Documentation of Pharmaceutical Care Activities in Community Pharmacies by Doctor of Pharmacy Students

1995 ◽  
Vol 8 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Robert J. Anderson ◽  
Diane Nykamp ◽  
Randell K. Miyahara

The practice of pharmacy is evolving from a product-related focus to one that is more patient-oriented and outcome-directed. This new focus can reduce the cost and/or improve the quality of care. Pharmacists often detect and resolve medication-related problems, though few reimbursement incentives exist for the amount of time and effort it takes. With statutory restrictions on the total use of pharmacy technicians and state-mandated OBRA patient counseling and prospective drug utilization review, community pharmacists are pressed for time more than their hospital colleagues to document their daily interventions for improving drug therapy for their patients. PharmD students can assist the community pharmacist in documenting these medication-related problems. Documentation of these "cognitive" or "value-added services," including their outcome on cost and care, is critically necessary for future reimbursement consideration by third-party payers. Copyright © 1995 by W.B. Saunders Company

2008 ◽  
Vol 15 (3) ◽  
pp. 159-165 ◽  
Author(s):  
MCY Tan ◽  
NT Ayas ◽  
A Mulgrew ◽  
L Cortes ◽  
JM FitzGerald ◽  
...  

BACKGROUND: Obstructive sleep apnea-hypopnea (OSAH) is a common disorder characterized by recurrent collapse of the upper airway during sleep. Patients experience a reduced quality of life and an increased risk of motor vehicle crashes (MVCs). Continuous positive airway pressure (CPAP), which is the first-line therapy for OSAH, improves sleepiness, vigilance and quality of life.OBJECTIVE: To assess the cost-effectiveness of CPAP therapy versus no treatment for OSAH patients who are drivers.METHODS: A Markov decision analytical model with a five-year time horizon was used. The study population consisted of male and female patients, between 30 and 59 years of age, who were newly diagnosed with moderate to severe OSAH. The model evaluated the cost-effectiveness of CPAP therapy in reducing rates of MVCs and improving quality of life. Utility values were obtained from previously published studies. Rates of MVCs under the CPAP and no CPAP scenarios were calculated from Insurance Corporation of British Columbia data and a systematic review of published studies. MVCs, equipment and physician costs were obtained from the British Columbia Medical Association, published cost-of-illness studies and the price lists of established vendors of CPAP equipment in British Columbia. Findings were examined from the perspectives of a third-party payer and society.RESULTS: From the third-party payer perspective, CPAP therapy was more effective but more costly than no CPAP (incremental cost-effectiveness ratio [ICER] of $3,626 per quality-adjusted life year). From the societal perspective, the ICER was similar ($2,979 per quality-adjusted life year). The ICER was most dependent on preference elicitation method used to obtain utility values, varying almost sixfold under alternative assumptions from the base-case analysis.CONCLUSION: After considering costs and impact on quality of life, as well as the risk of MVCs in individuals with OSAH, CPAP therapy for OSAH patients is a highly efficient use of health care resources. Provincial governments who do not provide funding for CPAP therapy should reconsider.


Author(s):  
Evelina Nikolova Pencheva ◽  
Ivaylo Ivanov Atanasov

The paper is dedicated to mechanisms for open access to resource management in the Internet Protocol (IP) multimedia networks. First we present the concept of IP Multimedia Subsystem (IMS) and explain the IMS functional architecture, principles of quality of service management and service control in IMS. Then we describe the idea behind the opening of network interfaces for third parties so that others besides the network operator can create and deploy services. Open Service Access (OSA) and Parlay appear to be the technologies for value-added service delivery in multimedia networks. In the paper we take a closer look to the Parlay/OSA interfaces that allow third party applications to access the resource management functions in IMS. OSA "Connectivity Manager" interfaces and OSA "Policy Management" interfaces are considered. Parlay X Web Services interfaces provide a higher level of abstraction than Parlay/OSA interfaces and gain an amazing amount of support among service developers. We address "Applicationdriven Quality of Service" Parlay X Web Service and "Policy" Parlay X Web Service also.


Agronomy ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 198
Author(s):  
Mohd Huzairi Mohd Zainudin ◽  
Aisyah Zulkarnain ◽  
Ain Sahira Azmi ◽  
Shalini Muniandy ◽  
Kenji Sakai ◽  
...  

