scholarly journals The Excellence of Pharmacy Practice

2020 ◽  
Vol 11 (1) ◽  
pp. 3
Author(s):  
AK Mohiuddin
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Health Care Professionals ◽  
Medication Management ◽  
Pharmacy Practice ◽  
Health Care Team ◽  
Care Needs ◽  
Medication Therapy ◽  
State Management ◽  
Care Costs

Over the past 50 years, the role of pharmacists has evolved along with the health care needs of our population. In addition to dispensing medications and ensuring patient safety, today’s pharmacists are taking a larger role as medical counselors, educators and advocates. They are integral part of the health care team, and are among the most trusted and accessible health care professionals. This accessibility allows them to perform more patient care activities, including counseling, medication management, and preventive care screenings. Beyond the care provided to individual patients, pharmacists have expanded their reach to influence the public health of communities. A pharmacist is uniquely positioned to provide disease state management through appropriate medication therapy management that has been demonstrated to improve patient outcomes and decrease overall health care costs. This role is more important than ever as the environment is demanding new practice and payment models that are required to further optimize care and outcomes while addressing the unsustainable increases in health care costs.   Article Type: Review

Opportunities for Progressive Pharmacy Practice in Homecare

1990 ◽  
Vol 3 (1) ◽  
pp. 19-27
Author(s):  
Roger Klotz
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Professionals ◽  
Pharmacy Practice ◽  
Health Care Team ◽  
Institutional Setting ◽  
High Tech ◽  
Pharmacy Services ◽  
Challenges And Opportunities ◽  
The Many

This article will describe the many opportunities for progressive pharmacy practice in the homecare area, particularly when dealing with parenteral therapies. Progressive pharmacy practice in the home requires that the technical and clinical pharmacy expertise first developed in the institutional setting be applied in a decentralized environment. The decentralization of high-tech care into the patient's home presents major challenges and opportunities to all health care professionals. The pharmacist, in particular, is given the opportunity to provide progressive pharmacy services, especially clinical services, as a result of patient need and agency requirements (ie, JCAHO, State Pharmacy Board, HCFA). This group of patients has generally a higher acuity than traditional ambulatory and homecare patients; thus, health care professionals, reimbursement organizations, and regulatory and accrediting agencies are very concerned about the coordination of patient care. The pharmacist's knowledge base and interest in drug therapy is well suited for and used to benefit the patient and health-care team; this is important in many areas of patient care. A knowledge of drug therapies is required in predischarge planning, patient training, plan of care development, and patient monitoring. Therefore, the hospital and/or homecare pharmacist can be involved from the start (patient selection) to the completion of therapy for the homecare patient. Since homecare patients have an increasing acuity, the traditional hospital pharmacy services need to be provided and expanded upon so that safe and efficacious therapy is provided.

scholarly journals The pharmacist and the EHR

2016 ◽  
Vol 24 (1) ◽  
pp. 193-197 ◽  
Author(s):  
Scott D Nelson ◽  
John Poikonen ◽  
Thomas Reese ◽  
David El Halta ◽  
Charlene Weir
Keyword(s):  
Health Care ◽  
Patient Outcomes ◽  
Health Care Professionals ◽  
Information Needs ◽  
The United States ◽  
Health Care Team ◽  
Health Records ◽  
Medication Therapy ◽  
Evaluation And Monitoring ◽  
Therapy Quality

The adoption of electronic health records (EHRs) across the United States has impacted the methods by which health care professionals care for their patients. It is not always recognized, however, that pharmacists also actively use advanced functionality within the EHR. As critical members of the health care team, pharmacists utilize many different features of the EHR. The literature focuses on 3 main roles: documentation, medication reconciliation, and patient evaluation and monitoring. As health information technology proliferates, it is imperative that pharmacists’ workflow and information needs are met within the EHR to optimize medication therapy quality, team communication, and patient outcomes.

The Role of Podiatric Medicine in the Health-Care Team

2015 ◽  
Vol 105 (2) ◽  
pp. 198-199
Author(s):  
Leonard A. Levy
Keyword(s):  
Health Care ◽  
Health Care Team ◽  
Major Effect ◽  
Medical Professionals ◽  
Foot And Ankle ◽  
Care Needs ◽  
Care Costs ◽  
And Training

As physicians, podiatric medical doctors should not define themselves as medical professionals who treat the foot and ankle but rather as medical professionals who prevent, diagnose, and treat people who have foot and ankle problems. Patients who come to see podiatric physicians often have other health-care issues, and because of the education and training that doctors of podiatric medicine receive, they are uniquely qualified to identify and respond to findings not only related to the pedal extremity but also that may affect overall health, have a major effect on quality of life, and even help reduce overall health-care costs. The role of podiatric medicine as a truly integrated branch of medical care needs to be reassessed.

