PHARMACISTS IN NEWFOUNDLAND AND LABRADOR

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1 PHARMACISTS IN NEWFOUNDLAND AND LABRADOR PERCEPTIONS AND ATTITUDES TOWARDS PHARMACISTS IN NEWFOUNDLAND AND LABRADOR WITH NATIONAL COMPARISONS MARCH 2018

2 METHODOLOGY The survey was conducted online with 4,023 Canadians aged 18 and over from February 23 rd to March 4 th, 2018 with 465 interviewed in Newfoundland and Labrador. A random sample of panelists were invited to complete the survey from a set of partner panels based on the Lucid exchange platform. These partners are typically double opt-in survey panels, blended to manage out potential skews in the data from a single source. The Marketing Research and Intelligence Association policy limits statements about margins of sampling error for most online surveys. The margin of error for a comparable probability-based random sample of the same size is +/- 2., 19 times out of 20. For the sample it is +/- 4., 19 times out of 20 The data were weighted according to census data to ensure that the sample matched /'s population according to age, gender, educational attainment, and region. Totals may not add up to 100 due to rounding.

3 KEY FINDINGS - TRACKING Residents of Newfoundland and Labrador have as strong a positive outlook towards pharmacists than Canadians in general. 9 have at least a mostly positive impression of pharmacists. They are in line with the rest of the country when it comes to how essentially, they are views fully 7 of Canadians see them as essential to the health care system. Despite not being viewed as more essential, pharmacists in Newfoundland and Labrador are more trusted on vaccinations, advice on medicine, management of chronic health conditions, healthy lifestyle changes, and management of common ailments than else where in the country. There is lower awareness in that pharmacists provide services renewing and extending prescriptions, and prescribing prescription medications for some minor health conditions.

4 IMPRESSION OF PROFESSIONS

5 IMPRESSION OF PROFESSIONS PARAMEDICS 4 49% 53% 47% 2% 0% 3% 0% NURSES % 47% 0% 1% PHARMACISTS 39% % 2% 0% 1% DOCTORS 3 34% 60% 5 10% 0% 2% TEACHERS 3 31% 57% 59% 1% 10% 2% MILITARY OFFICERS 2 23% 62% 6 12% 0% 3% POLICE OFFICERS 27% 23% 5 62% 1 10% 2% 4% CHIROPRACTORS 20% 1 63% 6 14% 17% 2% 4% BANKERS 5 59% 29% 2 3% Very positive Mostly positive Mostly negative Very negative Please tell us if you have a very positive, mostly positive, mostly negative, or very negative impression of each:

6 ROLES IN HEALTHCARE DOCTORS 89% 8 13% 10% 1% 2% PARAMEDICS % 19% 3% 4% REGISTERED NURSES 73% 79% 24% 1 3% 4% LICENSED PRACTICAL NURSES 57% 64% 3 31% PHARMACISTS 61% 6 32% 2 7% MEDICAL TECHNOLOGISTS 4 51% 43% 40% 9% Essential Important Supporting Think about the health care system overall and the role and importance of different people within the system. We are going to show you a number of different professions within the health care system and ask you to classify their role into one of three groups.

7 ROLES IN HEALTHCARE PHYSIOTHERAPISTS 41% 41% 47% 4 12% 14% PERSONAL CARE AIDES 34% 41% 42% 41% 24% 1 PHARMACY TECHNICIANS 29% 33% 53% 4 17% 19% LAB ASSISTANT % 4 14% 19% OCCUPATIONAL THERAPISTS 32% 33% 50% % FOOD SERVICE WORKERS 31% 32% 41% 37% 2 31% CLEANERS 34% 2 34% 3 32% 34% Essential Important Supporting Think about the health care system overall and the role and importance of different people within the system. We are going to show you a number of different professions within the health care system and ask you to classify their role into one of three groups.

