The Clinical Pharmacy Specialist

Part of the Solution

Published in: Journal of General Internal Medicine, Volume 32, Issue 4, April 2017, pages 375-377. doi:10.1007/s11606-016-3958-x

Posted on RAND.org on April 19, 2017

by Adam J. Rose, Megan B. McCullough, Barry L. Carter, Robert S. Rudin

Read More

Access further information on this document at Published in: Journal of General Internal Medicine

This article was published outside of RAND. The full text of the article can be found at the link above.

Primary care is facing a shortage of providers, an issue compounded by expanded coverage under the Affordable Care Act (ACA) and population aging. Patients often cannot find a primary care panel that is accepting new patients, most practices cannot offer same-day appointments for acute complaints, and primary care providers (PCPs) may feel increasingly "burned-out". While the ACA contains provisions to expand the pool of PCPs over time, including improved compensation for primary care relative to other specialties, this sort of incentive would take years to work, and is unlikely to fully solve the problem. Team-based care is often advanced as a solution to improve the quality, accessibility, and sustainability of primary care. A recent article suggested that full implementation of team-based care could completely address primary care shortages, without adding new physicians, by delegating tasks to other team members. This article, like many others, focused on a healthcare team consisting of physicians, nurse practitioners, physician's assistants, and nurses. However, few articles about team-based primary care focus on the role of pharmacists, or even mention them-an omission also reflected in the setup of many practices.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/principles.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.