scholarly journals DETERMINANTS OF SUCCESSFUL TRANSFORMATION OF THE MEDICAL SYSTEM IN THE EU AND UKRAINE: COMPARATIVE ANALYSIS

2021 ◽  
Author(s):  
Pavlo Ivanchov
Keyword(s):  
Health Care ◽  
Life Expectancy ◽  
Health Care Costs ◽  
Health Care Expenditures ◽  
Well Being ◽  
Economic Security ◽  
Medical System ◽  
State Management ◽  
Life Expectancy At Birth ◽  
Care Costs

The need to study the effectiveness of the health care system in developed countries in order to assess the state of development of the medical system and analyze the key determinants of its effective transformation is emphasized in the article. The idea, that general indicator that characterizes the efficiency of the medical industry is the indicator of life expectancy, is determined. The dependences of the level of life expectancy on the level of well-being and total health care costs are studied. It was found that life expectancy significantly depends on the level of real gross domestic product per capita at the purchasing power parity of the population in countries with lower levels of socio-economic security and quality of life, a lower life expectancy is recorded. It has been determined that increasing health care expenditures to a certain level has a positive impact on the efficiency of the medical sector, although it depends more on the scheme of attracting and allocating financial resources. In addition, the dynamics of the development of medical systems in Eastern Europe by indicators of life expectancy at birth, the level of expenditures on medicine in general and funding schemes, the share of health care costs “out of pocket”, the level of costs for medical facilities and reimbursement medicines for the population, etc. are analyzed. It is determined that the experience of countries similar in level of socio-economic development to Ukraine can be extrapolated to the domestic practice of state management of the medical system.

scholarly journals Rationale for cost-effective laboratory medicine.

1994 ◽  
Vol 7 (2) ◽  
pp. 185-199 ◽  
Author(s):  
A Robinson
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Costs ◽  
Clinical Laboratory ◽  
Cost Effective ◽  
Health Care Expenditures ◽  
The United States ◽  
Physician Education ◽  
Care Needs ◽  
Care Costs

There is virtually universal consensus that the health care system in the United States is too expensive and that costs need to be limited. Similar to health care costs in general, clinical laboratory expenditures have increased rapidly as a result of increased utilization and inflationary trends within the national economy. Economic constraints require that a compromise be reached between individual welfare and limited societal resources. Public pressure and changing health care needs have precipitated both subtle and radical laboratory changes to more effectively use allocated resources. Responsibility for excessive laboratory use can be assigned primarily to the following four groups: practicing physicians, physicians in training, patients, and the clinical laboratory. The strategies to contain escalating health care costs have ranged from individualized physician education programs to government intervention. Laboratories have responded to the fiscal restraints imposed by prospective payment systems by attempting to reduce operational costs without adversely impacting quality. Although cost containment directed at misutilization and overutilization of existing services has conserved resources, to date, an effective cost control mechanism has yet to be identified and successfully implemented on a grand enough scale to significantly impact health care expenditures in the United States.

scholarly journals Countering the Tragedy of the Health Care Commons by Exnovation: Bringing Unexpected Problems and Solutions into View

2021 ◽  
Vol 13 (23) ◽  
pp. 13082
Author(s):  
Willemine Willems
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Costs ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Health Care Systems ◽  
Ethnographic Study ◽  
Triple Aim ◽  
Care Systems ◽  
Care Costs

In the health sciences and policy, it is common to view rising health care costs as a tragedy of the commons, i.e., a situation in which the unhampered use of a resource by rational individuals leads to its depletion. By monitoring a set of outcomes, not only the costs but also patient experience and population health, simultaneously, it is claimed that the “triple aim” approach changes what is rational for health care stakeholders and, thus, can counter the rapidly rising health care costs. This approach has an important limitation: it reduces the monitored innovations to merely their outcomes; yet, how health care professionals and patients give shape to care delivery remains invisible. To get a more in-depth understanding of the consequences of adopting such an approach, in this article I use the method of exnovation instead. Exnovation foregrounds the everyday accomplishments of health care practices to enable reflection and learning. I draw on an ethnographic study into an innovation in care delivery aimed at rendering it more sustainable: Primary Care Plus. I reflected with both professionals and patients on what happened during 40 Primary Care Plus consultations. By presenting and analyzing three of these consultations, I foreground what is rendered invisible with the triple aim: improvisations, surprises and habits unfolding in practice. With exnovation, health care innovations can provide fertile soil for creating new forms of sustainable care that can help prevent the impending exhaustion of health care systems.

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