8 TRUSTED ADVICE DOCTOR VACCINATIONS 29% % 23% 21% 9% 2% ADVICE ON MEDICINES 27% 2 42% 51% 2 19% 2% 1% 2% MANAGEMENT OF CHRONIC HEALTH CONDITIONS 27% 33% 41% 44% 2 20% 2% 0% 2% HEALTHY LIFESTYLE CHANGES 31% 27% 39% % 3% 0% 1% MANAGEMENT OF COMMON AILMENTS 2 31% 41% 43% 2 23% 2% 1% 2% Completely trust Trust a great deal Trust somewhat Trust only a little Do not trust at all Please tell us to what extent you trust the advice [X] might give you on the following:

9 TRUSTED ADVICE PHARMACISTS VACCINATIONS 24% 2 37% 39% 2 2 9% 4% 1% ADVICE ON MEDICINES 3 47% 40% 3 20% 1 1% 0% 3% 1% MANAGEMENT OF CHRONIC HEALTH CONDITIONS 17% 1 39% 44% 3 34% 0% 9% 2% HEALTHY LIFESTYLE CHANGES 22% 20% 40% 47% 30% 2 4% 0% 2% MANAGEMENT OF COMMON AILMENTS 24% 31% 42% 4 27% 21% 2% 0% 1% Completely trust Trust a great deal Trust somewhat Trust only a little Do not trust at all Please tell us to what extent you trust the advice [X] might give you on the following:

10 TRUSTED ADVICE NURSES VACCINATIONS 21% 20% 39% 42% 2 30% 2% ADVICE ON MEDICINES 1 21% 3 42% 34% 32% 1% 10% 2% MANAGEMENT OF CHRONIC HEALTH CONDITIONS 19% 17% 42% 47% 33% 30% 4% 1% 7% 1% HEALTHY LIFESTYLE CHANGES 21% 20% 41% 49% 30% 2 4% 0% 2% MANAGEMENT OF COMMON AILMENTS 2 21% 43% % 0% 1% Completely trust Trust a great deal Trust somewhat Trust only a little Do not trust at all Please tell us to what extent you trust the advice [X] might give you on the following:

11 TRUSTED ADVICE PARAMEDICS VACCINATIONS 7% 10% 24% 24% 3 37% 24% 20% 10% 9% ADVICE ON MEDICINES 9% 10% % 3 19% 1 MANAGEMENT OF CHRONIC HEALTH CONDITIONS 9% 23% 2 39% 40% 22% 19% 7% HEALTHY LIFESTYLE CHANGES % 19% 19% MANAGEMENT OF COMMON AILMENTS 2 29% 39% 39% 1 17% Completely trust Trust a great deal Trust somewhat Trust only a little Do not trust at all Please tell us to what extent you trust the advice [X] might give you on the following:

12 GOING TO YOUR PHARMACIST

13 AWARENESS OF SERVICES RENEW AND EXTEND YOUR PRESCRIPTIONS 5 69% 44% 31% PROVIDE EMERGENCY PRESCRIPTION REFILLS 70% 71% 30% 29% MEET OR SIT DOWN WITH YOU FOR A 20 MINUTE REVIEW OF YOUR MEDICATIONS 61% 63% 39% 37% ADAPT A PRESCRIPTION 44% % ADMINISTER A FLU SHOT 8 87% 14% 13% ADMINISTER OTHER VACCINES 60% 6 40% 3 THERAPEUTIC SUBSTITUTION 50% 52% 50% 4 PRESCRIBING PRESCRIPTION MEDICATIONS FOR SOME MINOR HEALTH CONDITIONS 54% COUNSELLING PROGRAMS FOR SMOKING CESSATION 4 52% 52% 4 Aware Unaware Before today, were you aware or unaware that pharmacists provide the following services?

