Friday, January 20, 2017
I Really Wonder How This Nonsense Proposal Ever Saw The Light Of Day.
I spotted this last week.
12 January, 2017 ||
Pharmacists will be free to change medication doses, issue repeat scripts and perform point-of-care tests for patients with chronic diseases under a trial starting this year.
Running for 18 months, the Victorian trial is a way of freeing up GP time to deal with complex clinical issues, according to the state government.
Supporters argue the trial will not fragment care and GPs will retain control over what happens to patients.
The GPs taking part will write shared care plans that will guide pharmacists in monitoring and refining the medication regimen of patients with asthma, hypertension and hypercholesterolaemia, and those on anticoagulation medications.
Only pharmacists with an established relationship with a GP clinic will be able to take part.
But under the trial, they will perform blood pressure, spirometry, INR and lipid panel tests to monitor patients’ conditions.
They will be expected to report regularly to GPs and refer the patient back if their condition changes.
The state government says many GP visits for patients with chronic diseases merely involve renewing prescriptions or making dose adjustments, a view the Pharmacy Guild of Australia claims is supported by research.
AMA Victoria described the proposal as risky when it was first flagged in 2015.
Members of the AMA have since worked on the government’s advisory group to work out details of the trial, including the four chronic conditions considered suitable.
The trial will start off with just three pharmacies and three GP clinics, with one trial site in Melbourne and two in rural areas, and a cap of 30 patients at each site involved.
The proposal is so controversial that it attracted 34 on-line comments in only 3 days!
To me the huge issue is just how complicated it will become when something goes wrong. Who is to blame and which insurer is liable.
Secondly with a tiny trial it might just work – but the scalability has to be pretty dubious.
Thirdly how will all this work with electronic medication record and dispensing systems? – there has to be a lot of risk for mistakes in this area.
This really should just be stopped before it starts in my view. If the pharmacist has an issue with a script – simply ring the prescriber!
Posted by Dr David G More MB PhD at Friday, January 20, 2017