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Coherence between Brain Cortical Function and Neurocognitive Performance during Changed Gravity Conditions

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Published on: May 23, 2011

Performance-based pharmacy payment models: the case for change.

John Jackson¹, Ben Urick²

¹Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Vic. 3052, Australia; and Corresponding author.

Australian Health Review : a Publication of the Australian Hospital Association

|September 11, 2019

Summary

This summary is machine-generated.

Australian community pharmacies could improve patient care by linking prescription dispensing fees to patient adherence. This performance-based model, inspired by US experience, could enhance quality within the Pharmaceutical Benefits Scheme.

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Area of Science:

Health Services Research
Pharmaceutical Policy
Health Economics

Background:

Global healthcare payers are adopting performance-based payment models to control costs and improve care quality.
Australian community pharmacy predominantly uses a fee-for-service model for prescription dispensing, with limited quality-linked funding.
Existing quality initiatives include funding for pharmacist interventions like dose administration aids.

Purpose of the Study:

To explore the potential for a performance-based payment model for prescription dispensing in Australian community pharmacies.
To investigate patient adherence as a measurable outcome for quality-based pharmacy remuneration.
To assess the feasibility of modifying the Australian Pharmaceutical Benefits Scheme dispensing model.

Main Methods:

Literature review of international performance-based payment models in healthcare.
Analysis of the current Australian Pharmaceutical Benefits Scheme dispensing payment structure.
Conceptual framework development linking pharmacist counselling, patient adherence, and dispensing payments.

Main Results:

Patient adherence to prescription regimens is a potential quality indicator correlated with pharmacist counselling.
US experience demonstrates that performance-based adjustments to per-prescription payments are feasible and meaningful.
The Australian Pharmaceutical Benefits Scheme dispensing model could be adapted to incorporate adherence measures.

Conclusions:

Patient adherence offers a viable metric for developing performance-based payment models in Australian community pharmacy.
Modifying the current dispensing payment system could incentivize pharmacists to improve patient adherence and overall care quality.
Implementing such a model has the potential to enhance the value and impact of community pharmacy services.