THE McPHERSON EXPERIMENT. Expanded Community Hospital Service

Assessing the impact of an expanded scope of practice for pharmacists at a community hospital.

In 2009, the College of Pharmacists of British Columbia introduced Professional Practice Policy 58, “Protocol for Medication Management—Adapting a Prescription”. This policy has enhanced pharmacy practice by allowing pharmacists to make changes to prescriptions. More specifically, it allows pharmacists to change a drug dose or formulation, titrate medications, renew prescriptions, and make drug...

Evaluating the Graylingwell Hospital community Psychiatric Service in Chichester. Suicide and community care.

Hospital and community health service costs: England and Scotland compared.

In publications which have compared the health expenditure in the component parts of the United Kingdom by applying the Resource Allocation Working Party (RAWP) formula to the health budget of England, Scotland, Wales, and Northern Ireland it has been previously concluded that Scotland's hospital and community health services expenditure is more than 19% above what would be a fair distribution....

Service Performance Improvement Model: The Case of Teklehaymanot General Hospital

In service sector, there are challenges in keeping an optimum balance between customers' demand and availability of resources. This problem is going to be more intense in the health sector due to the fact that both arrival and service times are random. Therefore, designing the service environment by keeping the optimum balance between customers’ demand and available resources is becoming a seri...

Pediatric hospitalists in community hospitals: hospital-based generalists with expanded roles.

A few years ago, I was interviewing candidates for a position in our community hospital group. I was telling a resident who was graduating from a highly specialized university program about our range of activities and proudly describing our relationships with community practitioners when she abruptly ended the interview, explaining that she did not want to be what we were; she wanted to be a ho...