Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 3.633
Filtrar
1.
Sr Care Pharm ; 34(7): 444-448, 2019 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-31383055

RESUMO

Medical mission trips help meet the needs of underserved populations in the United States and abroad. As the medication experts, pharmacists play an important role in providing pharmacy services during these trips. Students can serve as pharmacist extenders by applying the knowledge, skills, and values learned in the classroom to reach more patients in resourcelimited settings. This paper describes the experience of the Gregory School of Pharmacy in sponsoring faithbased domestic and international medical missions. We believe that medical missions not only benefit those in need, but also foster professional growth and provide an opportunity for participants to develop a servantleadership mindset. Unlike the traditional leader, the servant-leader shares power, puts the needs of others first, and helps people develop and perform as highly as possible.


Assuntos
Missões Médicas , Assistência Farmacêutica , Farmácia , Estudantes de Farmácia , Humanos , Farmacêuticos
2.
Yakugaku Zasshi ; 139(7): 1047-1054, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31257251

RESUMO

In 2015, Japan's Ministry of Health, Labour and Welfare released a report on the need for pharmacies to support public health, although the details of such a service was left to each pharmacy. Consequently, pharmacists had to determine the nature of such services. We considered the services that pharmacists could offer to improve people's lifestyles. This study tests such a service at a pharmacy. We prepared a lifestyle self-review test. From September 2015 to February 2016, pharmacists interviewed members of the community using the test, and pharmacists at 50 pharmacies in Aichi prefecture, Japan, set goals for lifestyle improvement. We analyzed 289 tests. The number of people who had a dietary goal concerning snacking was reduced from 19 people who snacked every day to 11. The number of people who had a goal to reduce their drinking was reduced from 7 people who drank every day to 4. The number of people who had an exercise goal was reduced from 17 people who did not exercise every day to 7. The people who had a sleep goal increased the number of days in which they got adequate rest. Those who had specific, tangible goals for walking achieved their goal at a higher rate than did those who had a goal but no tangible elements, such as time spent or number of steps achieved. Overall, the lifestyle self-review at the pharmacy was effective for lifestyle improvement. Pharmacists should help people set goals with tangible elements to improve their lifestyle more effectively.


Assuntos
Serviços Comunitários de Farmácia , Promoção da Saúde , Estilo de Vida , Farmacêuticos , Farmácia , Adulto , Idoso , Idoso de 80 Anos ou mais , Consumo de Bebidas Alcoólicas/prevenção & controle , Feminino , Humanos , Japão , Masculino , Pessoa de Meia-Idade , Papel Profissional , Lanches , Adulto Jovem
3.
Sr Care Pharm ; 34(3): 216, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-31155028

Assuntos
Governo , Farmácia
4.
Wiad Lek ; 72(5 cz 2): 1126-1130, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31175757

RESUMO

OBJECTIVE: Introduction: Military pharmacy has always been a priority, being widely supported by the state with any social order. Field pharmacy development has always been considered a national safety factor. After creation of the numerous military commands and improvement of medical conditions relating to preserving and restoring the military men health, the importance of development of pharmacy as a science has only been increasing. The object of the study in this article is development of Ukrainian pharmacy as illustrated by the Poltava region example. The aim: The study is research of the pharmacy development and its influence on to the neighbor fields within the Poltava region. PATIENTS AND METHODS: Material and methods: systemic approach, historical and dialectical methods, methods of theoretical and empirical learning. CONCLUSION: Conclusions: The Lubny pharmacy was the basis for the military pharmaceutical service in Ukraine and triggered foundation of private pharmacies in the Poltava region. Also, the Lubny pharmacy had effected on the development of pharmaceutical service and industrial agricultural cultivation of medical plants in Ukraine.


Assuntos
Militares , Assistência Farmacêutica , Farmácias , Farmácia , Ucrânia
5.
Gan To Kagaku Ryoho ; 46(Suppl 1): 101-103, 2019 May.
Artigo em Japonês | MEDLINE | ID: mdl-31189827

RESUMO

Patients who receive home visits by pharmacists show a wide range of diseases.The patients are mainly elderly people with chronic diseases, children with some diseases or disabilities, and cancer patients receiving palliative care.Such patients request various pharmaceutical care at home from pharmacies.Pharmacies are essentially medical facilities and they must receive prescriptions from all patients, but depending on each pharmacy, there are few cases of a pharmacy refusing to receive prescriptions.Pharmacies participating in home pharmaceutical care need to establish a system incorporating 1 ) sufficient number of pharmacists, 2 ) pharmacy aseptic unit, 3 ) stockpiling of medical narcotics, and 4 ) stockpiling of medical supplies.However, because individual pharmacies have different situations, such as the intention of the founder, size of the facility, and experience and regionality of pharmacists, it is impossible for all pharmacies to participate in home pharmaceutical care in the same way.An increasing number of home patients with high dependence on medical care is expected in the future.For these patients, pharmacists need high clinical experiences, and at the same time, the burden on pharmacies to stockpile medicines will increase.Therefore, evaluation of pharmacies for home care patients with high dependence on medical care should be considered as an advanced pharmaceutical management function.


