Strategies for Expanding Access and Improving the Quality of Pharmaceutical Services

Author(s):  
Marcus Vinícius Dias-Souza

Pharmaceutical services are among the most accessible healthcare assistance systems worldwide, being provided generally in enterprises like Drugstores and Compounding Pharmacies. Pharmacists are highly accessible healthcare professionals considering also the availability, geographic distribution and location of pharmaceutical enterprises. However, there are several challenges for providing these services for patients with limitations such as low education, difficulties on reaching the Pharmacist, and the need for individualized monitoring (due to the complexity of therapy). Reports of low quality services are growing worldwide, and in order to expand access and improve the quality of pharmaceutical services, Pharmacists must move from being medication dispensers with focus in administrative management to a clinically-oriented practice with a humanistic view. The aim of this chapter is to make an approach on the implementation of effective strategies and ways to improve the quality of Pharmacists' work as specialized healthcare providers.

2017 ◽  
pp. 340-365
Author(s):  
Marcus Vinícius Dias-Souza

Pharmaceutical services are among the most accessible healthcare assistance systems worldwide, being provided generally in enterprises like Drugstores and Compounding Pharmacies. Pharmacists are highly accessible healthcare professionals considering also the availability, geographic distribution and location of pharmaceutical enterprises. However, there are several challenges for providing these services for patients with limitations such as low education, difficulties on reaching the Pharmacist, and the need for individualized monitoring (due to the complexity of therapy). Reports of low quality services are growing worldwide, and in order to expand access and improve the quality of pharmaceutical services, Pharmacists must move from being medication dispensers with focus in administrative management to a clinically-oriented practice with a humanistic view. The aim of this chapter is to make an approach on the implementation of effective strategies and ways to improve the quality of Pharmacists' work as specialized healthcare providers.


Author(s):  
Marcus Vinícius Dias-Souza

Pharmaceutical services are among the most accessible healthcare assistance systems worldwide, being provided generally in enterprises like Drugstores and Compounding Pharmacies. Pharmacists are highly accessible healthcare professionals considering also the availability, geographic distribution and location of pharmaceutical enterprises. However, there are several challenges for providing these services for patients with limitations such as low education, difficulties on reaching the Pharmacist, and the need for individualized monitoring (due to the complexity of therapy). Reports of low quality services are growing worldwide, and in order to expand access and improve the quality of pharmaceutical services, Pharmacists must move from being medication dispensers with focus in administrative management to a clinically-oriented practice with a humanistic view. The aim of this chapter is to make an approach on the implementation of effective strategies and ways to improve the quality of Pharmacists' work as specialized healthcare providers.


Author(s):  
Marcus Vinícius Dias-Souza

This article describes how pharmacists are highly accessible healthcare professionals, and their clinical services are among the most accessible healthcare assistance systems worldwide considering the availability, geographic distribution and location of compounding pharmacies, clinical laboratories and drugstores. Pharmacists need to move from the focus in administrative management to patient-oriented practice, such that the access and the quality of clinical services can be improved. Pharmaceutical Care can influence pharmaceutical services to become more accessible and with a broader coverage of patients. Here is presented an approach on the implementation of effective strategies to improve the quality of Pharmacists' performance as specialized healthcare providers.


Author(s):  
Marcus Vinícius Dias-Souza

This article describes how pharmacists are highly accessible healthcare professionals, and their clinical services are among the most accessible healthcare assistance systems worldwide considering the availability, geographic distribution and location of compounding pharmacies, clinical laboratories and drugstores. Pharmacists need to move from the focus in administrative management to patient-oriented practice, such that the access and the quality of clinical services can be improved. Pharmaceutical Care can influence pharmaceutical services to become more accessible and with a broader coverage of patients. Here is presented an approach on the implementation of effective strategies to improve the quality of Pharmacists' performance as specialized healthcare providers.


