Publications by authors named "Shane Scahill"

Introduction: Discrete choice experiments (DCEs) provide a method for understanding preferences for service provision and there have been limited applications to the selection of community pharmacies. The validity and accuracy of DCEs rely upon the attributes and levels used. This paper aims to describe the development of a DCE investigating New Zealanders preferences for community pharmacies.

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Introduction The provision of palliative care is central to primary health care delivery. In this setting, community pharmacies often act in a medication supply role, yet their broader involvement in supporting people in the last year of life is less well understood. Aim This study aimed to review the literature on community pharmacies supporting adults with palliative care needs in their last year of life, emphasising challenges to optimising their role and improving equity and service accessibility.

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Telepharmacy is the delivery of pharmacy services through telecommunications technology when patients and pharmacists are separated by physical distance. Falling under the broader term of telehealth, telepharmacy has been adopted globally and proved invaluable during the COVID-19 pandemic. The study is aimed at investigating New Zealand pharmacists' perceptions of telepharmacy adoption and assessing its potential impact on their future scope of practice.

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Background: Community pharmacies in New Zealand have varying ownership and operational structures. Unlike independent pharmacies, corporate and hybrid pharmacies do not charge prescription copayments.

Objectives: This research aimed to determine whether people receiving free prescriptions from corporate and hybrid pharmacies (via copayment waiver) have greater medication adherence than the users of independent pharmacies.

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Article Synopsis
  • The policy framework in Australia significantly affects community pharmacists' performance and professionalism, influenced by various stakeholders across different societal levels.
  • The study highlights that pharmacists' professionalism and compliance with standards must be actively demonstrated, as the current funding model undermines these aspects, while commercial pressures further complicate service delivery.
  • Recommendations include improving dispensing funding policies to better support quality performance, implementing compulsory monitoring, and establishing a nationwide quality framework for community pharmacies to enhance service standards.
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Background: Little is known about preferences for community pharmacies, particularly the influence of prescription co-payments, and for New Zealand's priority populations, Māori and Pacific Peoples. Improving understanding of community pharmacy preferences will enable tailoring services to meet community needs.

Objectives: This study aims to investigate New Zealanders' preferences for community pharmacies when collecting prescriptions.

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The purpose of this scoping review is to identify and evaluate studies that examine the effectiveness and implementation strategies of Electronic Health Record (EHR)-integrated digital technologies aimed at improving medication-related outcomes and promoting health equity among hospitalised adults. Using the Consolidated Framework for Implementation Research (CFIR), the implementation methods and outcomes of the studies were evaluated, as was the assessment of methodological quality and risk of bias. Searches through Medline, Embase, Web of Science, and CINAHL Plus yielded 23 relevant studies from 1,232 abstracts, spanning 11 countries and from 2008 to 2022, with varied research designs.

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Background: The pharmacy sector is rapidly evolving due to technological advancements, presenting challenges and opportunities for pharmacists. However, limited literature exists on the future of pharmacy work, especially concerning technology adoption.

Objective: This exploratory study investigates pharmacists' perspectives on the impact of technologies on the profession - including career security, role evolution, adjustments to changes - and the impact of the COVID-19 pandemic on technology implementation and the broader future of work in pharmacy.

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This bibliometric review analyzes the evolution of telepharmacy research, significantly amplified by the COVID-19 pandemic. By employing bibliometric analysis, the study aims to provide a comprehensive overview of the current state and emerging trends in telepharmacy. This approach helps in identifying key areas of growth, predominant themes, and potential gaps in the literature.

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Objectives: Pharmacists constitute a crucial component of the healthcare system, significantly influencing the provision of medication services and ensuring patient safety. This study aims to understand the characteristics and risk factors for complaints against pharmacists through Health and Disability Commissioner (HDC) published decisions.

Methods: This study adopts a retrospective, qualitative approach.

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Article Synopsis
  • The study investigated pharmacists' views on medically assisted dying (MaiD) under New Zealand's End of Life Choice Act 2019 (EOLC), focusing on their support and willingness to offer related services.
  • A survey of 335 registered pharmacists revealed that 58% supported MaiD, while 29% opposed it, with key factors influencing their opinions including legal concerns, patient autonomy, and personal beliefs, particularly religious views.
  • The findings suggest that pharmacists' decisions are complex and call for clearer guidelines to improve support and access to assisted dying services.
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Background: Professional misconduct has evolved into a worldwide concern, involving various forms and types of behaviours that contribute to unsafe practices. This study aimed to provide insights into the patterns characterising pharmacist misconduct and uncover underlying factors contributing to such instances in New Zealand.

Methods: This research examined all cases of pharmacist misconduct sourced from the Health Practitioners Disciplinary Tribunal (HPDT) database in New Zealand since 2004.