Assuntos
Serviços Comunitários de Farmácia , Serviços de Assistência Domiciliar , Farmácias , Farmácia , Humanos , Farmacêuticos
6.
Int J Pharm Compd ; 23(2): 154-156, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31085780

RESUMO

There are a substantial amount of suppliers for roller mills in the market, but there is a lack of scientific evidence of a roller mill's capacity to improve particle size reduction/distribution or homogenization. In this concise paper, we evaluate the use a roller mill in the final steps of compounding semisolid dosage forms. We performed three simple tests to verify these claims: 1) particle size evaluation through dynamic light scattering and scanning electron microscopy techniques, 2) content uniformity through high-performance liquid chromatography technique, and 3) cross contamination through a cleaning validation method. Dynamic light scattering and scanning electron microscopy techniques of benzoyl peroxide 5% (gel) and testosterone 1% (cream) showed a significant reduction on particle diameter. Content uniformity testing of creams containing progesterone 5%, estradiol 0.1%, and estriol 0.4% showed better homogeneity when using the roller mill. Finally, the proposed cleaning procedure decreased the presence of the compounded preparation to a "none-detection" level after the procedure. This suggests that the roller mill used does, in fact, play a role in the final aspect and quality of pharmaceutical semisolid dosage forms.


Assuntos
Composição de Medicamentos , Estriol , Farmácia , Progesterona/química , Cromatografia Líquida de Alta Pressão , Estriol/química , Tamanho da Partícula
7.
Sci Total Environ ; 675: 51-61, 2019 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-31026643

RESUMO

According to general principles of good practice, adopted at the international level, quality control is a key function in management and not just a simple means of verification. In a clinic or hospital pharmacy, the chief pharmacist has the training and authority to take the control measures necessary to develop and implement an Internal Managerial Control System (IMCS). The present article analyzes and describes the case of the County Hospital of Oradea, Romania, and presents how the IMCS was adopted and integrated. Quality assessment in the health services takes place via an accreditation process and quality certification, as well as through an internal audit of the hospital pharmacy. The authors report a retrospective and descriptive study carried out from 2012 to 2017, analyzing how current legislative standards are applied. The IMCS in the hospital pharmacy is a dynamic process of continuous transformation, permanently adapted to hospital requirements, achieved under the direction of the chief pharmacist and involving all pharmacy employees, as well as through good coordination practices applied by hospital management. In this specific case, the IMCS features 11 annually updated compliance standards, classed under the headings of work procedures, risk register, job descriptions and staff training. The pharmacy's good practice model for IMCS development, was adopted by all of the hospital's sectors, services and departments.


Assuntos
Hospitais , Administração Farmacêutica/métodos , Farmácia/métodos
8.
Pharmazie ; 74(3): 186-190, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-30961687

RESUMO

Medication refill reminder services (MRRS), having the potential to support the detection of non-adherence and to promote periodic medication refilling by addressing forgetfulness, are not generally available in community pharmacy practice. Based on a new software module, a MRRS was developed. The acceptance of this service was tested in community pharmacies in Germany. Patients were recruited by trained pharmacy staff. Supported by the software, the pharmacies reminded patients to refill their prescription. After 7 months, the service was evaluated by patients and pharmacy staff. The pharmacy owners/managers were interviewed. Ten pharmacies applied the service to 148 patients, with 806 refill reminders for 391 drugs. Seventy-five patients (50.7%) chose to be reminded by a phone call, followed by text message (n=25), and email (n=18). Of all patients, 75 (50.7%) completed the paper-based questionnaire. Sixty-eight (90.7%) rated the service as good or very good and 54 (72.0%) felt more satisfied with their pharmacy. Sixty-four patients (85.3%) considered the service as supportive and wanted to continue. Thirty-nine pharmacy staff members (61.9%) answered the online questionnaire. Twenty-four (61.5%) stated that they found it difficult to use and apply the MRRS; twenty-six (66.6%) experienced technical problems. The service was rated good by 16 (41.0%) pharmacy staff members. They regarded the service helpful for some patients and wanted to continue after the end of the study. The majority of the ten interviewed pharmacy owners/managers expressed the opinion that the service was not very suitable for increasing customer loyalty and not cost-effective. Nevertheless, six (60.0%) of them wanted to continue using the service. The MRRS seems to be feasible, apart from technical difficulties. Patients rated the service as supportive, and the personal contact seems to be of high importance; most patients would like to continue the service. However, offering the service to patients turned out to be challenging in daily German community pharmacy practice.


