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Changing patient consultation patterns in primary care: an investigation of uptake of the Minor Ailments Service in Scotland

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  • Wagner, Andrew
  • Noyce, Peter R.
  • Ashcroft, Darren M.

Abstract

Objectives To study the impact and potential predictors of uptake of patient registrations and supplied medicines under the Minor Ailments Scheme (MAS) in Scotland. The MAS was introduced in 2006, intending to improve health care access by re-directing patients from primary care to community pharmacies.Methods Numbers of dispensed MAS items and patient registrations were obtained for all community pharmacies in Scotland for the period 2006-2009. Local demographic and socioeconomic characteristics were attributed to community pharmacies as potential predictors of MAS service uptake.Results There were significantly more MAS registrations in community pharmacies located in the most deprived areas. MAS registrations in rural areas were significantly lower than in urban areas. Rates of MAS items supplied ranged from 219.9 to 3604.6 items per 10,000 Health Board population in 2008/09. Urban pharmacies supplied 72.6 MAS items per month compared to 43.3 items per month by rural pharmacies. 96.7 items per month were supplied by pharmacies in the most deprived areas compared to 53.2 items per month in the least deprived areas.Conclusion There has been geographical variation in uptake of the MAS service. Community pharmacies under multiple ownership engaged in MAS activity to a greater extent than independent pharmacies, with higher uptake in community pharmacies located in deprived and urban areas.

Suggested Citation

  • Wagner, Andrew & Noyce, Peter R. & Ashcroft, Darren M., 2011. "Changing patient consultation patterns in primary care: an investigation of uptake of the Minor Ailments Service in Scotland," Health Policy, Elsevier, vol. 99(1), pages 44-51, January.
    • Handle: RePEc:eee:hepoli:v:99:y:2011:i:1:p:44-51
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    References listed on IDEAS

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    1. Huttin, Christine, 1996. "A critical review of the remuneration systems for pharmacists," Health Policy, Elsevier, vol. 36(1), pages 53-68, April.
    2. Bernsten, Cecilia & Andersson, Karolina & Gariepy, Yves & Simoens, Steven, 2010. "A comparative analysis of remuneration models for pharmaceutical professional services," Health Policy, Elsevier, vol. 95(1), pages 1-9, April.
    3. Dhippayom, Teerapon & Walker, Roger, 2008. "Impact of the reduction of the prescription charge in Wales on the prescribing of non-sedating antihistamines in primary care," Health Policy, Elsevier, vol. 87(3), pages 309-315, September.
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