14 GOING TO YOUR PHARMACIST A VACCINATION 27% 30% 41% 37% 17% 1 13% 2% A FLU SHOT 29% 3 40% 34% 1 13% 13% 2% 4% ADVICE ON MEDICINES YOU ARE TAKING 49% % 1% 9% 2% 2% MANAGEMENT OF CHRONIC HEALTH CONDITIONS 14% 1 40% 40% 30% 27% 14% 12% 2% 4% ADVICE ON HEALTHY LIFESTYLE CHANGES LIKE SMOKING CESSATION AND WEIGHT LOSS 24% 21% 40% 42% 23% 20% 4% 4% MANAGEMENT OF COMMON AILMENTS LIKE THE FLU OR COLD 34% 41% 44% 43% 3% 1% 13% 3% Very likely Somewhat likely Somewhat unlikely Very unlikely Not sure If you required the following services, how likely are you to go to a pharmacist to get them?

15 CALL OR VISIT PHARMACIST FIRST % 57% Yes No Typically, before you seek treatment for common ailments like the flu or a cold, do you call or visit a pharmacy before seeking help from your doctor or after hours clinic?

16 IMPACT OF EXPANDED SCOPE 3 4 9% 1% 7% ALLOWING PHARMACISTS TO DO MORE FOR PATIENTS WILL IMPROVE HEALTH OUTCOMES FOR PATIENTS % 1% 7% ALLOWING PHARMACISTS TO DO MORE FOR PATIENTS WILL REDUCE COSTS IN THE HEALTH CARE SYSTEM. 39% 4 7% 2% 40% 4 2% 7% Strongly agree Mostly agree Mostly disagree Strongly disagree Unsure Below are a number of statements that could be used to describe pharmacists in your community Please tell us whether you agree or disagree with each statement:

17 PHARMACISTS ASSOCIATION OF NEWFOUNDLAND QUESTIONS

18 KEY FINDINGS - PROVINCIAL 60% of Newfoundlanders and Labradorians did not get a flu shot this year. The 40% who had predominantly got it at a public health clinic (6), while only one in ten got it in a pharmacy. Those who did not predominantly did not receive a flu shot because they didn t think they are effective or felt they needed one. 8 of residents strongly support the provincial government changing its policy so that patients do not pay out of pocket for a flue shot, regardless of whether they receive it in a doctor s office, clinic, or pharmacy. Were going to see a pharmacist no an option, most residents would go to a walk-in clinic or health clinic (50%), while some would opt to go to the emergency room at a hospital (22%). One in four would not go anywhere, with 12% opting to try to get information online and 12% would just not seek treatment and hope the symptoms go away.

19 DID YOU GET A FLU SHOT THIS YEAR? 60% 40% Yes No Did you get a flu shot this year?

20 DID YOU GET A FLU SHOT THIS YEAR? 40% 60% REGION Labrador 32% 6 Avalon Peninsula 47% 53% Eastern and Central Newfoundland 39% 61% Western Newfoundland 22% 7 GENDER Male 43% 57% AGE Female 37% 63% % 63% % % 60% 60 and over 5 4 INCOME Less than $50,000 32% 6 $50,000 to $100,000 44% 5 Over $100,000 53% 47% Yes No Did you get a flu shot this year?

21 DID YOU GET A FLU SHOT THIS YEAR? 40% 60% PROVINCIAL VOTE Liberal Party 53% 47% Progressive Conservative Party 4 5 New Democratic Party 3 6 Yes No Did you get a flu shot this year?

22 WHERE DID YOU RECEIVE YOUR FLU SHOT? THOSE WHO RECEIVE A FLU SHOT Public health clinic 6 Doctor s office 17% Pharmacy Other Where did you receive your flu shot?

23 WHERE DID YOU RECEIVE YOUR FLU SHOT? THOSE WHO RECEIVE A FLU SHOT 6 17% REGION GENDER Labrador Avalon Peninsula Eastern and Central Newfoundland Western Newfoundland 6 60% 72% 84% 1 34% 17% 17% 4% 9% 0% 0% AGE Male Female 6 67% 1 17% 1 2% 10% INCOME and over 49% 64% 7 67% 27% 1 10% 19% 1 19% 7% Less than $50,000 $50,000 to $100,000 Over $100, % 64% 1 21% 20% 14% 12% 3% 4% Public health clinic Doctor s office Pharmacy Other Where did you receive your flu shot?