Author(s):  
Anastasius Moumtzoglou

Healthcare services have experienced a sharp increase in demand while the shortages in licensed healthcare professionals have formed one of the toughest challenges that healthcare providers face. In addition, illness has become more complex while advancement in technology and research have expedited the rise of modern and more effective diagnoses and treatment techniques. Cloud computing allows healthcare professionals to share medical records, including all sorts of image and accuracy while new applications or workloads can be started much faster, without going through the entire procurement process or testing the interoperability of the entire infrastructure. Moreover, although the notion of organizational culture is now routinely invoked in organizations and management literature, it remains an elusive concept. However, it is clear that managing the culture is one path towards improving healthcare, and cloud computing introduces a dynamic system adaptation, affecting the quality of care. This is explored in this chapter.


2020 ◽  
Vol 35 (6) ◽  
pp. e192-e192
Author(s):  
Bander Alanazi ◽  
Kerryn Butler-Henderson ◽  
Mohammed R. Alanazi

Electronic health and medical records are widely adopted in many healthcare settings worldwide to improve the quality of care. Users’ perception is a significant factor influencing the successful implementation and use of e-health technologies. This systematic review aimed to identify factors influencing the perceptions of healthcare professionals towards the adoption and use of electronic health and medical record systems to improve the quality of healthcare services in the countries of the Gulf Cooperation Council. We identified primary studies evaluating healthcare professionals’ perception towards electronic health records and/or electronic medical records in the Gulf region. Seven electronic databases, including Medline, CINAHL, Informit Health Collection, Science Direct, ProQuest, PubMed, and Scopus were used to search for the relevant articles published between January 2007 and December 2016. Thirteen articles met the inclusion criteria and were included in this systematic review. Both individual and system-related factors were found to positively or negatively influence healthcare providers’ perceptions towards the systems. Understanding the impact of healthcare professionals’ perception of health information technology is important for policymakers involved in the implementation programs to ensure their success. Future studies should evaluate other individual characteristics such as age, gender, and profession of the healthcare providers on their perceptions towards e-health technologies.


Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Mary Ann Peberdy ◽  
Annemarie Silver ◽  
Phyllis Faulkenberry ◽  
Lisa Ferland ◽  
Joseph Ornato

Purpose : Healthcare providers are often unable to perform chest compressions (CC) consistently within AHA guideline recommendations of 100 CC/minute at a depth of 1.5–2 in. The present study examined the effect of audiovisual CPR feedback on the quality of CC performed by healthcare providers. Methods: One hundred twenty-five ACLS and BCLS trained hospital based healthcare professionals participated in “CPR challenges” at 14 U.S. hospitals. Participants performed 2 minutes of CC on a manikin without any feedback initially. Following a ≥90 second rest period and ~20 second orientation to the audiovisual feedback prompts, participants repeated 2 minutes of CC with feedback prompts. Data were recorded using a ZOLL AED Plus. Rescuers were categorized based upon mean depth of CC without feedback: 1) under-performers (depth<1.5in; n=60); 2) within guideline-performers (depth<1.5–2in; n=52); and 3) over-performers (depth>2in; n=13). Results: Mean depth of CC improved with CPR feedback (1.57±0.36in without feedback vs. 1.71±0.13in with feedback, mean±SD, p<0.0001) and the percentage of CC within 1.5–2in increased from 38 to 87% (p<0.0001). In under-performers, depth of CC substantially increased with CPR feedback (1.30±0.12 vs. 1.66±0.13in; p<0.0001) and the percentage of CC within 1.5–2in improved from 9 to 81% (p<0.0001). Over-performers were corrected to meet AHA guidelines for depth with feedback (2.31±0.40 vs. 1.83±0.07in, p=0.001). The percentage of CC within 1.5–2 in improved from 13 to 90% with feedback (p<0.0001). For within guideline-performers, depth of CC was similar with and without feedback (1.70±0.14 vs.1.74±0.10in, p=0.08) but the percentage of CC within 1.5–2 in increased with feedback from 79 to 92% (p<0.0001). Rate of CC was corrected with CPR feedback in under-performers (110±17 vs. 100±4 CC/min, p<0.0001) but was unchanged with feedback in within guideline-performers (103±15 vs. 100±3 CC/min, p=0.2) and over-performers (97±14 vs. 100±8 CC/min, p=0.4). Conclusions: Audiovisual feedback improves the quality of CC provided by hospital-based healthcare professionals in a manikin testing scenario. Healthcare providers can improve consistency of CC with CPR feedback regardless of their performance without feedback.


