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Which of the following categories best describes you?
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Individual - consumer
Individual - community pharmacist (employee)
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Individual - community pharmacy owner
Individual - consultant pharmacist
Individual - pharmacy employee (non-pharmacist)
Individual - hospital pharmacist
Individual - other health professional
Individual - retired pharmacist
Organisation - Consumer
Organisation - Pharmacy Representative Body
Organisation - Commercial Pharmacy Group
Organisation - Pharmaceutical Wholesaler
Organisation - Medicines Industry
Organisation - Chemotherapy Compounder
Organisation - Other Commercial Entity
Organisation - Other Health Professional
Organisation - Hospital
Government Entity
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Chapter 2: Consumer Access and Experience
OPTION 2-1: PRICING VARIATIONS
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To have variations in pricing puts distrust in the consumers mind. They don't see the cost to run a small business and the extra expenses for being in a rural area.
Aggressive discount hype by some pharmacies, is a subtle, yet effective, way of penetrating a consumers mind , that other non-discounting pharmacies are exploiting them.
However, once a consumer is in a discount pharmacy, they are targeted relentlessly to purchase other items- that they not have intentionally sought out to buy.
Aggressive discount hype by some pharmacies, is a subtle, yet effective, way of penetrating a consumers mind , that other non-discounting pharmacies are exploiting them.
However, once a consumer is in a discount pharmacy, they are targeted relentlessly to purchase other items- that they not have intentionally sought out to buy.
OPTION 2-2: $1 DISCOUNT
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It is a very small saving, yet creates distrust in a consumers mind.
Has a study been conducted of stores that offer the $1 discount, has the consumer spent more to get that (transport costs, unintended instore purchases, delaying having a prescription filled due to waiting to attend a further $ 1 discount store)
Has a study been conducted of stores that offer the $1 discount, has the consumer spent more to get that (transport costs, unintended instore purchases, delaying having a prescription filled due to waiting to attend a further $ 1 discount store)
OPTION 2-3: PBS SAFETY NET
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It is difficult for some consumers to keep a record, especially if including hospital.
Spreading out the cost may assist some consumers
Spreading out the cost may assist some consumers
OPTION 2-4: LABELLING
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The label is very personalised to give the patient the assurance that they have the correct medicine. It also avoids mixing up medicines with other patients, can identify when the medication was dispensed, which doctor prescribed it.
On home medicine reviews, I can identify if the patient uses many different pharmacies and Drs, level of adherence and if they are using other peoples medicines.
The label improves Quality Use of Medicines
On home medicine reviews, I can identify if the patient uses many different pharmacies and Drs, level of adherence and if they are using other peoples medicines.
The label improves Quality Use of Medicines
OPTION 2-5: PHARMACY ATLAS
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This could be beneficial, as long as the information is kept current.
OPTION 2-6: CONSUMER MEDICINES INFORMATION
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Helps with Quality Use of Medicine as the patient can have good information about their medicine, and a printed copy can be stored with their medication- for referral to at any time (ie when the patient wonders if they are suffering an adverse reaction- they can check their CMI)
Easier ways to access databases to print at time of dispensing- perhaps automatic for all new medicines detected in a dispensing program
Easier ways to access databases to print at time of dispensing- perhaps automatic for all new medicines detected in a dispensing program
OPTIONS 2-7: ELECTRONIC PRESCRIPTIONS
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Technology is not reliable enough and expensive to implement.
OPTION 2-8: ELECTRONIC MEDICATIONS RECORD
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Sounds good, but technology is not reliable.
OPTION 2-9: ELECTRONIC PRESCRIPTIONS – CONSUMER CHOICE
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Consumers can decide once they leave the doctor's surgery.
This model would lack flexibility- and consumers change their mind depending on where they are, to have a prescription filled.
This model would lack flexibility- and consumers change their mind depending on where they are, to have a prescription filled.
OPTION 2-10: MANAGING MEDICINE RISKS FOR PATIENTS UPON DISCHARGE
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This is the biggest area of medication mismanagement I have found.
There is no universal system implemented in hospitals- so each hospital has a different procedure.
If a patient's community pharmacy could be involved, then the patient could have their most current medication regime, and also have ceased medications removed.
There is no universal system implemented in hospitals- so each hospital has a different procedure.
If a patient's community pharmacy could be involved, then the patient could have their most current medication regime, and also have ceased medications removed.
Chapter 3: The Role of Community Pharmacy in Medicine Supply
OPTION 3-1: COMMUNITY PHARMACIES – MINIMUM SERVICES
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QCPP and 6CPA are programs in which pharmacies are meeting minimum requirements, which shows community pharmacy can adapt.
