摘要:

The outpatient drug use review experiences by pharmacists at a large health maintenance organization with on-site pharmacies were investigated. Pharmacists were asked to document the nature of potential drug therapy problems encountered, drug involved, review activities undertaken, and processoutcomes. Patterns of pharmacist intervention were observed over 1 year.Results indicated that the number of problems detected increased substantially during the months immediately following the introduction of problem recording and feedback procedures. During the latter months, the number of prescriptions with problems approximated 4 per 100 dispensed prescriptions. Drug interactions of a moderate nature and drug underuse were the most frequent problem types encountered. Most were not serious and usually resulted in a cautionary or counseling message given to patients by pharmacists. The next most frequently occurring type was drug overuse problems, and, after that, problems concerning some aspect of the prescribing decision. In 9 per cent of all problem interventions and in 44 per cent of prescribing-problem interventions, the outcome of the pharmacist intervention was a change in drug, strength or directions for use.The average amount of pharmacist time per problem intervention varied from 6.0 to 7.8 minutes across problem types. This approximated a pharmacist labor cost of $0.06 per dispensed prescription, given a problem encounter rate of 4 per 100 dispensed prescriptions.

ISSN:0025-7079    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Little has been written about physicians' attitudes toward patient record requests. We had predicted that physicians would not welcome such requests and would respond to them defensively. Of the 280 physicians at a university affiliated medical center included in this study, 67 per cent thought that patients were motivated to ask for their hospital charts because they wanted more information or further treatment. Only 16 per cent of the physicians said that the requests were prompted by litigious motives, and 23 per cent thought that they came from the need to obtain secondary gain. A majority of the physicians, 62 per cent, viewed the requests as an opportunity to treat or educate, but 83 per cent felt that reading the hospital record could be harmful to patients. The financial and interpersonal aspects of patient education through a response to chart requests are discussed in the final section of this article.

ISSN:0025-7079    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

The purpose and structure of a “critical reading seminar” series for second-year residents in medicine is described. This seminar has been a useful and popular forum for teaching research methodology and critical reading skills to physicians-in-training. Seminar content has emphasized the strengths and limitations of research design, sampling and subject' allocation, measures and techniques of analysis. Explanations for the popularity of these teaching sessions are briefly discussed.

ISSN:0025-7079    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0025-7079    

出版商:OVID    

年代:1981

数据来源: OVID