Composting is an important technology used to treat and convert organic waste into value-added products. Recently, several studies have been done to investigate the effects of microbial supplementation on the composting of agro-industrial waste. According to these studies, microbial inoculation is considered to be one of the suitable methods for enhancing the biotransformation of organic materials during the composting process. This review provides up-to-date research findings on microbial inoculation strategies and their role and functions in enhancing the composting process and the improvement of compost quality. Based on this review, the addition of microorganisms could enhance the composting process such as accelerating the organic matter degradation, mineralization and microbial enzymes activities, and the quality of the end-products such as high germination index. It is important to notice in this strategy that sludge’s microbial consortium is feasible to enhance the composting process in pilot-scale and industrial-scale productions. Besides, it also reduces the cost of compost production. The findings of this review show the various positive impact of microbial inoculation on agro-industrial waste composting which in turn might be useful as a reference for selecting a suitable inoculum based on the type of waste materials.


2021 ◽  
Vol 25 (3) ◽  
pp. 686-691
Author(s):  
Khanda Hamasalih ◽  
Walid Nitham

Background and objective: Community pharmacists play an important role in the best use of drugs and in improving patient outcomes. Evidence demonstrates that pharmacists' counseling improves the quality of life, clinical outcomes, and drug and disease knowledge and reduces the utilization of health services. This study aimed to investigate the nature and extent of counseling practices of community pharmacists in community pharmacies in Sulaimani region of Kurdistan, Iraq. Methods: A cross-sectional survey was conducted in community pharmacies in Sulaimani city, in a one-month duration from November to December 2020. The sample size was 100 community pharmacies, which were selected randomly. The data were stored and analyzed using Excel 2016 and expressed as frequencies and percentages. Results: According to the completed questionnaires, about 78.8% of pharmacists would do counseling spontaneously each time they dispense any drug. Only 61% of the pharmacists would ask the patients if they understood what was said during their communication to assess the understanding of advice given to their patients. The most common barrier observed during patient counseling was the patient's lack of time. Conclusion: This study indicates that community pharmacists counsel the patients in an appropriate way. They provide information orally and in written form. However, further research is needed to evaluate the quality of patient counseling by using different methods like pseudo-patient methodology to gain real counseling data. Keywords: Counselling; Community pharmacist; Community pharmacy; Counselling barriers.


2017 ◽  
Vol 33 (2) ◽  
pp. 455-475
Author(s):  
Mary H. Mulry ◽  
Andrew D. Keller

Abstract The U.S. Census Bureau is currently conducting research on ways to use administrative records to reduce the cost and improve the quality of the 2020 Census Nonresponse Followup (NRFU) at addresses that do not self-respond electronically or by mail. Previously, when a NRFU enumerator was unable to contact residents at an address, he/she found a knowledgeable person, such as a neighbor or apartment manager, who could provide the census information for the residents. This was called a proxy response. The Census Bureau’s recent advances in merging federal and third-party databases raise the question: Are proxy responses for NRFU addresses more accurate than the administrative records available for the housing unit? Our study attempts to answer this question by comparing the quality of proxy responses and the administrative records for those housing units in the same timeframe using the results of 2010 Census Coverage Measurement (CCM) Program. The assessment of the quality of the proxy responses and the administrative records in the CCM sample of block clusters takes advantage of the extensive fieldwork, processing, and clerical matching conducted for the CCM.


2014 ◽  
Vol 27 (4) ◽  
pp. 364-368
Author(s):  
David W. Seal ◽  
Je'Laune Walton ◽  
Sherifa Williams ◽  
Robert Wilson ◽  
Joshua Smith-Benson

Objective: To evaluate the provisions made by pharmacists when dispensing an emergency supply of an antihypertensive medication to patients in a community setting. Participants: Pharmacists and nonpharmacists (pharmacy technicians or interns) who were employed with community pharmacies and have witnessed or dispensed an emergency supply of an antihypertensive medication. Those who agreed to participate in this study via informed consent. Intervention: A short questionnaire was used to assess the provisions made by community pharmacists from the perspectives of both the pharmacists and the nonpharmacists. Main outcome measures: Availability of blood pressure machines, evaluation of blood pressure readings, and patient counseling sessions or assessments prior to dispensing the emergency supply of an antihypertensive were the major outcome measures. Results Among the participants, 92% of the pharmacists and 79% of the nonpharmacists reported they have witnessed or dispensed an emergency supply of an antihypertensive medication. Of those, 82% of the pharmacists and 78% of the nonpharmacists recognized there were blood pressure machines available. However, 78% of the pharmacists and 72% of the nonpharmacists acknowledged the patient’s blood pressure was not checked. Conclusion/Implication: This observational study demonstrates that provisions when dispensing an emergency supply of an antihypertensive medication are inconsistent. Further evaluation is warranted.


