Gea Panic1,2, Xuan Yao1,2, Paul Gregory1,2, Zubin Austin1,2. 1. Leslie Dan Faculty of Pharmacy (Panic, Yao, Gregory, Austin). 2. Institute for Health Policy (Austin), Management and Evaluation, Faculty of Medicine, University of Toronto, Ontario. At the time of writing, Gea Panic and Xuan Yao were advanced pharmacy practice experience research rotation students at the Leslie Dan Faculty of Pharmacy, University of Toronto.
Abstract
BACKGROUND: Pharmacists report spending a considerable amount of time dealing with drug shortages. There is no research in Canada identifying and describing the strategies and resources that pharmacists use to minimize disruption and continuity of care for patients. METHODS: An exploratory qualitative methodology was used. Community pharmacists and technicians in Ontario were interviewed using a semi-structured protocol. Verbatim transcripts were generated and coded by at least 2 independent reviewers using content analysis methods to identify management strategies. RESULTS AND DISCUSSION: A total of 14 pharmacists and 7 regulated pharmacy technicians participated in this study. The following 5 main strategies for managing drug shortages were identified: (1) using the supplier, (2) generic options, (3) brand options, (4) contacting other pharmacies and (5) switching to a different medication. CONCLUSION: The strategies identified through this research can provide pharmacists with some guidance in approaching the real-world problem of drug shortages. It also highlights opportunities for organizations, government and manufacturers to provide additional support for pharmacists to minimize disruptions for patients and to ensure current ad hoc practices do not further compound shortage issues. Can Pharm J (Ott) 2020;153:xx-xx.
BACKGROUND: Pharmacists report spending a considerable amount of time dealing with drug shortages. There is no research in Canada identifying and describing the strategies and resources that pharmacists use to minimize disruption and continuity of care for patients. METHODS: An exploratory qualitative methodology was used. Community pharmacists and technicians in Ontario were interviewed using a semi-structured protocol. Verbatim transcripts were generated and coded by at least 2 independent reviewers using content analysis methods to identify management strategies. RESULTS AND DISCUSSION: A total of 14 pharmacists and 7 regulated pharmacy technicians participated in this study. The following 5 main strategies for managing drug shortages were identified: (1) using the supplier, (2) generic options, (3) brand options, (4) contacting other pharmacies and (5) switching to a different medication. CONCLUSION: The strategies identified through this research can provide pharmacists with some guidance in approaching the real-world problem of drug shortages. It also highlights opportunities for organizations, government and manufacturers to provide additional support for pharmacists to minimize disruptions for patients and to ensure current ad hoc practices do not further compound shortage issues. Can Pharm J (Ott) 2020;153:xx-xx.
Authors: François Rinaldi; Simon de Denus; Angela Nguyen; Stanley Nattel; Jean-François Bussières Journal: Can J Cardiol Date: 2016-08-17 Impact factor: 5.223