Severe Allergies, Price Increases, and Supply Shortages

Controlling pharmaceutical prescription costs has been an interest in the United States for decades. In 2016, EpiPen experienced a 600% price increase. This exploratory framing study focuses on news coverage of EpiPen’s price increase and related pharmaceutical price increase stories through analyzing three U.S. television news programs’ coverage. Within 30 news segments that discussed EpiPen or medication price increases, analysis revealed four frames: economic, attribution of responsibility, morality and human interest, and conflict and powerlessness. This study provides a larger understanding of how the crisis of medication price increases is understood and implications for practitioners and individuals aiming to make medications more accessible.

Analisa kelengkapan resep narkotika dan psikotropika di rumah sakit x kota Depok

The practice in prescribing and managing medicines: Narcotic and psychotropic drugsBackground: Using narcotic and psychotropic drugs in some hospitals now that have not implemented digital prescription. Nursing staff must be able to ensure that the prescription is legal and find some prescriptions written incomplete such as doctor name, date delivery without following the administrative standards and pharmaceutical requirements.Purpose: Analyze the feasibility of prescribing narcotics and psychotropics based on the completeness of administrative and pharmaceutical prescription requirements.Method: A Quantitative approach with descriptive analysis method. The recipes were analyzed based on; Administrative Completeness, Patient Administration, Pharmaceutical Completeness. A total of 750 narcotic prescriptions and 1378 psychotropic prescriptions were available at Puri Cinere Hospital from February to May 2020Results: Finding, 89.16% of narcotics prescriptions appropriate with the administrative requirements of the physician and 78.64% was appropriate with the administrative requirements of the patient and 99.76% was appropriate with the pharmaceutical requirements, while 89.18% of narcotics prescriptions were appropriate with the administrative and pharmaceutical requirements. As for psychotropic prescriptions, 90.70% of them were appropriate with the administrative requirements of the physician and 78.48% appropriate with the administrative requirements of the patient, 99.97% appropriate with the pharmaceutical requirements, while 89.78% of psychotropic prescriptions were appropriate with the administrative and pharmaceutical requirements.Conclusion: Approximately 100% of the prescriptions are in place where administrative requirements are appropriate. However, as far as pharmaceutical requirements are concerned, so many prescriptions still had no written a dosage in medicine.Keywords: The practice; Prescribing; Managing medicines; Narcotic; Psychotropic drugsPendahuluan: Penggunaan obat narkotik dan psikotropika di beberapa rumah sakit saat ini belum menerapkan resep digital. Staf perawat harus dapat memastikan bahwa resep tersebut legal dan menemukan beberapa resep yang tertulis tidak lengkap seperti nama dokter, tanggal pengiriman tanpa mengikuti standar administrasi dan persyaratan kefarmasian.Tujuan: Menganalisis kelayakan peresepan narkotika dan psikotropika berdasarkan kelengkapan persyaratan administrasi dan resep farmasi.Metode: Penelitian kuantitatif dengan metode analisis deskriptif. Resep-resep tersebut dianalisis berdasarkan; kelengkapan administrasi, administrasi pasien, kelengkapan kefarmasian. Sebanyak 750 resep narkotika dan 1378 resep psikotropika tersedia di RS Puri Cinere mulai Februari hingga Mei 2020.Hasil: Hasil dari penelitian ini adalah terdapat resep narkotika memenuhi 89,16 % persyaratan adminstratif dokter, 78,64% persyaratan administratif pasien dan 99,76% persyaratan farmasetik, secara keseluruhan memenuhi 89,16% memenuhi persyaratan administratif dan faramasetik dan untuk resep psikotropik memenuhi 90,70 % persyaratan adminstratif dokter, 78,48% persyaratan administratif pasien dan 99,97% persyaratan farmasetik, secara keseluruhan memenuhi 89,78% memenuhi persyaratan administratif dan farmasetik.Simpulan: berdasarkan kelengkapan administratif baik dari segi dokter maupun pasien baik untuk resep narkotik maupun psikotropik belum 100% lengkap. Berdasarkan kelengkapan farmasetik baik untuk resep narkotik dan psikotropik masih ada yang tidak menuliskan kekuatan obat / dosis obat.

