scholarly journals Paradigm Shift in Practice: The Role of Pharmacists in COVID-19 Management

2020 ◽  
Vol 2 (2) ◽  
pp. 60-65
Author(s):  
Samira Saghir ◽  
Furqan K Hashmi ◽  
Sitaram Khadka ◽  
Madiha Rizvi

The continuously escalating burden of COVID-19 pandemic is challenging the health care systems around the world. The healthcare professionals of different specialties throughout the globe are working day and night for its proper mitigation. Pharmacists are healthcare professionals who are working on the frontline for the management of COVID-19 in different settings. In this review, we highlight the potential roles pharmacists can play for effective management of COVID-19. The collaborative effort of all professionals, including healthcare and other stakeholders is necessary for the appropriate management of such pandemic. Pharmacists, having expertise in clinical as well as administrative aspects, can play a pivotal role in extended health services (EHS) from prevention to eradication of COVID-19. Firm determination, inter- and intra- professional collaboration, and legislative support are mandatory for the rational practice of professionalism in such disasters.

2020 ◽  
Vol 36 (10) ◽  
pp. 1801-1810 ◽  
Author(s):  
Dietrich Beitzke ◽  
◽  
Rodrigo Salgado ◽  
Marco Francone ◽  
Karl-Friedrich Kreitner ◽  
...  

Abstract The severe acute respiratory syndrome coronavirus 2019 (SARS-CoV-2) pandemic currently constitutes a significant burden on worldwide health care systems, with important implications on many levels, including radiology departments. Given the established fundamental role of cardiovascular imaging in modern healthcare, and the specific value of cardiopulmonary radiology in COVID-19 patients, departmental organisation and imaging programs need to be restructured during the pandemic in order to provide access to modern cardiovascular services to both infected and non-infected patients while ensuring safety for healthcare professionals. The uninterrupted availability of cardiovascular radiology services remains, particularly during the current pandemic outbreak, crucial for the initial evaluation and further follow-up of patients with suspected or known cardiovascular diseases in order to avoid unnecessary complications. Suspected or established COVID-19 patients may also have concomitant cardiovascular symptoms and require further imaging investigations. This statement by the European Society of Cardiovascular Radiology (ESCR) provides information on measures for safety of healthcare professionals and recommendations for cardiovascular imaging during the pandemic in both non-infected and COVID-19 patients.


Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre

This chapter reviews the public health care systems as well as their challenges. It first shows how expenditure on health care has evolved in previous decades and deals with the reasons for the growth observed in almost every European country. It emphasizes the role of technological progress as a main explanatory factor of the increase in medical expenditure but also points to the challenges facing cost-containment policies. Especially, the main common features of health care systems in Europe, such as third-party payment, single provider approach and cost-based reimbursement are discussed. Finally the chapter shows that although inequalities in health exist in the population, health care systems are redistributive. Reforms are thus needed but the trade-off between budgetary efficiency and equity is difficult.


2009 ◽  
Vol 66 (8) ◽  
pp. 1652-1661 ◽  
Author(s):  
Mike Sinclair

Abstract Sinclair, M. 2009. Herring and ICES: a historical sketch of a few ideas and their linkages. – ICES Journal of Marine Science, 66: 1652–1661. This introduction to the Symposium on “Linking Herring” sketches the development of some ideas generated from herring research within an ICES context. The work of Committee A (1902–1908), under the leadership of Johan Hjort, led to a paradigm shift from “migration thinking” to “population thinking” as the interpretation of fluctuations in herring landings. From the 1920s to the 1950s, the focus on forecasting services for the herring fisheries, although ultimately unsuccessful, had the unintended consequence of generating ideas on recruitment overfishing and the match–mismatch hypothesis. The collapse of the East Anglian fishery led, in 1956, to considerable debate on its causes, but no consensus was reached. Three consecutive symposia dealing with herring (1961, 1968, and 1970) reveal a changing perspective on the role of fishing on recruitment dynamics, culminating in Cushing’s 1975 book (“Marine Ecology and Fisheries”, referred to here as the “Grand Synthesis”), which defined the concept of recruitment overfishing and established the future agenda for fisheries oceanography. The 1978 ICES “Symposium on the Assessment and Management of Pelagic Fish Stocks” is interpreted as the “Aberdeen Consensus” (i.e. without effective management, recruitment overfishing is to be expected). In conclusion, herring research within ICES has led to many ideas and two major paradigm shifts.


1992 ◽  
Vol 10 (3) ◽  
pp. 267-281 ◽  
Author(s):  
R A Kearns ◽  
J R Barnett

New Zealand, like many other capitalist countries, has recently witnessed an increased corporate involvement in medicine. One manifestation of this change has been the entry of medical ‘supermarkets’—multipurpose clinics which juxtapose general practitioners (GPs) and specialists, are company owned, and employ advertising. The authors document the development and implications of these clinics which, although small in number, have induced change in the behaviour of the GP community at large. They conclude that recent developments involve a ‘coming out of the closet’ of a fundamental contradiction in the way general practice is conducted in New Zealand. This is between the role of the caring providers founded on the Hippocratic oath, and that of income-generating business people within an increasingly market-driven society. This contradiction leads to speculation on a broader question: The degree to which competition among primary care provides is possible within fee-for-service and other types of health-care systems.


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