scholarly journals Evidence based medicine? Access to information & medicines regulation in New Zealand

2021 ◽  
Author(s):  
◽  
Amy Hill

<p>This paper explores one very important issue in the regulatory regime for medicines in New Zealand and around the world- the deficit of information about medicines available to doctors, patients and independent researchers. Much of the information about safety, efficacy and quality of drugs is held and controlled by pharmaceutical companies and regulators. The public is entitled to this information in full.</p>

2021 ◽  
Author(s):  
◽  
Amy Hill

<p>This paper explores one very important issue in the regulatory regime for medicines in New Zealand and around the world- the deficit of information about medicines available to doctors, patients and independent researchers. Much of the information about safety, efficacy and quality of drugs is held and controlled by pharmaceutical companies and regulators. The public is entitled to this information in full.</p>


2014 ◽  
Vol 45 (4) ◽  
pp. 549
Author(s):  
Amy Hill

This article explores a significant issue in the regulatory regime for medicines in New Zealand and around the world: the deficit of information about medicines available to doctors, patients and independent researchers. In New Zealand, while some generic (off-patent) drugs are manufactured domestically, the major suppliers are large multinational companies. Similarly, clinical trials to establish a drug's effectiveness, safety and quality are predominantly undertaken overseas. Much of the information about safety, efficacy and quality of drugs is held and controlled by pharmaceutical companies and regulators. This article proposes ways in which public access to information about medicines can be improved.


Author(s):  
Kamen Petrov

— The world is changing in the 21st century and in the conditions of crisis to function normally it focuses on e-government. For its part, e-government is the main platform for digital transformation of public institutions, for improving the quality of administrative services, for the transition to rational electronic processes of functioning and management in the public sector and for electronic access to information available to public institutions. This report presents the main points of the development of e-government processes in Bulgaria and the need to combine the process with e-learning. Processes are a challenge that requires us to make new creative and workable decisions in a pandemic.


Author(s):  
Vladimir Antchak ◽  
Vassilios Ziakas ◽  
Donald Getz

The overall purpose of this chapter is to analyse the inter-relations between institutional arrangements, event policy frameworks and applied portfolio approaches. The chapter aims to explore the influence of the public sector institutional and policy environments on the realisation of portfolio approaches in three cities in New Zealand, Auckland, Wellington and Dunedin. The cities have a core national status (Ministry of Business Innovation and Employment, 2012) in terms of economic, political and socio-cultural share, and represent a variety of different contexts. Auckland is located in the North Island of New Zealand. It is the largest urban area in the country with a population of 1,415,500. It contains around 190 ethnic groups. Auckland is New Zealand’s principle business centre and accounts for 35.3% of New Zealand’s GDP as major national gateway for imports and exports (Statistics New Zealand, 2014). It is the most visited tourist destination in New Zealand, attracting around 70% of all visitors to the country (aucklandnz.com, n.d.). Auckland has been recognised in different international comparative studies such as Mercer Quality of Living Survey is 2015 and 2018, where it was ranked the third most liveable city in the world (Mercer, 2015, 2018).


Medicina ◽  
2021 ◽  
Vol 57 (9) ◽  
pp. 867
Author(s):  
Maxime Billot ◽  
Maeva Daycard ◽  
Philippe Rigoard

While the world faces an unprecedented situation with the pandemic, other chronic diseases such as chronic pain continue to run their course. The social distancing and restrictive displacement imposed by the pandemic situation represents a new barrier to access to pain management and tends to reinforce chronification process. Given this context, complementary and alternative medicine (CAM) might offer new opportunities to manage CP, notably with a hand-touch method, such as self-Reiki therapy. Although Reiki administered by a practitioner has shown promising results to reduce pain and psychological distress, and to improve quality of life, self-Reiki practice needs evidence-based medicine to be disseminated. Overall, self-Reiki could bring positive results in addition to, and without interfering with, conventional medicine approaches in patients experienced chronic pain.


Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt

Public health is a key concern of modern dental practitioners as they continue to play a vital role in the health of populations across the world. The second edition of Essential Dental Public Health identifies the links between clinical practice and public health with a strong emphasis on evidence-based medicine. Fully revised and updated for a second edition, this textbook is split into four parts covering all the need-to-know aspects of the subject: the principles of dental public health, oral epidemiology, prevention and oral health promotion, and the governance and organization of health services. Essential Dental Public Health is an ideal introduction to the field for dentistry undergraduates, as well as being a helpful reference for postgraduates and practitioners.


2021 ◽  
pp. bmjebm-2021-111670
Author(s):  
Clara Locher ◽  
David Moher ◽  
Ioana Alina Cristea ◽  
Florian Naudet

During the COVID-19 pandemic, the rush to scientific and political judgements on the merits of hydroxychloroquine was fuelled by dubious papers which may have been published because the authors were not independent from the practices of the journals in which they appeared. This example leads us to consider a new type of illegitimate publishing entity, ‘self-promotion journals’ which could be deployed to serve the instrumentalisation of productivity-based metrics, with a ripple effect on decisions about promotion, tenure and grant funding, but also on the quality of manuscripts that are disseminated to the medical community and form the foundation of evidence-based medicine.


2010 ◽  
Vol 46 (4) ◽  
pp. 617-632 ◽  
Author(s):  
André de Oliveira Baldoni ◽  
Farah Maria Drumond Chequer ◽  
Elisa Raquel Anastácio Ferraz ◽  
Danielle Palma de Oliveira ◽  
Leonardo Régis Leira Pereira ◽  
...  

In recent decades, the world has undergone a demographic transformation with a rapid growth of the elderly population, resulting in an increased demand for funds to maintain their health and drug consumption. Pharmacokinetic and pharmacodynamic changes occurring in the elderly can interfere directly in the adverse effects of drugs and increase the risk of intoxication. In addition, there are external factors interfering with the pharmacotherapy of the elderly, such as inappropriate use and the lack of access to information. Many therapeutic classes of drugs should be used with caution or avoided in the elderly population, such as anti-inflammatory and some anti-hypertensive drugs, diuretics and digitalis. If not managed carefully, these medicines can affect the safety and quality of life in the elderly. Thus, the aim of this review was to identify drugs that should be used with caution in elderly patients in order to avoid intoxication and/or adverse drug events.


2017 ◽  
Vol 41 (S1) ◽  
pp. S16-S16
Author(s):  
M. Musalek

Every medical intervention is embedded in the prevailing spirit of its particular time. The world of modern medicine that is still shaped by positivism is often revered as a world of rational calculation and reason, a world in which mathematical calculation and so-called objectivity are prized above all else. Indeed, today's modern medicine in general and its battlewagon evidence-based medicine is a world of sober number games, reduction and fragmentation, of demystification and de-subjectification. As important and indispensable the achievements of EbM are, it nevertheless needs to be expanded by a medicine, which focuses not just on illness and its treatment but which places the concrete individual with all his or her sufferings and potentials. Such a human-based medicine (HbM) is no longer indebted to modern positivism, but seeks its foundations in the maxims of post-modernism. Moving away from classical “indication-based medicine” toward a medicine based on human sufferings and potentials necessarily requires a fundamental change in diagnostics and treatment.Disclosure of interestThe author has not supplied his declaration of competing interest.


Sign in / Sign up

Export Citation Format

Share Document