Evaluation of Waiting Time for Outpatient Prescription Services at the Pharmacy Installation at the Universitas Sumatera Utara Hospital

The pharmacy installation is one of the units in the hospital that provides. service products and services in the form of prescription services. Prescription service asthe front line of pharmacy services to patients must be managed properly becausethe quality of pharmaceutical prescription service which is generally associated with the speed ingiving service. This research is a descriptive type of research with prospective data collection from March-June 2019 to evaluate the waiting time for outpatient prescription services at the Hospital Pharmacy Installation of the Universitas Sumatera Utara. The data taken were 357 outpatient prescriptions.The results of this study indicate the total average length of time waiting for outpatients for the provision of non-fake drugs at the Pharmacy Installation of Outpatients at the University of Sumatera Utara Hospital at 09.00 - 11.00 is 29.10 minutes, at 11.00 - 13.00 is 34.44. minutes and at 13.00 - finished 42.60 minutes. The average length of waiting time for outpatients for the provision of compound drugs at the Outpatient Pharmacy Installation of the University of Sumatera Utara Hospital at 09.00 - 11.00 is 51.67 minutes, 11.00 - 13.00 hours is 62.27 minutes and at 13.00 - completion was 65.71 minutes. The waiting time for prescription services is ≤ 60 minutes.Based on the results of research conducted at the Outpatient Pharmacy Installation at the University of Sumatera Utara Hospital, non-concocted prescription drugs meet the requirements if the service time speed is ≤ 30 minutes and the concocted drug prescription fulfills the requirements if the service time speed is ≤ 60 minutes.

La granulomatosi eosinofilica con poliangioite: dalla pelle al cuore

Background - he variability in the prescription of antibiotics in the infant population registers changes that cannot always be explained by the associated morbidity alone. Italy, despite its decreasing trend, is still among those countries with the highest prescriptions and shows an important inter-regional variability. The Pharmaceutical Service of the Piedmont Region gave the start to a working group with the task of describing the prescriptive activities, evaluating any internal variability and proposing strategies for improvement. Aim - The aim of the work is to describe the results achieved in Piedmont in 2012-2018 with regard to the paediatric treatment. Materials and methods - Data on prescriptions in paediatrics, grouped for ATC, were obtained from the regional pharmaceutical prescription system. Prescriptive rates and treatment prevalence - children with at least one prescription during the year - were calculated for the total number of residents. Results - The overall rate was reduced from 931 to 689 prescriptions per thousand children. In the same period, the prevalence of prescriptions was also reduced from 45.5% to 34.8%. Non-associated amoxicillin accounted for less than 15% of prescriptions, while clavulanate amoxicillin was the most widely used antibiotic with the 45% of the prescriptions. The ratio of amoxicillin to clavulanate amoxicillin remained strongly negative over the entire period, although it slightly improved from 0.27 to 0.42. Conclusion - The proportion of treatments, though decreasing, is still far from those of other virtuous European nations. Amoxicillin, unlike what suggested by inter-national and national guidelines, is the least prescribed antibiotics with an excess in clavulanate amoxicillin prescriptions that is difficult to explain. According to recent AIFA reports, the observed differences seem to depend partly on the patient's family but mainly on the prescriptive behaviours. Therefore, the professionals involved should compare prescribing practices to further improve prescriptive appropriateness.

Cross-sectional study of the association between empathy and burnout and drug prescribing quality in primary care

Objective:The aim of this study was to assess whether burnout and empathy levels among general practitioners (GPs) might influence prescribing performance assessed using pharmaceutical prescription quality standard indicators.Design and Setting:Cross-sectional descriptive study of 108 GPs from 22 primary care centers in Lleida, Spain, and of centralized data corresponding to 183 600 patients under their care. The study was conducted between May and July 2014.Main Outcome Measures:Burnout and empathy were measured using the Spanish versions of the Maslach Burnout Inventory and the Jefferson Scale for Physician Empathy, and prescribing quality was measured using the Catalan Pharmaceutical Prescription Quality Standard (EQPF). Normal distribution of scores was verified using the Chi-square and Kolmogorov–Smirnov–Lilliefors tests. The effect of each of the variables was evaluated using crude odds ratios.Results:Older GPs scored significantly higher in the EQPF (P< 0.05). High empathy scores were positively associated with high EQPF scores. GPs with low burnout also performed better in the EQPF.Conclusions:More empathic, less burned-out, older GPs showed better prescribing performance according to quality indicators. However, further studies are needed to evaluate other factors influencing prescribing habits. The promotion of communication skills may increase empathy and reduce burnout, thus benefiting patients.