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    A review of the medication pathway in rural Queensland, Australia

    Access Status
    Fulltext not available
    Authors
    Tan, A.
    Emmerton, Lynne
    Hattingh, Laetitia
    Date
    2012
    Type
    Journal Article
    
    Metadata
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    Citation
    Tan, Amy Chen Wee and Emmerton, Lynne and Hattingh, Hendrika Laetitia. 2012. A review of the medication pathway in rural Queensland, Australia. International Journal of Pharmacy Practice. 20 (5): pp. 324-339.
    Source Title
    International Journal of Pharmacy Practice
    DOI
    10.1111/j.2042-7174.2012.00193.x
    ISSN
    09617671
    URI
    http://hdl.handle.net/20.500.11937/28516
    Collection
    • Curtin Research Publications
    Abstract

    Objectives: It is well established that rural areas have compromised access to health services, including medication services. This paper reviews the practice developments for rural health professionals in relation to medication processes, with a focus on regulatory provisions in Queensland, Australia, and a view to identifying opportunities for enhanced pharmacy involvement. Methods: Literature referring to ‘medication/medicine’, ‘rural/remote’, ‘Australia’ and ‘pharmacy/pharmacist/pharmaceutical’ was identified via EBSCOhost, Ovid, Informit, Pubmed, Embase and The Cochrane Library. Australian Government reports and conference proceedings were sourced from relevant websites. Legislative and policy documents reviewed include drugs and poisons legislation, the National Medicines Policy and the Australian Pharmaceutical Advisory Council guidelines. Key findings: The following developments enhance access to medication services in rural Queensland: (1) endorsement of various non-medical prescribers, (2) authorisation of registered nurses, midwives, paramedics and Indigenous health workers to supply medications in sites without pharmacists, (3) skill-mixing of nursing staff in rural areas to ease medication administration tasks, (4) establishment of pharmacist-mediated medication review services, (5) electronic transfer of medical orders or prescriptions and (6) enhanced transfer of medication information between metropolitan and rural, and public and private facilities.Conclusions: This review identified a divide between medication access and medication management services. Initiatives aiming to improve supply of (access to) medications focus on scopes of practice and endorsements for non-pharmacist rural healthcare providers. Medication management remains the domain of pharmacists, and is less well addressed by current initiatives. Pharmacists' involvement in rural communities could be enhanced through tele-pharmacy, outreach support and sessional support.

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