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Record W2912148629

Frequency, Nature and Impact of the Consultations Provided by Community Pharmacists in Quebec

2018· article· en· W2912148629 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueCIRANO Project Reports · 2018
Typearticle
Languageen
FieldMedicine
TopicPharmaceutical Practices and Patient Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsPharmacyFamily medicineTriagePharmacistMedicinePopulationFront lineHealth careCommunity pharmacistPublic healthNursingMedical emergencyPolitical scienceEnvironmental health
DOInot available

Abstract

fetched live from OpenAlex

This report presents results from a study of the nature, frequency and impacts of the consultations provided by community pharmacists at the patient’s initiative. The study was carried out in 2017 and 2018 using data from a population survey (913 adults in Quebec) and a survey of pharmacists and patients. The results of this survey highlight the key role played with the Quebec public by community pharmacists. The population survey highlights the central role played by community pharmacists, who do not appear to be a substitute for the roles played by family physicians and other health professionals, with the Quebec population. The results attest to a very high level of satisfaction among Quebec adults regarding the consultations provided by pharmacists. Participants in the survey indicated that the in-person consultation with the pharmacist allowed them to: avoid calling Info-Santé (49%), making an appointment with their family physicians( 44%), to visit a walk-in clinic (41%), to consult another type of health professional (30%) or to go to a hospital emergency room (17%). Potential costs avoided for the health care system are in the order of $ 707 per community pharmacy per working day, based on the average number of consultations per day in the participating pharmacies (13 consultations). Community pharmacists are well equipped to handle the vast majority of patient-initiated consultations and may be more systematically involved in triage on the front line given their skills and availability. Ce rapport présente les résultats d’une étude concernant la nature, la fréquence et les effets des conseils fournis par les pharmaciens communautaires à l’initiative des patients. L’étude fut réalisée en 2017 et 2018 à partir de données issues d’une enquête populationnelle (913 adultes québécois) et d’une enquête en pharmacie auprès de pharmaciens et de patients. L’enquête populationnelle met en lumière le rôle central que jouent les pharmaciens communautaires, qui ne semble par ailleurs pas se substituer à celui du médecin de famille ou des autres professionnels de la santé, auprès de la population québécoise et montre un niveau très élevé de satisfaction de la population adulte québécoise à l’égard des conseils prodigués par les pharmaciens. Les participants de l’enquête en pharmacie ont indiqué que la consultation en personne auprès du pharmacien leur avait permis : d’éviter un appel à la ligne Info-Santé (49 %), de prendre un rendez-vous avec leur médecin de famille (44 %), de se rendre à une clinique sans rendez-vous (41 %), de consulter un autre type de professionnel de la santé (30 %) ou encore de se rendre à l’urgence d’un hôpital (17 %). Les coûts potentiels ainsi évités pour le système de santé sont de l’ordre de 707$ par pharmacie communautaire par jour ouvrable, en se basant sur la moyenne des consultations réalisées par jour dans les pharmacies participantes (13 consultations). Les pharmaciens communautaires sont bien outillés pour gérer la grande majorité des consultations initiées par les patients et ils pourraient participer de manière plus systématique au triage en première ligne étant donné, d’une part, leurs compétences et, d’autre part, leur grande disponibilité. Version en français de ce rapport de projet

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.015
Threshold uncertainty score0.990

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.068
GPT teacher head0.435
Teacher spread0.367 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it