2019 ◽  
pp. 1-4
Author(s):  
Antje M. Barreveld ◽  
Beth B. Hogans

Pain has profound effects on human productivity and quality of life. Pain can result in patients experiencing stigma in addition to the profound suffering intrinsic to pain. Since the early 70s, much has been learned about pain through research and collaboration of diverse healthcare professionals and scientists. Despite advances in understanding pain causes, processes, and potential treatments, progress in the preparation of healthcare professionals has been slow. This book represents a collaborative effort of a wide variety of experts in pain, including physicians, nurses, clinical psychologists, pharmacists, scientists, physical therapists and others. The content is organized around learning objectives and targets of the needs of early career health practitioners, including physicians, nurse practitioners, physician assistants, and others. While this book may serve as a refresher, many will be learning this material for the first time. We hope to inspire our readers to engage in meaningful therapeutic partnerships with their patients utilizing the broadest range of effective pain management approaches and therapies with an awareness of safety, pain relief, and the highly individualized nature of pain. Attaining competence in pain care essentials is immensely rewarding for patients, caregivers, and healthcare providers alike.


2020 ◽  
Vol 13 (4) ◽  
pp. 38-50
Author(s):  
Agoritsa Koulouri

Introduction: Quality in healthcare services means doing the right things, making continuous improvements in order to get the best results, being interested in satisfying both healthcare providers and recipients. Aim: To investigate the views of health professionals on the quality of the provided health and social care services. Methodology: A cross-sectional study was carried out on healthcare professionals working in public and private healthcare organizations in December 2017 and January 2018. In total, the study involved 155 healthcare professionals who answered 25 questions on the dimensions of quality and the way they perceive the quality of the provided healthcare to its recipients. Data were collected using a structured anonymous self-report questionnaire. Statistical analysis was performed with the SPSS 24.0 statistical package. Results: The majority of the sample was female (75%) with higher education (44.5%) holding a master’s or doctorate degree (45.2%). Participants (86%) consider integral to providing quality healthcare services a combination of appropriate patient care that was linked to a framework of continuous evaluation, control and improvement even after treatment ended. Furthermore, as healthcare quality characteristics are considered the healthcare professional’s satisfaction of their relationship with the user of the services regarding the amount of information provided to the later and the provision of personalized services (>80%). In addition, empathy of health professionals (82%), compliance with the standards and quality of procedures (68%) are qualitative parameters. Conclusions: The way healthcare professionals perceive the quality of customer/user interaction with healthcare services, empathy, personalized care and long-term utility are among the most important quality parameters of health services.


2018 ◽  
Vol 26 (5) ◽  
pp. 271-277 ◽  
Author(s):  
Nicole Coles ◽  
Barkha P Patel ◽  
Ping Li ◽  
Kristina Cordeiro ◽  
Alissa Steinberg ◽  
...  

Introduction Implementation of telemedicine has been shown to improve health outcomes, such as body mass index (BMI). However, it is unclear whether telemedicine is useful alongside traditional weight-management programmes for adolescents with complex obesity. The objective was to evaluate implementation of the Ontario Telemedicine Network (OTN), a videoconferencing programme, as an adjunctive tool to face-to-face counselling within the setting of an established interdisciplinary obesity treatment programme. Methods Our observational cohort included two groups of adolescents enrolled in a clinical obesity-management programme over a two year period. Adolescents ( n = 50) in group 1 attended both in-person and virtual visits (OTN group), and adolescents ( n = 50) in group 2 received only in-person visits (comparison group). Within the OTN group, satisfaction survey responses were compared between patients and healthcare professionals. Change in BMI per month, paediatric quality of life scores, session attendance and demographic variables were compared between groups. Results OTN subjects averaged 4.9 telehealth visits per adolescent over the two year programme. Both OTN and comparison groups had similar changes in BMI ( p = 0.757), with increases over time ( p = 0.042). Paediatric quality of life scores in both groups improved over time compared to baseline ( p < 0.001), with higher scores for children compared to parental-reported child scores ( p = 0.008). Both adolescents and healthcare professionals using the OTN were similarly satisfied with their experience. Conclusion Adjunctive use of the OTN within the setting of a weight-management programme is feasible, well accepted by families and healthcare providers, and led to similar outcomes compared to usual care.


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