Author(s):  
Swati Basu Ghose ◽  
Anima Akanchha

The primary purpose of vehicle insurance is to cover the vehicle against damage, personal injury, and third-party liability. In addition to this, some insurance companies also provide value-added services such as roadside assistance and other services in return of the amount called as premium which attracts a large number of customers. However, our study shows that vehicle owners give maximum importance to the cost of insurance in terms of the annual premium. Primary data has been collected through questionnaire and analysed to ascertain about the factors responsible for taking out vehicle insurance, choice between private and public sector insurance companies, preferred insurance companies among the major players in the field, factors that play a role in the customers’ choice of a particular insurance company, customers’ opinion about the affordability of the premium to be paid, customers’ satisfaction with their chosen company, whether customers consider fast and efficient service as a deciding factor, and whether the brand value of the company plays a role in the customers’ choice.


2019 ◽  
Vol 10 (1) ◽  
pp. 12
Author(s):  
Scott Alexander ◽  
Natalie DiPietro Mager

Objective: The primary objective of this study was to assess whether Ohio community pharmacists currently provide certain evidence-based clinical preventive services.  Secondary objectives were to explore whether there were any differences in provision of services based on respondent education, position, employment status, location, practice setting, or years in practice and to gather information on how pharmacists provide specific services, barriers to providing specific services, pharmacists’ perceptions on specific services needed in their patient population, and pharmacists’ interests in providing services if not already doing so. Methods:  A random sample of 500 community pharmacists licensed in Ohio received a Qualtrics survey via email assessing current practices and perspectives regarding clinical preventive services. The U.S. Preventive Services Task Force (USPSTF) “A” and “B” recommended services that can be provided in a community pharmacy served as the framework for the survey questions. Reminders were sent every 3-4 days; data collection continued for a month. The study was IRB-approved. Results: Ninety-three responses were included in the final analysis (18.9% response rate). Approximately 63% of respondents were female; 51.6% held a Doctor of Pharmacy degree. Only 21.5% of respondents were familiar with the USPSTF. However, many respondents were providing clinical preventive services in their pharmacy; the most common were blood pressure screening (51.6%), tobacco use screening or counseling (43%), and diet and/or physical activity counseling (22.6%).  These services were provided in varied ways including patient counseling, medication therapy management sessions, screening events, and health fairs.  Those who are not currently providing services showed interest in developing them.  Pharmacists reported barriers such as lack of time, staff, and reimbursement by patients or third-party payers. Conclusion:  Many surveyed community pharmacists in Ohio reported providing clinical preventive services in a variety of ways. Many pharmacists who did not provide these services indicated an interest developing such services.  Staffing concerns, time constraints, and a lack of reimbursement by patients and third-party payers were reported as barriers by community pharmacists in providing these services.  As many respondents reported being unfamiliar with USPSTF recommendations, the opportunity to educate pharmacist on these recommendations and potentially increase their activity in these prevention activities exists.    Article Type: Original Research


Author(s):  
Nawaf M. Alotaibi

Background: Pharmacists' traditional position as drug dispensers has recently developed into a more active role in risk evaluation and management. Dispensing is often handled by pharmacy technicians in Saudi Arabia because pharmacists are so preoccupied with their managerial and administrative responsibilities. Pharmacists' meetings with patients are limited to medication dosage and frequency, as well as rare adverse effects and drug interactions. Methods: We conducted a quantitative questionnaire study in Saudi Arabia to look into the role of hospital pharmacists in patient counseling, the assessment of pharmacists' patient counseling opinions, and the possible determinants of personal consultation. Results: The number of patient inquiries was found to be very low, ranging from 5 to 20 per month. The amount of private pharmaceutical consultations was also poor. This finding showed that people trust pharmacists. Conclusion: Reorganizing the pharmacist's operations will help to enhance pharmaceutical consultations. This will help patients make better decisions about their medications and improve their quality of life.


PEDIATRICS ◽  
1972 ◽  
Vol 49 (2) ◽  
pp. 169-176
Author(s):  
Raymond S. Duff ◽  
Charles D. Cook ◽  
Gary R. Wanerka ◽  
Daniel S. Rowe ◽  
Thomas F. Dolan

Between 100 and 123 medical records of children hospitalized in each of three community hospitals and one major teaching hospital were examined to determine the need for and the quality of the care administered. Twenty-five percent of all patient days were considered unnecessary; this varied from 7% in the teaching hospital to a mean of 38% in the community hospitals. The cost of unnecessary hospital days and laboratory and x-ray studies for the 428 patients was $37,460, or $88 per patient discharged; the means per patient discharged from the three community hospitals and the teaching hospital were $101 and $54 respectively. About one-third of all the patients received less than optimal care; this varied from 13% in the teaching hospital to 43% in the community hospitals. Misuse of antibiotics and questionable use of other drugs accounted for 79% of instances of questionable care.


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