Cross-sector, sessional employment of pharmacists in rural hospitals in Australia and New Zealand: a qualitative study exploring pharmacists’ perceptions and experiences

BMC Health Services Research

Adam La Caze¹  H Laetitia Hattingh²  Lynne M Emmerton²  Amy CW Tan¹ 

[1] Pharmacy Australia Centre of Excellence (PACE), School of Pharmacy, The University of Queensland, Level 4, 20 Cornwall St, Woolloongabba 4102, Queensland, Australia;School of Pharmacy, Curtin University, Building 306, Kent Street, Bentley 6102, Western Australia, Australia

关键词: Qualitative;    Service models;    Sessional;    Rural;    Pharmacist;    Medication management;    Hospital;    Clinical pharmacy;   

Others  :  1091835
DOI  :  10.1186/s12913-014-0567-4

 received in 2014-04-10, accepted in 2014-10-27,  发布年份 2014

【 摘 要 】

Background

Many rural hospitals in Australia and New Zealand do not have an on-site pharmacist. Sessional employment of a local pharmacist offers a potential solution to address the clinical service needs of non-pharmacist rural hospitals. This study explored sessional service models involving pharmacists and factors (enablers and challenges) impacting on these models, with a view to informing future sessional employment.

Methods

A series of semi-structured one-on-one interviews was conducted with rural pharmacists with experience, or intention to practise, in a sessional employment role in Australia and New Zealand. Participants were identified via relevant newsletters, discussion forums and referrals from contacts. Interviews were conducted during August 2012-January 2013 via telephone or Skype™, for approximately 40–55 minutes each, and recorded.

Results

Seventeen pharmacists were interviewed: eight with ongoing sessional roles, five with sessional experience, and four working towards sessional employment. Most participants provided sessional hospital services on a weekly basis, mainly focusing on inpatient medication review and consultation. Recognition of the value of pharmacists’ involvement and engagement with other healthcare providers facilitated establishment and continuity of sessional services. Funds pooled from various sources supplemented some pharmacists’ remuneration in the absence of designated government funding. Enhanced employment opportunities, district support and flexibility in services facilitated the continuous operation of the sessional service.

Conclusions

There is potential to address clinical pharmacy service needs in rural hospitals by cross-sector employment of pharmacists. The reported sessional model arrangements, factors impacting on sessional employment of pharmacists and learnings shared by the participants should assist development of similar models in other rural communities.

【 授权许可】

   
2014 Tan et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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