{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T13:56:27Z","timestamp":1791294987625,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Rising prevalence of neurodevelopmental disorders, including attention\u2010deficit\/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), has increased demand for developmental paediatric services. Ongoing medication review requirements place increasing pressure on paediatrician\u2010led models. Pharmacist\u2010led shared care may improve capacity and access; however, evidence in paediatric outpatient settings remains limited.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n To evaluate the impact of a paediatric\u2010pharmacy shared\u2010care model on wait times, service capacity and efficiency compared with medical\u2010only care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a two\u2010phase observational study. Phase 1 retrospectively analysed service activity from 2019 to 2024, including patient numbers, occasions of service, wait times, failure\u2010to\u2010attend rates, and financial outcomes. Phase 2 prospectively audited 100 pharmacist\u2010led consultations to characterise clinical activities.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Patient numbers increased by 87%, and the proportion receiving pharmacist\u2010led shared care rose from 4.1% to 25.3%. Pharmacy clinics had shorter wait times than medical clinics (1.84 vs. 7.64\u2009months;\n p<\/jats:italic>\n \u2009<\u20090.001). Following transition to shared care, median medical occasions decreased from 3 to 2 while total occasions increased from 3 to 5 (both\n p<\/jats:italic>\n \u2009<\u20090.001). Pharmacy clinics demonstrated greater revenue efficiency (revenue\u2010to\u2010cost ratio 2.97 vs. 1.73). Pharmacists conducted comprehensive medication reviews including medication counselling, adherence assessment, and non\u2010pharmacological support within a supervised framework.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The paediatric\u2010pharmacy shared\u2010care model was associated with shorter wait times, greater cost\u2010efficiency, and redistribution of routine medication reviews to pharmacists, with increased overall review frequency despite fewer medical appointments per patient. Pharmacist reviews were comprehensive and delivered within a supervised framework. These findings support pharmacist\u2010led shared care as a scalable strategy to improve access and workforce capacity in developmental paediatrics.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jpc.70589","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T13:02:59Z","timestamp":1791291779000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatric\u2010Pharmacy Shared Care Improves Access and Efficiency in Developmental Paediatrics"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3732-7554","authenticated-orcid":false,"given":"Jasmine","family":"Ucas","sequence":"first","affiliation":[{"name":"Gold Coast Child Development Service, Women, Newborn and Children's Services Gold Coast Hospital and Health Service Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8126-1303","authenticated-orcid":false,"given":"Ian","family":"Hughes","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland St Lucia Queensland Australia"},{"name":"Research Office Gold Coast Hospital and Health Service Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6126-7583","authenticated-orcid":false,"given":"Danielle J.","family":"Borg","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland St Lucia Queensland Australia"},{"name":"Women, Newborn and Children's Services Gold Coast Hospital and Health Service Southport Queensland Australia"},{"name":"School of Pharmacy and Medical Sciences Griffith University, Gold Coast Campus Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5798-5264","authenticated-orcid":false,"given":"Olivia","family":"Holland","sequence":"additional","affiliation":[{"name":"Women, Newborn and Children's Services Gold Coast Hospital and Health Service Southport Queensland Australia"},{"name":"School of Pharmacy and Medical Sciences Griffith University, Gold Coast Campus Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4989-9113","authenticated-orcid":false,"given":"Karyn","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Women, Newborn and Children's Services Gold Coast Hospital and Health Service Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5378-0309","authenticated-orcid":false,"given":"Angela","family":"Owens","sequence":"additional","affiliation":[{"name":"Gold Coast Child Development Service, Women, Newborn and Children's Services Gold Coast Hospital and Health Service Southport Queensland Australia"},{"name":"School of Medicine and Dentistry Griffith University, Gold Coast Campus Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckad155"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/aur.2696"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.221406"},{"key":"e_1_2_13_5_1","volume-title":"Disability, Ageing and Carers, Australia: Summary of Findings, 2022","author":"Australian 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