24 WHERE DID YOU RECEIVE YOUR FLU SHOT? THOSE WHO RECEIVE A FLU SHOT 6 17% PROVINCIAL VOTE Liberal Party 67% 21% Progressive Conservative Party 60% 20% 17% 2% New Democratic Party 72% 12% Public health clinic Doctor s office Pharmacy Other Where did you receive your flu shot?

25 WHERE DID YOU RECEIVE YOUR FLU SHOT? THOSE WHO DID NOT RECEIVE A FLU SHOT Don t think they are effective or I didn t need one 72% Other reason 12% Didn t have time to get one or couldn t get an appointment 10% Didn t know where to get one 4% Couldn t afford to get one 3% What s the main reason you didn t get the flu shot?

26 WHERE DID YOU RECEIVE YOUR FLU SHOT? THOSE WHO DID NOT RECEIVE A FLU SHOT 72% 12% 10% 4% 3% REGION GENDER Labrador Avalon Peninsula Eastern and Central Newfoundland Western Newfoundland 53% 70% 67% 79% 47% 1 14% 7% 4% 0% 3% 2% 4% 1% 9% AGE Male Female 74% 70% 9% 14% 10% 9% 3% 4% 2% INCOME and over % 73% 17% 1 14% 1 2% 0% 9% 1% 0% 0% Less than $50,000 $50,000 to $100,000 Over $100, % 9% 21% 7% 4% 9% 23% 0% 0% Don t think they are effective or I didn t need one Other Didn t have time to get one or couldn t get an appointment Didn t know where to get one Couldn t afford to get one What s the main reason you didn t get the flu shot?

27 WHERE DID YOU RECEIVE YOUR FLU SHOT? THOSE WHO DID NOT RECEIVE A FLU SHOT 72% 12% 10% 4% 3% PROVINCIAL VOTE Liberal Party 74% 7% Progressive Conservative Party 73% 1 4% 1% New Democratic Party 70% 12% 17% 1% 0% Don t think they are effective or I didn t need one Other Didn t have time to get one or couldn t get an appointment Didn t know where to get one Couldn t afford to get one What s the main reason you didn t get the flu shot?

28 SUPPORT GOVERNMENT FUNDING FOR FLU SHOTS 5 30% 4% 3% Strongly support Support Oppose Strongly oppose Don t have clear views either way As you may know, you are now able to visit a pharmacy to receive a flu shot. However, those who choose to receive a flu shot from a pharmacist must pay $20-$25 per visit, while those who receive a flu shot from a health clinic or some doctor s offices who still provide them. Would you support or oppose the provincial government changing its policy so that patients do not pay out of pocket for a flu shot, whether they receive it in a doctor s office, clinic or pharmacy?

29 SUPPORT GOVERNMENT FUNDING FOR FLU SHOTS 5 30% 4% 3% REGION Labrador 37% 39% 13% 10% 0% Avalon Peninsula 59% 2 3% 4% 7% Eastern and Central Newfoundland 50% 34% 1% Western Newfoundland 62% 30% 1% 3% 3% GENDER Male 47% 3 4% 2% AGE Female 64% 23% 3% 3% 7% % 29% 2% 4% 13% % 3 4% 3% % 23% 2% 60 and over 57% 31% 4% 3% INCOME Less than $50,000 59% 2 3% 2% $50,000 to $100,000 50% 3 3% Over $100,000 59% 23% 3% 9% Strongly support Support Oppose Strongly oppose Don t have clear views either way As you may know, you are now able to visit a pharmacy to receive a flu shot. However, those who choose to receive a flu shot from a pharmacist must pay $20-$25 per visit, while those who receive a flu shot from a health clinic or some doctor s offices who still provide them. Would you support or oppose the provincial government changing its policy so that patients do not pay out of pocket for a flu shot, whether they receive it in a doctor s office, clinic or pharmacy?

