I acknowledge that:

-          taking part in this study is voluntary and I am aware that I can stop taking part in it at any time without explanation or prejudice and to withdraw any unprocessed data I have provided;
-          that any information I give will be kept strictly confidential and that no names will be used to identify me with this study without my approval;

 

By completing this survey “to explore the implementation of expanded pharmacy service in rural community pharmacy” I consent to participate in the project.

Question Title

* 1. Identify the top ten (10) health issues/concerns for your community by rating their importance with (1) being the MOST important and (10) being the LEAST important.[Please use each number only once]

  1 2 3 4 5 6 7 8 9 10
Acute Infections (UTIs/STIs/Ear Infections)
Respiratory Disease (Asthma/COPD)
Cardiovascular Disease (Hypertension/Dyslipidaemia)
Vaccinations
Speech, Language and Hearing Deficits
Osteoporosis
Mental Health (Depression/Anxiety/Suicide)
Diabetes
Sleep Apnoea
Stroke

Question Title

* 2. Identify the top ten (10) expanded services in order of importance with (1) being the MOST important and (10) being the LEAST important.

  Rate (1 MOST Important/10 LEAST Important)
COPD spirometry services [e.g. Spirometry testing, development of action plans, medication adjustment with supervision, refer to appropriate services]
Vaccinations for all age groups and all available vaccinations
Urinary tract infection testing [eg. urinary dipstick testing and recommending treatment with/without supervision, refer to appropriate services]
Hearing testing [e.g. audiometry testing, refer to appropriate services]
Asthma management clinic [e.g. Spirometry testing, development of action plans, medication adjustment with supervision, refer to appropriate services]
Conducting swallowing screening assessments [e.g. conduct basic swallowing screening using validated tools, refer to appropriate services]
Speech and language screening [e.g. using validated tools, refer to appropriate services]
Mouth examinations [e.g. using examination tools to inspect the mouth, provide treatment where appropriate or refer to appropriate services]
Sexually transmitted disease testing [e.g. urine dipstick testing, treatment with medications under supervision, refer to appropriate services]
Drug and alcohol testing [e.g. conduct urine dipstick or breath testing, provide advice, refer to appropriate services]
Conducting sleep assessments/testing [e.g. sleep apnoea testing using validated tools, provide treatment with supervision, refer to appropriate services]
Breastfeeding advice and support [e.g. provide individualized breastfeeding support, examine breastfeeding technique, offer recommendations, refer to appropriate services]
Cholesterol testing and management clinic [e.g. point-of-care cholesterol testing, medication adjustment with supervision, lifestyle modification advice, refer to appropriate services]
Ear examinations [e.g. conduct ear examinations using otoscope, provide treatment where appropriate, refer to appropriate services]
Diabetes testing and management clinic [e.g. HbA1c testing, medication adjustment with supervision, lifestyle modification advice, refer to appropriate services]
Atrial fibrillation testing [e.g. point-of-care AF testing, refer to appropriate services]
Foot examinations and diabetes checks [e.g. conduct diabetes foot exams, refer to appropriate services]
Depression screening [e.g. conducting depression screening using validated tools, refer to appropriate services]
Vision/Eye examinations [e.g. using examination tools to inspect the eyes, provide treatment where appropriate or referral to appropriate services, conduct vision assessments]
Facilitate Telehealth appointments with specialists [e.g. psychologists, endocrinologists, cardiologists, lactation consultants etc.]
Providing counselling services [e.g. conduct cognitive behavioural therapy or alternative counselling service, refer to appropriate services]
Assessing suicide risk [e.g. conducting suicide risk screening using validated tools, refer to appropriate services]
Osteoporosis screening [e.g. Heel Bone Scanning with DXA, Calcium, Vitamin D and Exercise assessment, refer to appropriate services]
Providing physical activity assessments and recommendations [e.g. conduct exercise screening using a validated tool, provide exercise recommendations, refer to appropriate services]
Undertaking dietary assessments and advice [e.g. conduct dietary assessment, provide dietary advice, refer to appropriate services]
Wound management clinic [e.g. apply appropriate dressings and products to manage wounds, referral to appropriate services]

Question Title

* 3. Please place a tick in the box that best suits your answer to the following statements.

  Strongly Agree Agree Disagree Strongly Disagree
Pharmacists have the skills and knowledge to provide the additional services above
Providing additional services would improve health of people in my community
These additional services should be provided by other health professionals eg. doctors, nurses, allied health
These additional services are easily accessible by other providers in my community
I would support the implementation of these additional services in my community pharmacy
I currently have the workspace available to provide the additional services (e.g. private consultation space)
I currently have the time in my workday to provide the additional services (e.g. pharmacist availability)

Question Title

* 4. How much remuneration would be required for the services above to be viable if there were no equipment costs/expenses (e.g. only expense is time)? Select only one response

Question Title

* 5. The following are enablers for expanded practice in my pharmacy:

Question Title

* 6. The following are barriers for expanded practice services in my pharmacy:

Question Title

* 7. What is your age in complete years?

Question Title

* 8. What is your gender?

Question Title

* 9. What is your role?

Question Title

* 10. What year did you qualify as a registered pharmacist?

Question Title

* 11. How many years have you practiced as a rural pharmacist?

Question Title

* 12. What is your postcode?

Question Title

* 13. Please list any additional qualifications or specialties you have attained.

Question Title

* 14. As part of this research project, the researchers are conducting focus groups to gather more information, if you would be willing to participate in a focus group could you please provide your name, email, phone contact, and best available day/time for the focus. These may be conducted via video-conference/Skype/Zoom. This information will be kept separate from the survey data to maintain confidentiality. 

Thank you for completing our survey. We appreciate the time it takes you to complete the survey and value your opinion.

T