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Still Burning: An Exploration of the Impacts of the 2018/2019 Tasmanian Summer Bushfires on Community Pharmacy Operations in Affected Communities

Published online by Cambridge University Press:  10 September 2020

Judith A. Singleton Open the ORCID record for Judith A. Singleton [Opens in a new window] ,
Sherley Khng ,
Elizabeth M. McCourt ,
Kaitlyn E. Watson Open the ORCID record for Kaitlyn E. Watson [Opens in a new window]  and
Esther T.L. Lau
Judith A. Singleton*
Affiliation:
School of Clinical Sciences, QUT, Brisbane, Australia Institute of Health and Biomedical Innovation, QUT, Brisbane, Australia EARTH Research Group, QUT, Brisbane, Australia
Sherley Khng
Affiliation:
School of Clinical Sciences, QUT, Brisbane, Australia
Elizabeth M. McCourt
Affiliation:
School of Clinical Sciences, QUT, Brisbane, Australia Institute of Health and Biomedical Innovation, QUT, Brisbane, Australia EARTH Research Group, QUT, Brisbane, Australia
Kaitlyn E. Watson
Affiliation:
School of Clinical Sciences, QUT, Brisbane, Australia EARTH Research Group, QUT, Brisbane, Australia Epicore Centre, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
Esther T.L. Lau
Affiliation:
School of Clinical Sciences, QUT, Brisbane, Australia Institute of Health and Biomedical Innovation, QUT, Brisbane, Australia EARTH Research Group, QUT, Brisbane, Australia
*
Correspondence: Judith Singleton, PhD, QUT Gardens Point Campus, School of Clinical Sciences, Q Block, 2 George Street, Brisbane4000Australia, E-mail: [email protected]
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Abstract

Introduction:

Human-induced climate change is increasing the likelihood and severity of wildfires across the globe. This has negative consequences for the health of affected communities through the loss of health systems’ infrastructure and disrupted health services. Community pharmacies are a central hub between patients and the health care system and can provide continuity of care during wildfires. However, there is little in peer-reviewed literature about the impacts of wildfires on community pharmacy operations.

Study Objective:

The aim of this study was therefore to explore the impacts of the 2018/2019 summer bushfires in Tasmania, Australia on community pharmacy operations in affected areas.

Methods:

Semi-structured telephone interviews were conducted with four community pharmacists who were working in the affected region during the bushfires. Interviews were audio recorded and transcribed verbatim. Qualitative data were analyzed using two methods– manual coding utilizing NVivo software and Leximancer analysis. Inter-rater reliability was ensured by two researchers analyzing the data independently. Differences in coding were discussed and agreement reached through negotiation amongst the research team.

Results:

From the manual coding analysis, five key themes emerged – communication and collaboration; support; patient health challenges; pharmacist experiences in delivering health care; and future planning. These aligned with the five themes that emerged from the Leximancer analysis – community; local; town; patients; and work. Participants described working during the wildfires as difficult, with multiple challenges reported including communication difficulties, operational barriers such as power cuts, legislative barriers, logistical issues with obtaining and storing medication supplies, and lack of preparation, support, and funding. They highlighted a lack of operational and financial support from the government and received most assistance from local council bodies and local branches of professional pharmacy organizations.

Conclusion:

During disasters, community pharmacies help reduce the burden on public hospitals by maintaining medication supplies and treating patients with minor ailments. However, increased support and inclusion in disaster management planning is needed to continue this role.

Keywords

community pharmacy servicesdisasterdisaster medication managementdisaster relief planningnatural disasters
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 35 , Issue 6 , December 2020 , pp. 612 - 618
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Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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Footnotes

Note: Singleton and Khng are equal first authors. McCourt and Watson are equal second authors.

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