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Pharmacist economics

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https://www.readbyqxmd.com/read/29642719/impact-of-pharmacist-physician-collaboration-on-osteoporosis-treatment-rates
#1
Brandi L Bowers, Amy M Drew, Christian Verry
BACKGROUND: The vast majority of women at high risk for osteoporotic fractures are not treated, despite known significant clinical and economic consequences of this prevalent condition. To date, this is the first study of this size and duration to examine the role of pharmacists in management of osteoporosis in a family medicine clinic. OBJECTIVE: To compare the initiation or continuation of prescription antifracture therapy in high-risk patients with collaborative pharmacist-physician to physician-only management; secondarily, to evaluate recommendation rates for antifracture therapy and calcium and vitamin D...
April 1, 2018: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/29624704/implementation-science-to-advance-care-delivery-a-primer-for-pharmacists-and-other-health-professionals
#2
Melanie Livet, Stuart T Haines, Geoff M Curran, Terry Seaton, Caryn Ward, Todd Sorensen, Mary Roth McClurg
There is increasing pressure within healthcare to implement evidence-based interventions that improve quality, control costs, and maximize value. Unfortunately, many clinical services and interventions to optimize medication use do not consistently produce the intended humanistic, clinical, and economic outcomes. The lack of conclusive results is believed to stem from the widely recognized research-to-practice gap. The field of implementation science seeks to discover and apply strategies designed to accelerate successful integration of interventions into routine practice...
April 6, 2018: Pharmacotherapy
https://www.readbyqxmd.com/read/29605947/impact-of-warfarin-discharge-education-program-on-hospital-readmission-and-treatment-costs
#3
Luigi Brunetti, Seung-Mi Lee, Nancy Doherty, David Suh, Jeong-Eun Kim, Sun-Hong Lee, Yong Chan Choi, Dong-Churl Suh
Background Although warfarin is highly effective, management of patients prescribed warfarin is complex due to its narrow therapeutic window. Objective To evaluate the impact of a formal warfarin discharge education program (WDEP) on hospital readmission and treatment costs in patients who received warfarin therapy. Setting Robert Wood Johnson University Hospital Somerset in Somerville, New Jersey, USA. Method In this interventional cohort study, patients were assigned to either the WDEP group or the usual care group...
March 31, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29582940/closed-system-drug-transfer-devices-plus-safe-handling-of-hazardous-drugs-versus-safe-handling-alone-for-reducing-exposure-to-infusional-hazardous-drugs-in-healthcare-staff
#4
REVIEW
Kurinchi Selvan Gurusamy, Lawrence Mj Best, Cynthia Tanguay, Elaine Lennan, Mika Korva, Jean-François Bussières
BACKGROUND: Occupational exposure to hazardous drugs can decrease fertility and result in miscarriages, stillbirths, and cancers in healthcare staff. Several recommended practices aim to reduce this exposure, including protective clothing, gloves, and biological safety cabinets ('safe handling'). There is significant uncertainty as to whether using closed-system drug-transfer devices (CSTD) in addition to safe handling decreases the contamination and risk of staff exposure to infusional hazardous drugs compared to safe handling alone...
March 27, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29556253/the-importance-of-handling-high-value-biologicals-physico-chemical-instability-and-immunogenicity-of-monoclonal-antibodies
#5
REVIEW
Tomislav Laptoš, Jasna Omersel
The present review specifies the various chemical and physical factors that can influence drug stability and immunogenicity, and the treatment outcomes of antibody biologicals. Although monoclonal antibodies (mAbs) are known to be more resistant to environmental changes compared with other proteins, the molecules themselves can be subjected to chemical and physical processes that promote their degradation and transformation into their specific amino-acid moieties. With increasing use of medicinal products that contain mAbs, and their self-administration by the patients, the issue of the correct manipulation of these drugs is of increasing importance...
