Poster presented at the 10th PCNE Working Conference, 1-4 February 2017, Bled, SloveniaN/

Costa, Filipa A.

Hersberger, Kurt E.

Horvat, Nejc

Imfeld-Isenegger, Tamara L.

Kos, Mitja

Makovec, Urska Nabergoj

Soares, Inês Branco

International Journal of Clinical Pharmacy

English

Makovec, Urska N.

Hersberger, Kurt. E.

Repositório Comum

PRACTISE Survey-PhaRmAcist-led CogniTIve Services in Europe: First resultsImfeld-Isenegger Tamara L. 1, Costa Filipa A. 2, Branco Soares Inês 3, Kos Mitja 4, Makovec Urska N. 5, Hersberger Kurt. E. 6. 1University of Basel, Pharmaceutical Care Reserach Group, Switzerland. 2Centre for Interdisciplinary Research Egas Moniz (CiiEM, ISCSEM), Caparica, Portugal. 3Centre for Interdisciplinary Research Egas Moniz (CiiEM, ISCSEM), Caparica, Portugal. 4University of Ljubljana, Faculty of Pharmacy, Slovenia. 5University of Ljubljana, Faculty of Pharmacy, Slovenia. 6University of Basel, Pharmaceutical Care Reserach Group, SwitzerlandBackground In Europe, a change from product to services centred community pharmacy practice was reported, with a large variance in dissemination of different community pharmacy services. Cognitive services such as medication review (MR) emerged as an important topic and recently the official PCNE definition of MR was released. The aims are to map the remuneration models of different pharmacist-led cognitive services in primary care across Europe, with a special focus on MR and to update a survey by Bulajeva et al. (2014). Purpose The project was initiated at the PCNE working symposium in Hillerød (2016) by an international project team of PCNE members from Portugal, Slovenia and Switzerland. This project team is supported by further PCNE members from The Netherlands, Denmark, Finland, and Belgium. Method The study has a cross-sectional design with an online-survey covering two topics: Part A about 21 different pharmacist-led cognitive services (44 items) and Part B about the different types of MR (63 items). For the survey the online tool Findmind© was used. To collect representative data of the current situation in Europe, at least three participants per country/region with special background (community pharmacy, policy maker, and research) and with insight in community pharmacy practise are desired. Therefore, mainly members of PCNE and ESCP are invited. A key representative is approached for each country known to the project team who is invited to suggest two further participants from their country to fulfil the perspectives from all three backgrounds. Findings On 3rd November 2016, key representatives from 26 different European countries were invited with a personalised link to the survey. After 14 days, 5 persons (5/26, 19.23%) had completed the survey and 2 (2/26, 7.69%) had started. Further 2 persons (2/26, 7.69%) suggested a substitute for their country, because they declared not to be qualified to answer the survey. Four weeks after the release, at the time of submission of this abstract, 10 (10/26, 38.46%) key representatives completed the survey. 5 of them (50%) had a background in research and 5 (50%) in community pharmacy. Furthermore, 5 persons had started, but had not yet completed the survey. The initially invited key representatives suggested further 25 representatives which were invited in the meantime. Conclusion At the time of abstract submission, a satisfying response rate was achieved proving feasibility of the survey. We are looking forward to present first results from the two parts of the survey during the PCNE working conference 2017. 

PRACTISE Survey-PhaRmAcist-led CogniTIve Services in Europe: first results

Poster presented at the 10th PCNE Working Conference, 1-4 February 2017, Bled, Sloveniainfo:eu-repo/semantics/publishedVersio