OPTION 3-2: COMPLEMENTARY MEDICINES – SUPPLY FROM PHARMACIES
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Since supermarkets have taken on a larger sales role of complementary medicines, there has been an explosion of complementary products. Often the benefits are over-stated. In my pharmacies, we discuss complementary medicines with consumers - benefit and risk- so the consumer can make an informed choice.
However if they are still sold in supermarkets without any restrictions- what has been achieved with reducing the consumer exposure to un-therapeutic products
However if they are still sold in supermarkets without any restrictions- what has been achieved with reducing the consumer exposure to un-therapeutic products
OPTION 3-4: SALE OF HOMEOPATHIC PRODUCTS
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It shouldn't make any difference where homeopathic products are sold. If they are deemed unsuitable for consumer use, then they should be banned from sale everywhere.
If deemed acceptable to sell, then pharmacies should also be allowed to sell them. At least pharmacies can offer alternative, more appropriate treatments.
Some consumers understand homeopathic products don't have evidence, but still insist on purchasing them.
If deemed acceptable to sell, then pharmacies should also be allowed to sell them. At least pharmacies can offer alternative, more appropriate treatments.
Some consumers understand homeopathic products don't have evidence, but still insist on purchasing them.
Chapter 4: Community Pharmacy Remuneration by Government
OPTION 4-1: ACCOUNTING INFORMATION
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This should be in consultation with the pharmacy industry organisations, such as the Pharmacy Guild of Australia and Pharmaceutical Society of Australia.
I am not if favour of having all of my accounting information supplied to the government, without the opportunity of explanation.
I am not if favour of having all of my accounting information supplied to the government, without the opportunity of explanation.
OPTION 4-2: REMUNERATION TO BE BASED ON EFFICIENT COSTS OF DISPENSING
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This model favours high volume whereas in rural areas, the volume of prescriptions is much lower due to lower populations.
Also what is the definition of an efficient pharmacy? This can vary greatly between what the consumer expects, and what the government expects.
Also what is the definition of an efficient pharmacy? This can vary greatly between what the consumer expects, and what the government expects.
OPTION 4-3: BENCHMARK FOR AN EFFICIENT DISPENSE
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This model doesn't take into account - extra time required for lines such as high- cost, supplied by alternative supplier than a CSO supplier.
There needs to be consideration given to high-cost medicines, financial impact to pharmacy.
Perhaps government could pay CSO directly for the wholesale cost of a high cost medicine, to avert the financial impact on pharmacy.
There needs to be consideration given to high-cost medicines, financial impact to pharmacy.
Perhaps government could pay CSO directly for the wholesale cost of a high cost medicine, to avert the financial impact on pharmacy.
OPTION 4-4: REMUNERATION FOR DISPENSING – FORMULA
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Without seeing financial models, I would not agree to any proposals.
OPTION 4-5: REMUNERATION LIMITS
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Can't agree until more information is available.
The two- tariff proposal sounds more suitable
The two- tariff proposal sounds more suitable
OPTION 4-6: REMUNERATION FOR OTHER SERVICES
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If there is no difference between the service supplied, then it should be roughly the same.
Chapter 5: The Regulation of Pharmacy for Medicine Supply
OPTION 5-1: LOCATION RULES – REMOVAL AND REPLACEMENT
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Some communities would suffer, as other industries have shown.
Pharmacies have a health professional available at all times , if location rules where removed then it could dilute the professional offering available.
Consumers would be the loser.
Pharmacies have a health professional available at all times , if location rules where removed then it could dilute the professional offering available.
Consumers would be the loser.
OPTION 5-2: LOCATION RULES – ALTERNATIVE 1 FOR URBAN LOCATIONS
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Removing location rules means that many ,smaller, less profitable pharmacies could open- this would lead to inefficiencies.
OPTION 5-2: LOCATION RULES – ALTERNATIVE 2 FOR URBAN LOCATIONS
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Do a study to ascertain potential outcomes
OPTION 5-2: LOCATION RULES – ALTERNATIVE 3 FOR URBAN LOCATIONS
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This sounds the best option yet
OPTION 5-3: LOCATION RULES – ALTERNATIVE 1 FOR NON-URBAN LOCATIONS
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If this could make community pharmacy more appropriate in non-urban areas, and work with PHN to offer a larger range of remunerated services then I think a tender system could be appropriate.
OPTION 5-3: LOCATION RULES – ALTERNATIVE 2 FOR NON-URBAN LOCATIONS
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OPTION 5-4: LOCATION RULES – POLICY OBJECTIVE
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OPTION 5-5: LOCATION RULES – OWNERSHIP & LOCATION
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More information before any decision.
