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Pharmacists in Primary Health Care: An Evolving Interprofessional Role

Pharmacists in Primary Health Care: An Evolving Interprofessional Role. Derek Jorgenson, BSP, PharmD IPASS 2010. Does the PHC system NEED a pharmacist role that is more interprofessional??. Assessed 1017 random ER visits to VGH ER 12% of all ER visits were caused by drugs

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Pharmacists in Primary Health Care: An Evolving Interprofessional Role

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  1. Pharmacists in Primary Health Care:An Evolving Interprofessional Role Derek Jorgenson, BSP, PharmD IPASS 2010

  2. Does the PHC system NEED a pharmacist role that is more interprofessional??

  3. Assessed 1017 random ER visits to VGH ER • 12% of all ER visits were caused by drugs -- 68% of were PREVENTABLE -- 74.6% were of moderate severity • Most common causes of drug-related visits: -- ADRs (39.3%) and non-adherence (27.9%)

  4. Pharmacists on PHC teams Pharmacists in community pharmacies Other team members (MD, RN, NP, etc.) Pharmacists in specialty clinics Pharmacists in PHC: The Future Patient

  5. Pharmacist as Member of a Primary Health Care Team West Winds Primary Health Centre

  6. Partnership between the University of Saskatchewan and the Saskatoon Health Region Integrated, interprofessional PHC model: Family medicine, nurse practitioner, diabetes educator, dietician, PT/OT, public health nurse, social worker, addictions, researchers, etc. ‘2 days per week’ pharmacist was part of this team from the start (now ~4 days per week) West Winds Primary Health Centre

  7. Pharmacists on Primary Health Care Teams • Becoming common across Canada in last 5 years (esp. AB. ON, SK) • No dispensing role (and no dispensary) • Office based consultant • Co-located with the primary health team at the point of prescribing • Generally working on a salary from the health region (like the hospital pharmacists)

  8. What does the pharmacist do? • Direct patient care • Medication assessments by referral • assessments sometimes done with other team members • participate in follow-up/monitoring • Hallway consults • Attending family medicine rounds

  9. What does the pharmacist do? Drug info support for the team Policy development / team enhancements Patient group education Teaching (to team)

  10. An expanding role in Sask. • 23 central primary health care teams across Saskatchewan now have access to a team based pharmacist about 1 days per week • In Saskatoon we now have two pharmacists and we cover West Winds PHC, PHC South East, Borden PHC and Deslisle PHC

  11. Pharmacists in PHC…more examples of interprofessionalism • Home Care in SHR • Academic Detailing (The RxFiles) • Asthma Educators / Diabetes Educators • Renal Clinic in SHR • HIV Clinic in SHR

  12. QUESTIONSDr. Derek Jorgenson966-2009derek.jorgenson@usask.ca

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