Assuntos
Serviços Comunitários de Farmácia/organização & administração , Sistemas de Registro de Ordens Médicas , Farmácias/organização & administração , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Alemanha , Humanos , Masculino , Adesão à Medicação , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde , Farmacêuticos , Farmácia , Inquéritos e Questionários , Adulto Jovem
9.
Yakugaku Zasshi ; 139(4): 525-527, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-30930381

RESUMO

About two years have passed since the formal establishment of the category "family pharmacist" in Japan's revision of dispensing fees. In the pharmacy vision for patients, many problems were raised among the category of "family pharmacists" or "family pharmacies". Furthermore, in the future restructuring of pharmacy practices, by 2025 all pharmacies are to serve as "family pharmacies", and by 2035 they will exercise their family pharmacy function in daily living areas. In order to demonstrate the "family function", home medical care and outreach type health support etc. will be required, not only from conventional pharmacy work but also in outside (off-site) pharmacy activities. Therefore, future pharmacies need to gain the confidence of their local communities, such as in active collaboration with multi-occupational physicians and healthcare providers, work with multi-occupations in general, participation in local activities, and so on. Therefore, I would like to introduce activities that I am actually doing to this end, such as at-home activities, community activities and cooperation with multiple occupations.


Assuntos
Seguro de Serviços Farmacêuticos , Farmacêuticos , Farmácia , Serviços de Saúde Comunitária/tendências , Pessoal de Saúde , Serviços de Assistência Domiciliar/tendências , Humanos , Comunicação Interdisciplinar , Colaboração Intersetorial , Japão , Farmácia/tendências , Médicos , Atenção Primária à Saúde/tendências
10.
Yakugaku Zasshi ; 139(4): 529-532, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-30930382

RESUMO

The primary pharmacy system and health support pharmacy system were established in 2016. However, local pharmacies need to get closer to the community. To this end, each pharmacy is making efforts to contribute locally. Here, we introduce various initiatives in our region. Akakabe Pharmacy has 66 stores in Osaka Prefecture, mainly in the northeastern part of Osaka, where the elderly population is growing. We are implementing a dominant strategy: cooperation with the city and administration is strong, and we hold many related events directed towards the public. For example, two thousand participants gathered in an event sponsored by the city aimed at the improvement of beauty and health. At such events, participants can easily consult with pharmacists. Dispensing pharmacy stores-pharmacies that combine the features of a convenience store with care consulting services-were established in 2016. Care consultations are potentially highly advantageous to the users. In the consultation space of a pharmacy, a care worker conducts various events every month, such as on dementia prevention, body composition measurement, and more. We believe that this type of combined pharmacy and convenience store has the potential to become a regional comprehensive care center. We intend to share the possibility of a new pharmacy system, centered on this pharmacy/store/consultation model, as a basis to revamp the pharmacy industry.


Assuntos
Comércio , Serviços Comunitários de Farmácia , Assistência Integral à Saúde , Assistência à Saúde/métodos , Farmácia , Encaminhamento e Consulta , Centros Comunitários de Saúde/tendências , Serviços Comunitários de Farmácia/tendências , Assistência Integral à Saúde/métodos , Assistência Integral à Saúde/tendências , Assistência à Saúde/tendências , Fast Foods , Humanos , Japão
11.
San Salvador; s.n; abr. 2019. 66 p. graf, tab, ilus.
Tese em Espanhol | LILACS | ID: biblio-1007277

RESUMO

OBJETIVO: Caracterizar la atención farmacéutica en pacientes poli medicados con enfermedades crónicas no transmisibles, del Hospital Nacional Especializado Rosales, atendidos en la farmacia especializada del MINSAL. Agosto 2017 - Agosto 2018. METODOLOGÍA: Se realizó un estudio descriptivo de corte transversal; La muestra fue 378 expedientes de pacientes diagnosticados con Enfermedades Crónicas no Transmisibles, con seguimiento en el área de atención farmacéutica; Se diseñó una matriz para recolectar la información y facilitar su análisis haciendo uso de frecuencias de variables múltiples de SPSS. RESULTADOS: el 40% de las edades estaban en el rango de 66 años o más, el sexo femenino predominó con el 69%, más del 50% de los participantes estaban solteros, la ocupación más frecuente del estudio, fue ama de casa con un 43%, el 56% de las personas sabían leer, pero no habían realizado estudios de nivel básico, Las características personales fueron el PRM que predominó en el estudio con un 39% de los casos, la educación en medidas no farmacológicas fue la intervención que más se realizó de parte de los profesionales farmacéuticos con un 50% del total de casos, y el 71% de los casos reportados logró una mejoría en el control de su presión arterial con el seguimiento farmacoterapéutico. CONCLUSIONES: Se encontró que las características personales son el problema relacionado con la medicación más frecuente en pacientes con Enfermedades Crónicas no Transmisibles, la educación en medidas no farmacológicas es la intervención que más se realiza en atención farmacéutica y los logros en pacientes se evidenciaron en un mejor control de la presión arterial