Corresponding author Tamara.Isenegger@unibas.chPharmaceutical Care Research Group, University of Basel Klingelbergstrasse 50, 4056 Basel, Switzerlandwww.pharmacare.unibas.chPRACTISE - PhaRmAcist-led CogniTIve Services in Europe: Recruitment and Current StatusBackground and objectivesImfeld-Isenegger Tamara L. 1, Branco Soares Inês 2, Costa Filipa A. 2, Nabergoj Makovec Urska 3, Horvat Nejc 3, Kos Mitja 3, Hersberger Kurt E. 11 Pharmaceutical Care Research Group, University of Basel, Switzerland2 Centre for Interdisciplinary Research Egas Moinz (CiiEM, ISCEM), Campus Universitário, Quinta da Granja Monte de Caparica, Portugal3 University of Ljubljana, Faculty of Pharmacy, SloveniaResultsConclusionReferencesMethods10th PCNE Working Conference, 2017Bled, Slovenia1-4 February 2017In 2015, the FIP collected data on remuneration models for community andhospital pharmacy and identified large variations highlighting the focus islargely put on products and not on cognitive services. 1 Nevertheless, thenumber of pharmacist-led cognitive services around the world hasbeen mapped and has increased in the last years. 2,3By definition, pharmacist-led cognitive services are servicesprovided or supervised by the pharmacist, based on a standardized andstructured procedure, for the purpose of promoting optimal health anddrug therapy and that is not necessarily drug or product related. 4 (adapted)Aims:• To map the current remuneration models of pharmacist-led cognitiveservices in community pharmacies across Europe• To focus on medication review (MR) services offered in communitypharmacies and update a prior survey on MR practice in Europe 5Study design• Cross-sectional study with an online survey• Analysis of country specific response from up to three participants perEuropean country, covering different backgrounds (practisingpharmacist, researcher, policy maker)Participant recruitment• 53 European countries  exclusion of 5 small countries  in total 48countries• Approach of one key representative (PCNE member/ESCP member)per country covering one specific background• Key representative suggests two further participants covering the missingbackgrounds to fulfil the set of all threeConsensus process• Cross check of answers within one country contradiction will be solvedusing individual in-depth interviews for clarification aiming consensusSurvey structure:• Part A: 21 different pharmacist-led cognitive services• Part B: focus on MR servicesRecruitment:In the period of 3.11.16- 25.01.2017 95 persons from 38 different countrieswere invited to the PRACTISE survey.Response:43 participants completed the survey from 23 countries, and 52participants did not complete or not respond to the survey, response rateof participants of 45.3%. Five countries with all three backgrounds (Malta,Germany, Slovakia, Switzerland, Turkey), 10 with two participants and 8countries with one participant.Countries with no response / no contact:Preliminary data:Background (n = 43 complete responses from 23 different countries):• Practising pharmacist 30.2%/ Researcher 41.9% / Policy maker 27.9%Figure 1: Current status of the PRACTISE project (25.01.2017)Country Type 1Simple MRType 2aIntermediate MRType 2bIntermediate MRType 3Advanced MRGermany Yes (2)No (1)Yes (3) No (3) Yes (2)No (1)Malta No (3) No (3) No (3) Yes (1)No (2)Slovakia Yes (2)No (1)Yes (1)No (2)Yes (1)No (2)Yes (2)No (1)Switzerland Yes (2)No (1)Yes (3) No (3) No (3)Turkey Yes (1)No (2)Yes (1)No (2)No (3) No (3)Table 1:Preliminary data from part B: Types of MR (according to the PCNE definition 6) - Response from countries with all three backgrounds (Preliminary data prior to the consensus process) (n=15 responders) Participate rightnow!!! The method of recruiting one key representative per country suggestingtwo further participants is a successful recruitment model to involveparticipants with specific backgrounds. However, the recruitment aimingthree participants per European country is challenging and timeconsuming. Next steps: 1.) Last attempts gathering further participants in Bled2.) Completion of the survey until March 2017 3.) Consensus process 4.) Dataanalysis.1 Féderation Internationale Pharmaceutique (FIP). Sustainability of pharmacy services: Advancing global health 2015. Available from:http://www.fip.org/files/fip/Sustainability-Pharmacy-Services-_Executive_summary_2.pdf accessed 26.01.2017.2 Houle SK, Grindrod KA, Chatterley T, et al. Paying pharmacists for patient care: A systematic review of remunerated pharmacy clinical careservices. Can Pharm J (Ott) 2014;147(4):209-32. doi: 10.1177/1715163514536678 Martins3 Martins SF, van Mil JW, da Costa FA. The organizational framework of community pharmacies in Europe. Int J Clin Pharm2015;37(5):896-905.4 Nutescu EA, Klotz RS. Basic terminology in reimbursement for pharmacists' cognitive services. American journal of health-systempharmacy 2007;64(2):186-92.5 Bulajeva A, Labberton L, Leikola S, et al. Medication review practices in European countries. Res Social Adm Pharm 2014;10(5):731-40. doi:10.1016/j.sapharm.2014.02.0056 Hersberger KE, Griese-Mammen N, Kos M, et al. Position Paper on the PCNE definition of Medication Review 2016 2016 [Available from:http://www.pcne.org/upload/files/149_Position_Paper_on_PCNE_Medication_Review_final.pdf Accessed: 26.01.2017.• Armenia• Austria• Azerbaijan• Belarus• Bosnia andHerzegovina• Bulgaria• Cyprus• Czech Republic• France• Georgia• Greece• Ireland• Kazakhstan• Latvia• Lithuania• Luxemburg• Macedonia• Moldova• Montenegro• Romania• Russia• Scotland• Wales• Northern Ireland

PRACTISE - PhaRmAcist-led CogniTIve Services in Europe: recruitment and current status

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PRACTISE Survey-PhaRmAcist-led CogniTIve Services in Europe: first results

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