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Identifying the risk and predicting complaints and misconduct against health practitioners are essential for healthcare regulators to implement early interventions and develop long-term prevention strategies to improve professional practice and enhance patient safety. This scoping review aims to map out existing literature on the risk identification and prediction of complaints and misconduct against health practitioners. This scoping review followed Arksey and O'Malley's five-stage methodological framework.

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  • The Australian Community Pharmacy Agreement, established in 1990 and updated every five years, governs community pharmacy practices while aiming to ensure the viability of pharmacies and public access to medicines.
  • Although there are concerns about the lack of transparency in negotiations and limited outcome measures, the Agreement is seen as beneficial overall; however, it has drawn criticism for providing unnecessary advantages to existing pharmacy owners and restricting pharmacists' ability to expand their practices.
  • Future policy improvements could include broader stakeholder involvement and better utilization of pharmacists’ skills to enhance health outcomes beyond just medication supply.
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Introduction Aotearoa New Zealand has a range of community pharmacies; independent, corporate, hybrid, and mail-order, each with differing service delivery models. Corporate and hybrid pharmacies do not charge the NZ$5.00 co-payment on standard prescriptions; however, prescription co-payments were universally removed from 1July 2023.

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Purpose: The study aims to estimate the prevalence of workplace bullying, personal and work-related impacts, reporting practices for bullying, and the reasons for not reporting bullying incidents in the New Zealand pharmacy sector.

Design/methodology/approach: An online survey was conducted among registered pharmacists and pharmacist interns in New Zealand from June to August 2020. The questionnaire comprises both close-ended and semi-structured free-text questions.

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Indigenous health is becoming a top priority globally. The aim is to ensure equal health opportunities, with a focus on Indigenous populations who have faced historical disparities. Effective health interventions in Indigenous communities must incorporate Indigenous knowledge, beliefs, and worldviews to be culturally appropriate.

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Article Synopsis
  • Pharmacists play a critical role in healthcare by bridging gaps between patients and other healthcare providers, highlighting the need to examine factors that influence their performance and medication safety.
  • A study was conducted using a modified S.H.E.L.L model through an anonymous online questionnaire to determine how environmental, team, and organizational factors affect the day-to-day practices of New Zealand pharmacists.
  • The survey, which had a response rate of 8.56%, revealed that while most pharmacists believed they were performing optimally, they acknowledged that factors like knowledge, fatigue, and communication significantly impact their work efficiency and safety.
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  • The Community Pharmacy Agreements (CPAs) in Australia, established since 1990, primarily serve to ensure pharmacy owners’ financial benefits while limiting competition and excluding other stakeholders from discussions.
  • A detailed analysis using various policy theories reveals that the Pharmacy Guild of Australia (PGA) holds significant power and influences the policy-making process, leading to minimal engagement from other pharmacy groups to advocate for changes.
  • While the CPAs have facilitated public access to medications and provided stability for existing pharmacy owners, their overall impact on the scope of pharmacists' practice and public safety regarding medication usage remains ambiguous.
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Promotional videos are an effective means of marketing products or services in this era of social media. However, little is known if such videos can be a useful tool to promote pharmacy services. To assess the impact of promotional videos on public awareness of the health services provided by New Zealand pharmacists.

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Background: Collaboration across health care professions is critical in efficiently and effectively managing complex and chronic health conditions, yet interprofessional care does not happen automatically. Professional associations have a key role in setting a profession's agenda, maintaining professional identity, and establishing priorities. The associations' external communication is commonly undertaken through social media platforms, such as Twitter.

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Community pharmacies are high-performance workplaces; if the environment is not conducive to safe practice, mistakes can occur. There has been increasing demand for pharmacists during the COVID-19 pandemic as they have become integral to the response. Suboptimal practices in the work environment and with pharmacists and their teams can impact the safe delivery of services.

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As the last step in the care pathway, pharmacies can significantly impact a patient's medication adherence and the success of treatment. The potential impact of patient's pharmacy choice on their medication adherence has yet to be established. This study aims to review the impact a pharmacies ownership model, either independent or chain, has on its users' medication adherence.

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  • Community pharmacists are adapting to policy changes that require them to develop entrepreneurship skills alongside their traditional healthcare roles.
  • The study involved semi-structured interviews with 21 pharmacists and stakeholders to explore their perspectives on entrepreneurship training and its implementation.
  • Results indicated a need for entrepreneurship education, preferably integrated into pharmacy programs, but opinions varied on its delivery, timing, and emphasis alongside clinical training.
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Introduction And Aims: The non-medical use of prescription stimulants such as methylphenidate, dexamphetamine and modafinil is increasing in popularity within tertiary academic settings. There is a paucity of information on awareness, attitudes, and acceptability by professionals of use in this context. This study aimed to investigate professionals' knowledge of and attitudes towards the use of cognitive enhancers (CEs) in academic settings, and their willingness to use a hypothetical CE.

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