April 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29550993/patient-satisfaction-and-costs-of-multidisciplinary-models-of-care-in-rheumatology-a-review-of-the-recent-literature
#6
REVIEW
Jill Hall, K Julia Kaal, Junho Lee, Ross Duncan, Nicole Tsao, Mark Harrison
PURPOSE OF THE REVIEW: A number of novel models of care utilizing allied healthcare professionals, including nurses and pharmacists, have emerged as an alternate to rheumatologist specialist care to achieve disease outcomes in patients with inflammatory arthritis. We conducted a review of the literature for studies from the past 5 years that reported on measures of patient satisfaction and/or any health economic outcome in a model of care where the care providers had substantial, but not completely independent, responsibility...
March 17, 2018: Current Rheumatology Reports
https://www.readbyqxmd.com/read/29529287/between-food-and-medicine-artificial-digestion-sickness-and-the-case-of-benger-s-food
#7
Lisa Haushofer
In the nineteenth century, food and diet became central to a public health increasingly focused on individual behavior and on the cost of sickness. Because of its potential to impact the economic uptake of food inside individual bodies, digestion became a crucial site of physiological investigation in this context. Out of physiological research on digestion emerged a group of medicinal food products based on digestive enzymes (then referred to as digestive ferments), so-called artificially digested foods. The paper examines the creation and significance of these products, focusing on the case of Benger's Food...
February 24, 2018: Journal of the History of Medicine and Allied Sciences
https://www.readbyqxmd.com/read/29521514/influenza-in-older-patients-a-call-to-action-and-recent-updates-for-vaccinations
#8
Miranda Wilhelm
Influenza affects millions of people in the United States each year. Older patients are particularly at risk for infection, hospitalization, and death due to influenza-related complications, such as pneumonia. One of the best ways to avoid becoming ill is to have the annual influenza vaccination. Unfortunately, immunization rates are poor in the older adult population, at about 65% each year. Vaccine effectiveness in this population is reduced because of lower seroconversion rates that arise from poorer immunologic response to vaccination...
March 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29516200/how-can-we-improve-disease-education-in-people-with-gout
#9
REVIEW
Theodore R Fields, Adena Batterman
PURPOSE OF REVIEW: Gout management is currently suboptimal despite excellent available therapy. Gout patient education has been shown to enhance medication adherence and self-management, but needs improvement. We explored the literature on gout patient education including gaps in gout patient knowledge; use of written materials; in-person individual and group sessions; education via nurses, pharmacists, or multi-disciplinary groups; and use of phone, web-based, mobile health app, and text messaging educational efforts...
March 8, 2018: Current Rheumatology Reports
https://www.readbyqxmd.com/read/29500161/improving-transplant-medication-safety-through-a-pharmacist-empowered-patient-centered-mhealth-based-intervention-transafe-rx-study-protocol
#10
James N Fleming, Frank Treiber, John McGillicuddy, Mulugeta Gebregziabher, David J Taber
BACKGROUND: Medication errors, adverse drug events, and nonadherence are the predominant causes of graft loss in kidney transplant recipients and lead to increased healthcare utilization. Research has demonstrated that clinical pharmacists have the unique education and training to identify these events early and develop strategies to mitigate or prevent downstream sequelae. In addition, studies utilizing mHealth interventions have demonstrated success in improving the control of chronic conditions that lead to kidney transplant deterioration...