I have found in the past -good operators buy out poor operators.
I have found in the past -good operators buy out poor operators.
OPTION 5-6: INFORMATION ON PHARMACY OPENING HOURS
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OPTION 5-7: 24 HOUR PHARMACY INFORMATION AND RELATED SERVICES
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Use existing resources, such as poison's information centres- promote them as "drug information centres"
OPTION 5-8: RURAL PHARMACY MAINTENANCE ALLOWANCE
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All pharmacies in rural areas have higher costs and lower population numbers to contend with. This helps maintain their viability and keep another health professional in a rural area.
OPTION 5-9: HARMONISING PHARMACY LEGISLATION
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OPTION 5-10: TRANSPARENCY
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If this were to occur, then are other health professionals, such as GP's subject to the same transparency details.
Can't agree without details
Can't agree without details
OPTION 5-11: EVALUATION MECHANISMS
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It has to be remunerated, as data collection takes time and cost to have suitable software programs- to be of value.
No remuneration- hasty, poorly collated figures
No remuneration- hasty, poorly collated figures
Chapter 6: The Distribution of Medicines to Community Pharmacy
OPTION 6-1: COMMUNITY SERVICE OBLIGATION REMOVAL, RETENTION OR REPLACEMENT ALTERNATIVE 1
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High cost medicines place an unnecessary risk on pharmacies and wholesalers.
OPTION 6-1: COMMUNITY SERVICE OBLIGATION REMOVAL, RETENTION OR REPLACEMENT ALTERNATIVE 2
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The CSO helps to ensure the widest range of medicines are available from a CSO wholesaler, and improve efficiency.
Ordering from multiple suppliers reduces efficiency
Ordering from multiple suppliers reduces efficiency
OPTION 6.1: CSO REMOVAL, RETENTION OR REPLACEMENT ALTERNATIVE 3
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I'm not convinced that the government knowing financial data would give a better service to pharmacies, and ultimately to consumers.
OPTION 6-2: SUPPLY OF HIGH COST MEDICINES
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The pharmacy is placed in a risk situation with the current arrangements.
It could result in pharmacies cherry picking prescriptions to avoid putting themselves at financial risk.
It could result in pharmacies cherry picking prescriptions to avoid putting themselves at financial risk.
Chapter 7: Future Community Pharmacy Agreements
OPTION 7-1: SCOPE OF COMMUNITY PHARMACY AGREEMENTS – DISPENSING
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Discussions should involve all aspects of community pharmacy services
OPTION 7-2: SCOPE OF COMMUNITY PHARMACY AGREEMENTS – WHOLESALING
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Disagree
OPTION 7-3: SCOPE OF CPA – PROGRAMS AND SERVICES
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OPTION 7-4: COMMUNITY PHARMACY AGREEMENTS – PARTICIPANTS
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Chapter 8: Health Programs Offered by Community Pharmacy
OPTION 8-1: DOSE ADMINISTRATION AIDS – STANDARDS
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DAA's are helpful in improving compliance but are time consuming to ensure accuracy of medication profile and medication packing.
In the past, there has been cross subsidy of income generated from dispensing, funding the cost of preparing DAA's.
In the past, there has been cross subsidy of income generated from dispensing, funding the cost of preparing DAA's.
OPTION 8-2: COMMUNITY PHARMACY PROGRAM – KEY PRINCIPLES
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There is scope for community pharmacies and pharmacists to be utilized for better health outcomes in the community
Chapter 9: Indigenous Medicine Access
OPTION 9-1: ACCESS TO MEDICINES PROGRAMS FOR INDIGENOUS AUSTRALIANS
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OPTION 9-2: ABORIGINAL HEALTH SERVICE PHARMACY OWNERSHIP AND OPERATIONS
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This model could be vunerable to many challenges as no one person would be ultimately responsible. It could be vunerable to financial mismanagement, and inefficiences
Chapter 10: Specific Issues
OPTION 10-1: s100 HIGHLY SPECIALISED MEDICINES
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Access to a range of S100 medicines requires more time to order in etc. It may improve access, but needs to be adequately remunerated.
OPTION 10-2: CHEMOTHERAPY COMPOUNDING – PAYMENTS
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A specialised area in which I cannot comment
OPTION 10-3: CHEMOTHERAPY COMPOUNDING - UNIFORM MINIMUM STANDARDS
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OPTION 10-4: CHEMOTHERAPY COMPOUNDING PRACTICE MODELS
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OPTION 10-5: GENERIC MEDICINE - LISTING ARRANGEMENTS
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Too many generic companies in the market, but don't offer a range of products
OPTION 10-6: MACHINE DISPENSING
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Disagree