Élaboration d’un plan d’effectifs selon les principes de l’offre de soins pharmaceutiques en vigueur à l’Institut universitaire de cardiologie et de pneumologie de Québec – Université Laval

Résumé

summary

Objective: To structure the application of the offer of pharmaceutical care and services of the University Institute of Cardiology and Pneumology of Quebec - Laval University by developing a staffing plan to ensure the continuity of pharmaceutical care and services in the establishment.

Description of the problem: It is expected that the pharmacy departments of Quebec health establishments will set up a pharmaceutical care offer reflecting the needs of their patient population and determine the optimal distribution of their workforce to ensure the application of such an offer. Few benchmarks are however provided to guide the conduct in the development and deployment of the pharmaceutical care offer, as well as in the adaptation to a context of shortage.

Résolution de la problématique : La couverture actuelle réelle en pharmaciens au sein des secteurs cliniques de l’Institut universitaire de cardiologie et de pneumologie de Québec – Université Laval a été comparée à la couverture nécessaire à l’application intégrale du modèle d’offre de soins pharmaceutiques actuel de cet établissement. Ensuite, les pharmaciens du milieu ont fait valoir leur perception à ce sujet au moyen d’un sondage, ce qui nous a amenés à déterminer une répartition des effectifs en contexte de pénurie.

Conclusion : Notre étude a permis l’élaboration d’un plan d’effectifs à l’image de la couverture réelle en pharmaciens des secteurs cliniques à l’Institut universitaire de cardiologie et de pneumologie de Québec – Université Laval et de la perception des pharmaciens du milieu. Cet exercice de rationalisation des ressources pourrait inspirer d’autres établissements québécois et a révélé que des pistes d’amélioration des offres de soins actuellement en vigueur pourraient être explorées, notamment à l’urgence.

Abstract

Objective: To structure the deployment of the offer of pharmaceutical care and services at the IUCPQ-UL by developing a staffing plan to ensure the continuity of such care and services at this facility.

Problem description: Pharmacy departments in Quebec’s healthcare facilities are expected to develop an offer of pharmaceutical care in line with the needs of their patient base and to determine the optimal allocation of their staff to ensure the deployment of this offer. However, few benchmarks are provided to guide the process of developing and deploying the offer of pharmaceutical care or of making adjustments in the context of a shortage.

Problem resolution: The current actual pharmacists coverage in the clinical sectors at the IUCPQ-UL were compared to the coverage required to fully implement the facility’s current model of offering pharmaceutical care. Pharmacists were then surveyed for their perception which enabled us to determine staff allocation in the context of a shortage.

Conclusion: Our study led to the development of a staffing plan that reflects the actual pharmacists coverage in the IUCPQ-UL's clinical sectors and its pharmacists' perception. This resource rationalization exercise could inspire other Quebec facilities, and it showed that avenues for improving the current offers of care could be explored, particularly in the emergency department.