Community Pharmacists Experiences with the Saskatchewan Medication Assessment Program
Author(s): ,
Krysta Currie
Affiliations:
BSP MSc candidate
,
Charity Evans
Affiliations:
BSP PhD
,
Kerry Mansell
Affiliations:
BSP PharmD MBA
Jason Perepelkin
Affiliations:
MSc PhD
Canadian Pharmacists Conference ePoster Library. Jorgenson D. Jun 3, 2017; 174238
Prof. Derek Jorgenson
Prof. Derek Jorgenson
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Abstract
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Objectives
Most provinces fund community pharmacy-based medication assessment programs, but data on program outcomes are limited. The Saskatchewan Medication Assessment Program (SMAP) launched in 2013. The objectives of this study were to: (1) determine the extent to which pharmacists perceive the SMAP is fulfilling its intended purposes, and, (2) identify barriers and facilitators to fulfilling the SMAP purposes.

Methods
A web-based questionnaire comprised of 53 Likert-scale items was utilized. Pharmacists practicing in Saskatchewan community pharmacies were eligible to participate. An email invitation was sent to these pharmacists in January 2016, with one reminder sent two weeks later.

Results
A total of 228 responses were received (response rate 20.3%, n=228/1124). Most were staff pharmacists (64.3%, n=128/199), who worked 31-40 hours per week (57.5%, n=115/200), and who had completed at least one SMAP medication assessment (91.2%, n=207/227). The majority of respondents believed the SMAP was fulfilling its intended purposes. For example, 75.2% (n=161/214) strongly agreed or agreed that the SMAP improved health outcomes of seniors. The majority of respondents reported that they enjoyed performing medication assessments (84.6%, n=159/188), were confident in their ability to identify drug therapy problems (88.2%, n=172/195), and were comfortable making recommendations to physicians (81.7%, n=156/191). Many reported having trouble completing assessments and identifying drug therapy problems due to lack of patient history (67.2%, n=131/195), but few regularly contacted physicians to request missing patient information (10.3%, n=20/195). Common barriers reported to fulfilling the purposes of the SMAP were lack of time, patient difficulty coming to the pharmacy for the assessment, and patients who did not meet eligibility criteria. Common facilitators were good pharmacy teamwork, employer support, and personal passion for the service.

Conclusion
Most Saskatchewan community pharmacists perceive that the SMAP is meeting its intended purposes. However, several challenges were identified that may limit the potential impact of the program.

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