March 2, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29489684/predictive-factors-for-clinically-significant-pharmacist-interventions-at-hospital-admission
#11
Céline Mongaret, Pauline Quillet, Thi Ha Vo, Léa Aubert, Mathieu Fourgeaud, Elise Michelet-Huot, Morgane Bonnet, Pierrick Bedouch, Florian Slimano, Sophie C Gangloff, Moustapha Drame, Dominique Hettler
Pharmaceutical care activities at hospital admission have a significant impact on patient safety. The objective of this study was to identify predictive factors for clinically significant pharmacist interventions (PIs) performed during medication reconciliation and medication review at patient hospital admission.A 4-week prospective study was conducted in 4 medicine wards. At hospital admission, medication reconciliation and medication review were conducted and PIs were performed by the pharmaceutical team...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29488151/a-review-of-the-role-of-the-pharmacist-in-heart-failure-transition-of-care
#12
REVIEW
Sarah L Anderson, Joel C Marrs
This article reviews current literature on the role of pharmacists in the transition of care (TOC) for patients with heart failure (HF) and the impact of their contributions on therapeutic and economic outcomes. Optimizing the TOC for patients with HF from the hospital to the community/home is crucial for improving outcomes and decreasing high rates of hospital readmissions, which are associated with increased morbidity, mortality, and costs. A multidisciplinary team approach to the management of patients with HF facilitates the transition from the hospital to the ambulatory care setting, allowing for the consideration of medical, pharmacological, and lifestyle variables that impact the care of individual patients...
February 27, 2018: Advances in Therapy
https://www.readbyqxmd.com/read/29478833/shifting-perspectives-planning-for-the-future-of-the-pharmacy-profession-taking-current-labor-market-trends-into-consideration
#13
Janine Marie Traulsen, Louise C Druedahl
The future of the pharmacy profession and concerns about professional identity have been popular and recurring themes in professional journals and at international pharmacy conferences for more than 30 years. The aim of this paper is to contribute to realistic and viable visions for the future of the pharmacy profession via insights through labor market and work organization theories. These insights provide an understanding of contemporary work patterns and what they mean for the future role of community pharmacists...
February 17, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29466477/mysinusitiscoach-patient-empowerment-in-chronic-rhinosinusitis-using-mobile-technology
#14
S F Seys, J Bousquet, C Bachert, W J Fokkens, I Agache, M Bernal-Sprekelsen, I Callebaut, L O Cardel, S Carrie, P Castelnuovo, R Cathcart, J Constantinidis, L Cools, M Cornet, G Clement, J C de Sousa, T Cox, M Doulaptsi, P Gevaert, C Hopkins, V Hox, T Hummel, W Hosemann, R Jacobs, M Jorissen, B N Landis, A Leunig, V J Lund, J Mullol, M Onerci, S Palkonen, I Proano, E Prokopakis, D Ryan, H Riechelmann, J Saevels, C Segboer, K Speleman, E A Steinsvik, P Surda, P V Tomazic, O Vanderveken, L Van Gerven, T Van Zele, B Verhaeghe, K Vierstraete, S Vlaminck, J Wilkinson, S Williams, B Pugin, P W Hellings
Mobile health technology is emerging to take a prominent position in the management of chronic diseases. These technologies aim at enhancing patient empowerment via education and self-management. To date, of all the different apps available for patients with sinus disease, none were developed by medical experts dealing with chronic rhinosinusitis (CRS). The European Forum for Research and Education in Allergy and Airway diseases (EUFOREA) has undertaken a multi-stakeholder approach for designing, developing and implementing a tool to support CRS patients in monitoring their symptoms and to provide patients with a digital support platform containing reliable medical information about their disease and treatment options...
February 21, 2018: Rhinology
https://www.readbyqxmd.com/read/29434673/practical-differences-between-luteinizing-hormone-releasing-hormone-agonists-in-prostate-cancer-perspectives-across-the-spectrum-of-care
#15
REVIEW
Davide Meani, Mladen Solarić, Harri Visapää, Rose-Marie Rosén, Robert Janknegt, Majana Soče
Background: Androgen deprivation therapy (ADT) with luteinizing hormone-releasing hormone (LHRH) agonists is well established for the treatment of men with metastatic prostate cancer. As clear differences in efficacy, safety, or tolerability between the available LHRH agonists are lacking, the healthcare management team needs to look to practical differences between the formulations when selecting therapy for their patients. Moreover, as the economic burden of prostate cancer rises alongside earlier diagnosis and improved survival, the possibility for cost savings by using products with specific features is growing in importance...
