excl. Specific Population Health) not elsewhere classified
Author:Peterson, GM (Professor Gregory Peterson)
Author:Hughes, J (Mrs Josie Hughes)
ID Code:117109
Year Published:2017 (online first 2016)
Deposited By:Pharmacy
Deposited On:2017-05-31
Last Modified:2017-11-03
Downloads:0

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