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首页> 外文期刊>The International journal of pharmacy practice >Pharmacists' perceptions of pay for performance versus fee-for-service remuneration for the management of hypertension through pharmacist prescribing
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Pharmacists' perceptions of pay for performance versus fee-for-service remuneration for the management of hypertension through pharmacist prescribing

机译：药品专家对绩效薪酬的看法与药剂师规定的高血压管理费用酬金

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Objectives As pharmacists expand their roles as patient care providers, remuneration must be offered for patient care activities apart from dispensing. Most jurisdictions paying for such services utilize the fee-for-service (FFS) model, while little is known about the role of pay for performance (P4P) within the pharmacy profession. This study aimed to elicit the experience of pharmacists practicing under both models within the Alberta Clinical Trial in Optimizing Hypertension (RxACTION) study in Alberta, Canada.Methods Pharmacist participants in RxACTION caring for at least one patient under FFS and under P4P were interviewed about their experiences until data saturation was reached. Interviews were conducted in June-July 2015, with responses audio recorded, transcribed and coded to identify key themes. Key findings Eight pharmacists were interviewed, with three key themes identified: a perceived comfort with the existing FFS model particularly due to its ease related to business planning, the transformative effect of the study on their practices and a preference for future models to consider a blend of both service count- and performance-driven metrics. The degree of influence pharmacists feel they can have on outcomes achieved by patients, the perceptions of patients and other healthcare professionals on outcome-based payment, and concerns with the impact of variable remuneration on the pharmacy business model are concerns raised with P4P in pharmacy practice. Conclusions This study reveals a hesitation to radically transform payment for pharmacists' patient care services towards a P4P model. Efforts to implement P4P should therefore be gradual and accompanied with a robust evaluation plan.
机译：由于药剂师的目标将其角色扩大为患者护理提供者，必须为分配的患者护理活动提供薪酬。大多数支付此类服务的司法管辖区利用服务费（FFS）模型，虽然在药房行业中的绩效（P4P）的作用几乎是知名的。本研究旨在引起艾伯塔省临床试验中的两种模型在优化艾伯塔省的高血压（RxAction）研究中练习的药剂师的经验，加拿大。在FFS和P4P下的至少一名患者和P4P下的rxaction关怀中的药剂师参与者接受了对他们的影响在达到数据饱和度之前的经验。访谈是在2015年6月至7月进行的，响应音频记录，转录和编码以确定关键主题。关键调查结果八个药剂师进行了采访，其中包含了三个关键主题：与现有的FFS模型的感知舒适性尤其是由于其与业务规划有关，研究了对其实践的转化作用以及未来模型的偏好，以考虑混合的未来模型的偏好和偏好。服务数和性能驱动的指标。影响药剂师的感觉可能对患者实现的结果，患者和其他医疗保健专业人员对成果的支付的看法，以及对药学商业模式的变化薪酬影响的担忧是在药房实践中提出的担忧。结论本研究介绍了对P4P模型的药剂师患者护理服务的基本转换支付犹豫。因此，实施P4P的努力应逐步，并附上强大的评估计划。

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