30 SUPPORT GOVERNMENT FUNDING FOR FLU SHOTS 5 30% 4% 3% PROVINCIAL VOTE Liberal Party 57% 31% 4% 2% Progressive Conservative Party 6 29% 2% 1% 2% New Democratic Party 50% 33% 1% 4% Strongly support Support Oppose Strongly oppose Don t have clear views either way As you may know, you are now able to visit a pharmacy to receive a flu shot. However, those who choose to receive a flu shot from a pharmacist must pay $20-$25 per visit, while those who receive a flu shot from a health clinic or some doctor s offices who still provide them. Would you support or oppose the provincial government changing its policy so that patients do not pay out of pocket for a flu shot, whether they receive it in a doctor s office, clinic or pharmacy?

31 VISITS TO PHARMACY TO FILL OR REFILL A PRESCRIPTION: AVERAGE 1.3 In the past month, how many times did you visit a pharmacy to do the following?

32 VISITS TO PHARMACY TO FILL OR REFILL A PRESCRIPTION: REGION GENDER AGE Labrador Avalon Peninsula Eastern and Central Newfoundland Western Newfoundland Male Female INCOME and over Less than $50,000 $50,000 to $100,000 Over $100, In the past month, how many times did you visit a pharmacy to do the following?

33 VISITS TO PHARMACY TO FILL OR REFILL A PRESCRIPTION: 1.3 PROVINCIAL VOTE Liberal Party 1.6 Progressive Conservative Party 1.2 New Democratic Party 1.3 In the past month, how many times did you visit a pharmacy to do the following?

34 VISITS TO PHARMACY TO GET ADVICE FROM A PHARMACIST: AVERAGE 0.4 In the past month, how many times did you visit a pharmacy to do the following?

35 VISITS TO PHARMACY TO GET ADVICE FROM A PHARMACIST: 0.4 REGION GENDER AGE Labrador Avalon Peninsula Eastern and Central Newfoundland Western Newfoundland Male Female INCOME and over Less than $50,000 $50,000 to $100,000 Over $100, In the past month, how many times did you visit a pharmacy to do the following?

36 VISITS TO PHARMACY TO GET ADVICE FROM A PHARMACIST: 0.4 PROVINCIAL VOTE Liberal Party 0.6 Progressive Conservative Party 0.3 New Democratic Party 0.5 In the past month, how many times did you visit a pharmacy to do the following?

37 IMAGINE YOU COULDN T GO SEE A PHARMACIST FOR SYMPTOMS Go to a walk-in clinic or health clinic 50% Go to the emergency room at a hospital 22% Try to get information online 12% Not seek treatment and hope the symptoms go away 12% Do something else 4% Let s imagine you couldn t go see a pharmacist for symptoms you are experiencing. What would you most likely do instead?

38 IMAGINE YOU COULDN T GO SEE A PHARMACIST FOR SYMPTOMS 50% 22% 12% 12% 4% REGION Labrador 21% 59% 0% 20% 0% Avalon Peninsula 54% 12% 13% 1 7% Eastern and Central Newfoundland 5 24% 9% 1% Western Newfoundland 33% 43% 1 3% GENDER Male 54% 20% 13% 3% AGE Female 47% 2 14% 10% 4% % 1 2% % 17% 0% % 23% 12% 12% 4% 60 and over 54% 21% 9% INCOME Less than $50,000 47% 29% 2% $50,000 to $100,000 52% 19% 12% 12% Over $100,000 52% % Go to a walk-in clinic or health clinic Go to the emergency room at a hospital Try to get information online Not seek treatment and hope the symptoms go away Do something else Let s imagine you couldn t go see a pharmacist for symptoms you are experiencing. What would you most likely do instead?

39 IMAGINE YOU COULDN T GO SEE A PHARMACIST FOR SYMPTOMS 50% 22% 12% 12% 4% PROVINCIAL VOTE Liberal Party 62% 23% 7% 3% Progressive Conservative Party 51% 33% 4% New Democratic Party 43% 21% 2 3% Go to a walk-in clinic or health clinic Go to the emergency room at a hospital Try to get information online Not seek treatment and hope the symptoms go away Do something else Let s imagine you couldn t go see a pharmacist for symptoms you are experiencing. What would you most likely do instead?

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