Implementation of the California advanced practice pharmacist and the continued disappointment of tiered licensure
The Advanced Practice Pharmacist (APh) designation in California was created via legislation 10 years ago. California pharmacists who meet certain criteria can be designated as an APh and unlock additional practice authority. Just 1065 pharmacists, or 2% of licensed California pharmacists, have obta...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276623001348 |
| _version_ | 1797389345933492224 |
|---|---|
| author | Alex J. Adams Tim P. Frost |
| author_facet | Alex J. Adams Tim P. Frost |
| author_sort | Alex J. Adams |
| collection | DOAJ |
| description | The Advanced Practice Pharmacist (APh) designation in California was created via legislation 10 years ago. California pharmacists who meet certain criteria can be designated as an APh and unlock additional practice authority. Just 1065 pharmacists, or 2% of licensed California pharmacists, have obtained the APh designation through 2022. APhs did not report benefiting from the designation as it relates to expanded scope of practice. This experience of low uptake and minimal benefit mirrors the tiered licenses created by three other states. More recent legislation broadened the independent prescriptive authority of APhs, but this increased value proposition aligns with the practice authority adopted by other states who have imposed fewer barriers to entry. Given the track record observed to date, we doubt that tiered licensure will ever prove successful in the pharmacy profession. Instead, state policymakers and pharmacy advocates should consider adopting a “standard of care” regulatory approach to improve patient access to safe and beneficial pharmacist services. |
| first_indexed | 2024-03-08T22:55:33Z |
| format | Article |
| id | doaj.art-78fed0e1c3fb4fbcb384026802a79ef3 |
| institution | Directory Open Access Journal |
| issn | 2667-2766 |
| language | English |
| last_indexed | 2024-03-08T22:55:33Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj.art-78fed0e1c3fb4fbcb384026802a79ef32023-12-16T06:10:44ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662023-12-0112100353Implementation of the California advanced practice pharmacist and the continued disappointment of tiered licensureAlex J. Adams0Tim P. Frost1Idaho Division of Financial Management, Eagle, ID 83616, USA; Corresponding author.Idaho Division of Occupational and Professional Licenses, Boise, ID, USAThe Advanced Practice Pharmacist (APh) designation in California was created via legislation 10 years ago. California pharmacists who meet certain criteria can be designated as an APh and unlock additional practice authority. Just 1065 pharmacists, or 2% of licensed California pharmacists, have obtained the APh designation through 2022. APhs did not report benefiting from the designation as it relates to expanded scope of practice. This experience of low uptake and minimal benefit mirrors the tiered licenses created by three other states. More recent legislation broadened the independent prescriptive authority of APhs, but this increased value proposition aligns with the practice authority adopted by other states who have imposed fewer barriers to entry. Given the track record observed to date, we doubt that tiered licensure will ever prove successful in the pharmacy profession. Instead, state policymakers and pharmacy advocates should consider adopting a “standard of care” regulatory approach to improve patient access to safe and beneficial pharmacist services.http://www.sciencedirect.com/science/article/pii/S2667276623001348Scope of practiceStandard of carePharmacist prescriptive authority |
| spellingShingle | Alex J. Adams Tim P. Frost Implementation of the California advanced practice pharmacist and the continued disappointment of tiered licensure Exploratory Research in Clinical and Social Pharmacy Scope of practice Standard of care Pharmacist prescriptive authority |
| title | Implementation of the California advanced practice pharmacist and the continued disappointment of tiered licensure |
| title_full | Implementation of the California advanced practice pharmacist and the continued disappointment of tiered licensure |
| title_fullStr | Implementation of the California advanced practice pharmacist and the continued disappointment of tiered licensure |
| title_full_unstemmed | Implementation of the California advanced practice pharmacist and the continued disappointment of tiered licensure |
| title_short | Implementation of the California advanced practice pharmacist and the continued disappointment of tiered licensure |
| title_sort | implementation of the california advanced practice pharmacist and the continued disappointment of tiered licensure |
| topic | Scope of practice Standard of care Pharmacist prescriptive authority |
| url | http://www.sciencedirect.com/science/article/pii/S2667276623001348 |
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