Expanding Pharmacist Services in Québec: A Health Reform Analysis of Bill 41 and its Implications for Equity in Financing Care

On 8 December 2011, Québec’s Minister of Health and Social Services amended the province’s Pharmacy Act by introducing Bill 41 to expand pharmacists’ role in patient care. Québec is the only Canadian province with a legal mandate for prescription drug insurance coverage for all residents, with publi...

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Main Authors: Renée Carter, Amélie Quesnel-Vallée
Format: Article
Language:English
Published: McMaster University Library Press 2014-12-01
Series:Health Reform Observer - Observatoire des Réformes de Santé
Subjects:
Online Access:https://mulpress.mcmaster.ca/hro-ors/article/view/67/2336
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author Renée Carter
Amélie Quesnel-Vallée
author_facet Renée Carter
Amélie Quesnel-Vallée
author_sort Renée Carter
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description On 8 December 2011, Québec’s Minister of Health and Social Services amended the province’s Pharmacy Act by introducing Bill 41 to expand pharmacists’ role in patient care. Québec is the only Canadian province with a legal mandate for prescription drug insurance coverage for all residents, with public coverage offered only to those who do not have access to private health insurance through their employer. Bill 41 aims to increase access to health care and reduce physician wait times by extending the scope of pharmacist services to mirror that of physicians (e.g., modify the form of the medication and its dosage). The reform is currently pending due to disputes between the Ministry of Health and Social Services and the Quebec Association of Pharmacy Owners over remuneration for pharmacists. Should Bill 41 come into force, it is unclear whether the expansion of pharmacists’ roles, which in principle would duplicate physician services, should be considered part of the public basket of medically necessary care. Current negotiations suggest that only those with public coverage will also be covered for expanded services thereby placing equity of finance for those with private insurance in question.
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spelling doaj.art-7f53c390b2ca4521aaf415659baa2bed2022-12-22T03:56:52ZengMcMaster University Library PressHealth Reform Observer - Observatoire des Réformes de Santé2291-63692014-12-012210.13162/hro-ors.v2i2.67Expanding Pharmacist Services in Québec: A Health Reform Analysis of Bill 41 and its Implications for Equity in Financing CareRenée Carter0Amélie Quesnel-Vallée1McGill UniversityMcGill UniversityOn 8 December 2011, Québec’s Minister of Health and Social Services amended the province’s Pharmacy Act by introducing Bill 41 to expand pharmacists’ role in patient care. Québec is the only Canadian province with a legal mandate for prescription drug insurance coverage for all residents, with public coverage offered only to those who do not have access to private health insurance through their employer. Bill 41 aims to increase access to health care and reduce physician wait times by extending the scope of pharmacist services to mirror that of physicians (e.g., modify the form of the medication and its dosage). The reform is currently pending due to disputes between the Ministry of Health and Social Services and the Quebec Association of Pharmacy Owners over remuneration for pharmacists. Should Bill 41 come into force, it is unclear whether the expansion of pharmacists’ roles, which in principle would duplicate physician services, should be considered part of the public basket of medically necessary care. Current negotiations suggest that only those with public coverage will also be covered for expanded services thereby placing equity of finance for those with private insurance in question.https://mulpress.mcmaster.ca/hro-ors/article/view/67/2336expansion of pharmacist servicesuniversal prescription drug coverageequity of financeBill 41Quebec
spellingShingle Renée Carter
Amélie Quesnel-Vallée
Expanding Pharmacist Services in Québec: A Health Reform Analysis of Bill 41 and its Implications for Equity in Financing Care
Health Reform Observer - Observatoire des Réformes de Santé
expansion of pharmacist services
universal prescription drug coverage
equity of finance
Bill 41
Quebec
title Expanding Pharmacist Services in Québec: A Health Reform Analysis of Bill 41 and its Implications for Equity in Financing Care
title_full Expanding Pharmacist Services in Québec: A Health Reform Analysis of Bill 41 and its Implications for Equity in Financing Care
title_fullStr Expanding Pharmacist Services in Québec: A Health Reform Analysis of Bill 41 and its Implications for Equity in Financing Care
title_full_unstemmed Expanding Pharmacist Services in Québec: A Health Reform Analysis of Bill 41 and its Implications for Equity in Financing Care
title_short Expanding Pharmacist Services in Québec: A Health Reform Analysis of Bill 41 and its Implications for Equity in Financing Care
title_sort expanding pharmacist services in quebec a health reform analysis of bill 41 and its implications for equity in financing care
topic expansion of pharmacist services
universal prescription drug coverage
equity of finance
Bill 41
Quebec
url https://mulpress.mcmaster.ca/hro-ors/article/view/67/2336
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