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Published on: April 23, 2019
Independent pharmacist prescribing in Canada
Summary
Pharmacist prescribing authority has significantly expanded across Canadian provinces. A 2010 policy review revealed varying provincial regulations for pharmacists continuing, adapting, and initiating prescriptions.
Area of Science:
- Pharmacy Practice
- Health Policy Analysis
- Prescribing Authority
Background:
- Traditionally limited prescribing role for pharmacists.
- Recent expansion of pharmacy scope of practice in Canadian provinces.
- Lack of systematic investigation into these policy changes.
Purpose of the Study:
- To systematically investigate and compare pharmacist prescribing policies in Canadian provinces.
- To analyze the scope of independent prescribing for community pharmacists.
Main Methods:
- Comprehensive policy review of Canadian provinces in August 2010.
- Analysis of relevant documents, regulations, and interviews with officials.
- Focus on policies enabling pharmacists to continue, adapt, and initiate prescriptions.
Main Results:
- Pharmacists had independent prescribing authority in 7 out of 10 provinces.
- Authority included continuing (7 provinces), adapting (4 provinces), and initiating (3 provinces) prescriptions.
- Significant heterogeneity observed in provincial regulations for these functions.
Conclusions:
- Substantial increase in legislated pharmacist prescribing ability in Canadian community settings over 5 years.
- Potential for further expansion of pharmacist prescribing.
- Need for future evaluation of these programs focusing on patient outcomes, safety, professional development, human resources, and reimbursement.
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