February 2018: Therapeutic Advances in Urology
https://www.readbyqxmd.com/read/29400987/dose-rounding-of-biologic-and-cytotoxic-anticancer-agents-a-position-statement-of-the-hematology-oncology-pharmacy-association
#16
Rebecca Fahrenbruch, Polly Kintzel, Anne Marie Bott, Steven Gilmore, Ryan Markham
PURPOSE: To present a position statement from the Hematology/Oncology Pharmacy Association (HOPA) that pertains to dose rounding of biologic and cytotoxic anticancer agents. METHODS: The HOPA Standards Committee organized a work group of oncology pharmacist specialists to examine the safety and value of dose rounding of biologic and cytotoxic anticancer agents. Primary literature that describes methods for dose rounding, with clinical or economic data, were analyzed...
February 5, 2018: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29398405/consumer-willingness-to-pay-for-pharmacy-services-an-updated-review-of-the-literature
#17
REVIEW
Jacob T Painter, Laura Gressler, Niranjan Kathe, S Lane Slabaugh, Karen Blumenschein
BACKGROUND: Quantifying the value of pharmacy services is imperative for the profession as it works to establish an expanded role within evolving health care systems. The literature documents the work that many have contributed toward meeting this goal. To date, however, the preponderance of evidence evaluates the value of pharmacist services to third-party payers; few published studies address the value that consumers place on these services. OBJECTIVES: In 1999, a review of studies that used the contingent valuation method to value pharmacy services was published...
February 2, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29395013/-outcomes-after-a-2-year-pharmaceutical-care-program-for-patients-taking-vitamin-k-antagonist-therapy-community-pharmacist-s-perception
#18
C Mongaret, C Lepage, L Aubert, A Lestrille, F Slimano
OBJECTIVES: Since 2013 French community pharmacist are involved in pharmaceutical care program (PCP) for patients treated with vitamin K antagonist (VKA). While PCPs are now extending to other patient populations, we aimed to evaluate pharmacists' perception after 2-years implementation and leading of PCP. METHODS: A prospective investigational survey from 1st August to 31st December, 2015 from 400 community pharmacies in Champagne-Ardenne Region. Survey focuses on 3 points: first about implementation and leading of PCP; secondly about patient's population description; finally on the global perception by CP about new tasks...
January 24, 2018: Annales Pharmaceutiques Françaises
https://www.readbyqxmd.com/read/29384026/evaluation-of-an-academic-community-partnership-to-implement-mtm-services-in-rural-communities-to-improve-pharmaceutical-care-for-patients-with-diabetes-and-or-hypertension
#19
Melissa Johnson, Rebecca Jastrzab, Jared Tate, Kate Johnson, Elizabeth Hall-Lipsy, Rose Martin, Ann M Taylor, Terri Warholak
BACKGROUND: Although the current methods of medication therapy management (MTM) delivery have demonstrably improved therapeutic, safety, economic, and humanistic health outcomes, patient- and prescriber-level barriers persist, limiting its reach and effectiveness. OBJECTIVE: To assess telephonic- and community-based clinical pharmacy services in improving health indicators for rural, underserved patients. METHODS: In 2014, an established MTM provider created a novel, collaborative pilot program with independent retail and community health center pharmacies to provide comprehensive, telephonic MTM services to rural Arizonans...
February 2018: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29384024/clinical-and-economic-effects-of-a-pharmacist-administered-antiretroviral-therapy-adherence-clinic-for-patients-living-with-hiv
#20
Thomas J Dilworth, Pamela W Klein, Renée-Claude Mercier, Matthew E Borrego, Bernadette Jakeman, Steven D Pinkerton
BACKGROUND: Pharmacists have demonstrated the ability to improve patient adherence to antiretroviral therapy (ART). OBJECTIVE: To determine the clinical and economic effects of a pharmacist-administered ART adherence clinic for patients living with human immunodeficiency virus (HIV). METHODS: This pilot study with a pretest-posttest design examined the effect of a pharmacy adherence clinic on patient HIV viral load and CD4 count over a 6-month period...
February 2018: Journal of Managed Care & Specialty Pharmacy
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