The Value of Expanded Pharmacy Services in Canada

The Conference Board of Canada, 106 pages, April 25, 2017
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The scope of pharmacy services has expanded in many Canadian jurisdictions in recent years. This report estimates the health and economic impact of three community pharmacy services that have the potential to be expanded.

Document Highlights

The scope of pharmacy services has expanded in many Canadian jurisdictions in recent years, with each province and territory taking a different approach to optimize these changes for better health and value.

This report showcases a modelling study that estimates the health and economic impact of three services currently delivered within a community pharmacy setting that have the potential to be expanded: smoking cessation, advanced medication review and management for cardiovascular disease, and pneumococcal vaccination.

Over the 20-year forecast period, the estimated economic value of expanding these services ranges from $2.5 billion to $25.7 billion. We also expect a large return on investment for all three services over the medium and long terms.

Table of Contents

EXECUTIVE SUMMARY

Chapter 1–Introduction

Chapter 2–Community Pharmacy in Canada

  • Getting the Most Out of Community Pharmacy Services
  • Smoking Cessation
  • Medication Review and Management for Cardiovascular Disease
  • Pneumococcal Vaccination

Chapter 3–Methods and Data

  • Modelling Approach
  • Population Model
  • Target Populations
  • Data Sources
  • Effectiveness of Pharmacy Services
  • Estimating the Base Risk
  • Forecasting the Prevalence/Incidence of Chronic Conditions
  • Estimating the Case Fatality Rate
  • From Prevalence/Incidence to Economic Burden Estimates
  • Indirect Costs

Chapter 4–Results

  • Health and Economic Impact of Expanded Pharmacy Services
  • Smoking Cessation
  • Advanced Medication Review and Management for CVD
  • Pneumococcal Vaccination

Chapter 5–Measuring Return on Investment

  • The Investment
  • The Return
  • ROI of the Smoking Cessation Service
  • ROI of the Advanced Medication Review and Management for CVD Service
  • ROI of the Pneumococcal Vaccination Service
  • Potential Moderators of Pharmacy Services Uptake

Chapter 6–Conclusion and Next Steps

Appendix A–Pharmacists’ Key Competencies

Appendix B–Findings of Evidence Review

Appendix C–Technical Appendix

Appendix D–Pharmacist Interview Guide

Appendix E–Detailed Results From Modelling

Appendix F–Bibliography

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