Community pharmacist workflow: Space for Pharmacy-based Interventions and Consultation TimE study protocol

Author:

Karia Ajay Mahendrarai1ORCID,Balane Christine2,Norman Richard1ORCID,Robinson Suzanne3ORCID,Lehnbom Elin45ORCID,Durakovic Iva6ORCID,Laba Tracey-Lea72ORCID,Joshi Rohina89ORCID,Webster Ruth10ORCID

Affiliation:

1. School of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA, Australia

2. The George Institute for Global Health, UNSW, Sydney, NSW, Australia

3. Health Systems Health Economics, Faculty of Health Sciences, Curtin University, Perth, WA, Australia

4. Department of Pharmacy, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromso, Norway

5. Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnæus University, Kalmar, Sweden

6. Interior Architecture, Faculty of Built Environment UNSW, Sydney, NSW, Australia

7. Centre for Health Economics Research and Evaluation, The University of Technology Sydney, Sydney, NSW, Australia

8. Faculty of Medicine, The George Institute for Global Health, UNSW Sydney, Sydney, NSW, Australia

9. The George Institute for Global Health India, New Delhi, India

10. Technical Transfer, The George Institute for Global Health, UNSW, Sydney, NSW, Australia

Abstract

Abstract Background Pharmacists’ roles are expanding to delivering a wider set of professional services including medication management optimisation, vaccinations and screening services. Robust research determining whether pharmacists have the capacity to offer such services in the Australian community pharmacy setting is lacking. This protocol details a mixed methods study that investigates the variation in pharmacists’ daily tasks and the workspace they work in as a measure of their workload capacity for expanding pharmacy services. Methods An observational time and motion study will be conducted in up to twenty community pharmacies in metropolitan and rural regions of Australia. A trained observer will follow a pharmacist and record the type, location and duration of tasks undertaken over the course of their working day. Data will be collected and analysed using the electronic Work Observation Method By Activity Timing (WOMBAT) tool. Pharmacists’ work patterns will be described as time for each task, and by proportionating multitasking and interruptions. This information will be combined with workspace data collected using floor plans, photographs and a qualitative assessment of the working environment completed by the observer. Analysis will include heat-mapped floor plans visually highlighting pharmacist movements. Discussion Pharmacists may provide solutions to the strained health workforce and system. There is limited quantitative evidence on whether pharmacists have the time or work setting to support such needs. The use of time and motion methodology is novel to Australian community pharmacy research, and the findings will provide a better understanding of pharmacists’ capacity and work environment.

Funder

University of New South Wales Scientia Fellowship

National Heart Foundation of Australia

National Health and Medical Research Council

Australian Government Research Training Program Scholarship

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health Policy,Pharmaceutical Science,Pharmacy

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