摘要:

Why is Europe lagging behind the United States in the development of this type of therapy?

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1994.tb00758.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Pharmacokinetic methodology should be included in pharmacoepidemiology and postmarketing surveillance

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1994.tb00759.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Progress has been made in the prevention of chemotherapy‐induced nausea and vomiting but it remains a major proble

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1994.tb00760.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1994.tb00761.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

In the health care districts of Lund and Orup (Lund‐Orup) in southern Sweden, prescription recommendations for both primary and secondary health care are made by one local formulary committee. A revised formulary was introduced in 1989, and information on the most important changes was distributed to all prescribing physicians in the area with the new formulary. In an information campaign aimed only at district physicians (general practitioners) in Lund‐Orup, community pharmacists initiated and maintained verbal discussions on the changed recommendations, particularly those concerning low‐price brands of erythromycin, doxycycline, naproxen and combined amiloride/hydrochlorothiazide. One year and two years later they supplied feedback on compliance with the recommendations. Other prescribers in Lund‐Orup received written information on the formulary changes but no verbal information.Prescription surveys during that time indicated that the district physicians had rapidly accepted the new guidelines; compared with the other physicians they showed greater increases in prescription volume of the recommended low‐price brands and higher compliance rates with the recommendations. The overall cost reduction for the four preparations during 1989–91 was approximately SEK3m,* of which almost 25 per cent (SEK700,000) was attributable to the extra savings due to the higher compliance rates among district physicians. Not only do these figures exceed the costs of the information campaign; there was a return in reduced costs of several times the investment. It appears that a verbal information campaign providing district physicians with data on formulary recommendations and savings is a realistic means of reducing drug

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1994.tb00762.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The public in Britain is being encouraged to expect health care of a high standard. A consequence of this may be that people are more prepared to make complaints. Pharmacists will know that channels exist through which clients can complain about their services. However, few will have experience of these procedures, or be aware of the frequency with which clients resort to this action, for what reasons and with what outcomes. The objective of the study was to investigate the complaints made to family health services authorities (FHSAs) about pharmacy services.The study involved all complaints made in a three and a half year period to six FHSAs in one health region. The number, nature and outcomes of these cases are presented. A total of 113 complaints was made. These included a wide range of different issues, 92 per cent of which related to dispensing activities. Forty‐one per cent of complaints did not constitute a breach of contract by the practitioner. The formal procedure, for investigating complaints, resulting in a hearing was pursued in 25 per cent of cases.There was considerable variation in the outcome of complaints that included an allegation of breach of contract. The diversity in the nature of complaints indicates that clients' perceptions and expectations of pharmacy services extend beyond the supply of the correct medicatio

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1994.tb00763.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1994.tb00764.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Reports in the literature indicate that consumers may hesitate to ask for advice when considering the purchase of non‐prescription products in community pharmacies. Consumers observed purchasing products in 11 pharmacies without asking for advice were surveyed to ascertain why they did not do so. Of the 151 consumers who completed questionnaires, 145 indicated they had not wanted advice, mainly because they had used the product before or had received advice elsewhere on what to purchase. Only six consumers indicated that in fact they had wanted advice, but had hesitated to ask for it. Their main reason for not asking was that the pharmacist appeared too bus

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1994.tb00765.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Recent changes in the United Kingdom national health service (NHS) have increased the need for pharmacy services in primary care. Government documents have advocated a role for hospital pharmacists in the provision of clinical pharmacy services to primary care. A census survey was carried out to establish the extent to which hospital pharmacists have become involved in the provision of clinical pharmacy services to primary care patients and health professionals. Questionnaires were sent to district pharmaceutical officers in England (and their equivalents in the rest of the UK). One hundred and ninety‐three questionnaires were returned (92 per cent). Hospital pharmacists provided few advisory, educational or information services to patients and primary care health professionals, with the exception of primary care nurses. Pronounced variations in service provision were observed in different parts of the UK. Respondents gave reasons for their limited involvement and indicated that the provision of services is increasing.The survey shows that government policy on the provision of hospital clinical pharmacy services to patients and health professionals in primary care has not been implemented. The provision of such service is, however, increasing, mainly as a consequence of the NHS reforms and the movement of resources to primary car

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1994.tb00766.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

A questionnaire was sent to all nursing sisters in Hammersmith and Queen Charlotte's special health authority, a provider of specialist hospital services in London. They were asked for their overall impression of the pharmacy service and staff, for their opinions of specific services and for suggestions for improving the service. Eighty‐six per cent of respondents thought the service was good, very good or excellent and 92 per cent thought the service was either the same or better than that of other hospitals in which they had worked.Just under half the suggestions received were for service improvements related to supply of drugs stocked on the ward. The other main areas commented on were drug delivery, discharge medication and the pharmacy on‐call service. The survey provided useful information about the pharmacy service and has enabled the department to implement some of the changes suggested as well as look at the feasibility of other improvements. It is intended to repeat this survey annua

ISSN:0961-7671    

DOI:10.1111/j.2042-7174.1994.tb00767.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY