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New ways of working releasing general practitioner capacity with pharmacy prescribing support: a cost-consequence analysis.
Johnson, Chris F; Maskrey, Margaret; MacBride-Stewart, Sean; Lees, Ann; Macdonald, Hector; Thompson, Audrey.
Afiliación
  • Johnson CF; Pharmacy Services, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
  • Maskrey M; Inverclyde Health and Social Care Partnership NHS Greater Glasgow and Clyde, Port Glasgow, United Kingdom.
  • MacBride-Stewart S; Pharmacy Services, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
  • Lees A; Planning, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
  • Macdonald H; Inverclyde Health and Social Care Partnership NHS Greater Glasgow and Clyde, Port Glasgow, United Kingdom.
  • Thompson A; Pharmacy Services, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Fam Pract ; 39(4): 648-655, 2022 07 19.
Article en En | MEDLINE | ID: mdl-35016210
General practice in the United Kingdom is experiencing a workforce crisis, and is struggling to deliver services. Pharmacists have been shown to be effective in freeing general practitioner (GP) capacity. However, it is unknown how much it costs to do this. Therefore, we aimed to assess the cost-consequences of releasing GP capacity. All practices in 1 region took part. GPs recorded the time it routinely took them to address key prescribing activities, Spring 2016. Pharmacists then delivered the key prescribing activities. The region got an extra 225 h of pharmacists' time to do these activities. Then in Spring 2018, the GPs and pharmacists recorded the time took to do the key prescribing activities. Standard salary costs were used to estimate how much money was needed to free GP capacity with pharmacists. The impact on routine cost-effective work was also assessed. Pharmacists delivering key prescribing activities freed 73 h per week of GP time. This equalled an average of 5 h per week per practice. Freeing GP capacity was estimated to cost an extra £16.73 (range £5.97­20.87) per h. There were no negative effects on cost-efficiency work. Appropriately resourcing general practice with pharmacists delivers sustainable prescribing cost-efficiencies and frees GP capacity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Farmacia / Servicios Farmacéuticos / Médicos Generales Tipo de estudio: Health_economic_evaluation / Observational_studies Límite: Humans Idioma: En Revista: Fam Pract Año: 2022 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Farmacia / Servicios Farmacéuticos / Médicos Generales Tipo de estudio: Health_economic_evaluation / Observational_studies Límite: Humans Idioma: En Revista: Fam Pract Año: 2022 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido