Primary Care in the United Kingdom and the United States: Are There Lessons to Learn From Each Other?

1998 ◽  
Vol 7 (4) ◽  
pp. 311-314 ◽  
Author(s):  
Z. Ajdari
Keyword(s):  
United States ◽  
Primary Care ◽  
United Kingdom ◽  
The United States ◽  
The United Kingdom

scholarly journals Research output on primary care in Australia, Canada, Germany, the Netherlands, the United Kingdom, and the United States: bibliometric analysis

BMJ ◽  
2011 ◽  
Vol 342 (mar08 2) ◽  
pp. d1028-d1028 ◽  
Author(s):  
J. Glanville ◽  
T. Kendrick ◽  
R. McNally ◽  
J. Campbell ◽  
F. R. Hobbs
Keyword(s):  
United States ◽  
Primary Care ◽  
United Kingdom ◽  
The Netherlands ◽  
Bibliometric Analysis ◽  
Research Output ◽  
The United States ◽  
The United Kingdom

scholarly journals Implementing pay‐for‐performance in Australian primary care: lessons from the United Kingdom and the United States

2010 ◽  
Vol 193 (7) ◽  
pp. 408-411 ◽  
Author(s):  
Stephen M Campbell ◽  
Anthony Scott ◽  
Rhian M Parker ◽  
Lucio Naccarella ◽  
John S Furler ◽  
...  
Keyword(s):  
United States ◽  
Primary Care ◽  
United Kingdom ◽  
Pay For Performance ◽  
The United States ◽  
The United Kingdom

scholarly journals Barriers to a full scope of pharmacy practice in primary care: A systematic review of pharmacists’ access to laboratory testing

2019 ◽  
Vol 152 (5) ◽  
pp. 317-333
Author(s):  
Jacqueline Donovan ◽  
Ross T. Tsuyuki ◽  
Yazid N. Al Hamarneh ◽  
Beata Bajorek
Keyword(s):  
United States ◽  
Primary Care ◽  
United Kingdom ◽  
New Zealand ◽  
Patient Outcomes ◽  
Laboratory Testing ◽  
Laboratory Tests ◽  
The United States ◽  
Scope Of Practice ◽  
The United Kingdom

Objectives: To describe primary care pharmacists’ current scope of practice in relation to laboratory testing. Method: A 2-tiered search of key databases (PubMed, EMBASE, MEDLINE) and grey literature with the following MeSH headings: prescribing, pharmacist/pharmacy, laboratory test, collaborative practice, protocols/guidelines. We focused on Canada, the United States, the United Kingdom, New Zealand and Australia for this review. Results: There is limited literature exploring primary care pharmacists’ scope of practice in relation to laboratory testing. The majority of literature is from the United States and Canada, with some from the United Kingdom and New Zealand and none from Australia. Overall, there is a difference in regulations between and within these countries, with the key difference being whether pharmacists access and/or order laboratory testing dependently or independently. Canadian pharmacists can access and/or order laboratory tests independently or dependently, depending on the province they practise in. US pharmacists can access and/or order laboratory tests dependently within collaborative practice agreements. In the United Kingdom, laboratory testing can be performed by independent prescribing pharmacists or dependently by supplementary prescribing pharmacists. New Zealand prescribing pharmacists can order laboratory testing independently. Most publications do not report on the types of laboratory tests used by pharmacists, but those that do predominantly resulted in positive patient outcomes. Discussion/Conclusion: Primary care pharmacists’ scope of practice in laboratory testing is presently limited to certain jurisdictions and is often performed in a dependent fashion. As such, a full scope of pharmacy services is almost entirely unavailable to patients in the United States, the United Kingdom, New Zealand and Australia. Just as in the case for pharmacists prescribing, evidence indicates better patient outcomes when pharmacists can access/order laboratory tests, but more research needs to be done alongside the implementation of local guidelines and practice standards for pharmacists who practise in that realm. Patients around the world deserve to receive a full scope of pharmacists’ practice, and lack of access to laboratory testing is one of the major obstacles to this. Can Pharm J (Ott) 2019;152:xx-xx.

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