Long-term trends in the labour supply and productivity of pharmacists in Canada.
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BACKGROUND: The pharmacist labour supply affects patient access to pharmacotherapy, immunization, and other primary health care services. There is little published evidence on the pharmacist labour supply in Canada, yet these data are needed for pharmacist workforce planning. We evaluated long-term trends in the number of pharmacists in Canada, their average hours worked, and how demographic and other factors affect hours worked. We also examined trends in community pharmacist productivity. METHODS: Data on the number of licensed pharmacists were obtained from pharmacist regulatory agencies. Statistics Canada's Labour Force Survey identified pharmacists' hours worked per week to be between 1987 and 2023. Regression models were used to estimate the impact of pharmacist demographic characteristics, worksite type, region of residence, and secular trends on hours worked. IQVIA data on community pharmacist prescription dispensing were used to examine productivity. RESULTS: The number of pharmacists relative to population doubled over the past 4 decades. This growth was partly offset by reductions in average hours worked per week. This appears to be driven by increases in the female share of the pharmacist workforce and the declining number of hours that male pharmacists work. On net, however, the total number of weekly hours worked-the average weekly hours worked per pharmacist times the number of pharmacists-has increased in both absolute and per capita terms. This expansion in the pharmacist labour supply was reinforced by an increase in pharmacist productivity, at least in the community pharmacy sector. INTERPRETATION: The pharmacist labour supply in Canada has expanded markedly over the past 4 decades; this has occurred despite a decline in the average weekly hours worked by male pharmacists. It is unclear, however, whether this increase is commensurate with the increased responsibilities and workloads being placed on pharmacists. Province-level data on the forecasted demand for pharmacist services and the pharmacist personnel needed to provide these services are required for pharmacist workforce planning.