Assuntos
Humanos , Farmácia , Serviço de Farmácia Hospitalar , Assistência Farmacêutica , Doenças não Transmissíveis , Saúde Pública , Epidemiologia Descritiva
13.
Int Arch Allergy Immunol ; 179(4): 273-280, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30999310

RESUMO

BACKGROUND: Asthma, allergic conditions, and COPD overlap, but the effect of them and their combinations on disease severity, need for drugs, use of healthcare, and costs is poorly known. OBJECTIVE: To study how different allergic diseases co-occur in asthma and allergy patients and evaluate the use of medication well as drug and healthcare costs. METHODS: Nationwide Allergy Barometer Survey was carried out in the Finnish pharmacies during 1 week in September 2016. Altogether, 956 patients (5-75 years) who purchased asthma or allergy drugs with prescription participated in 351 pharmacies. RESULTS: Of the participants, 78% reported physician-diagnosed asthma, 57% allergic rhinitis, 24% atopic eczema, 21% food allergy, 20% allergic conjunctivitis, 8% anaphylaxis, and 8% COPD. One-third of the patients had at least three conditions, and multimorbidity was common across all age groups. Disease severity increased with the number of coexisting conditions, and asthma severity also with age. Patients with asthma alone used on average 3.8 drugs with the annual costs of EUR 661. This increased to 4.9 drugs and EUR 847 in asthmatics with multimorbidity. For all participants, costs of drugs and healthcare services together during the preceding year were on average EUR 1,214, of which 56% were drug costs. The costs doubled to EUR 2,714 in 65 subjects (7%) who had both asthma and COPD. CONCLUSIONS: In asthma and allergy, multimorbidity and polypharmacy are major concerns. Disease severity, drug use, and costs increased with multimorbid conditions. To reduce the burden, allergy management should be better integrated and more comprehensive.


Assuntos
Asma/epidemiologia , Hipersensibilidade/epidemiologia , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Asma/economia , Criança , Pré-Escolar , Comorbidade , Custos e Análise de Custo , Uso de Medicamentos , Finlândia/epidemiologia , Humanos , Hipersensibilidade/economia , Pessoa de Meia-Idade , Farmácia , Doença Pulmonar Obstrutiva Crônica/economia , Índice de Gravidade de Doença , Inquéritos e Questionários , Adulto Jovem
14.
Yakugaku Zasshi ; 139(3): 393-394, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-30828016

RESUMO

The Science Council of Japan issued "The report: Promotion of Social Contributions of Research on Clinical Pharmacy and Pharmaceutical Sciences" on September 29, 2017. This report was prepared based on the analysis of current situation of the four-year doctoral course in the graduate school of pharmacy and the contents of the symposium of 137th annual meeting of the Pharmaceutical Society of Japan (PSJ), "Pharmaceutical Sciences in the Future: The Bridge Linking between Basic and Clinical Research". The goal of the 4-year doctoral program is to nurture the pharmacist-scientist who has both researcher mind and professionalism as a clinical pharmacist. Research on clinical pharmacy and pharmaceutical sciences is a core research area of the 4-year doctoral course, therefore its promotion is an important issue for the faculty of pharmacy. "Research on clinical pharmacy and pharmaceutical sciences" has to be based on various subjects and needs of the clinical site and be conducted not only at the clinical setting but also in universities, industries, research institutions and so on. Finally, the results have to be fed back to medical care and contribute to society. In this symposium, several representatives from various academic societies and one research institution which have important functions for academic interchanges, will give presentations on issues and initiatives for promoting research on clinical pharmacy and pharmaceutical sciences.


Assuntos
Comitê de Farmácia e Terapêutica/organização & administração , Farmácia , Pesquisa , Sociedades Farmacêuticas/organização & administração , Pesquisa Médica Translacional , Educação em Farmácia , Japão
15.
Yakugaku Zasshi ; 139(3): 395-400, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-30828017

RESUMO

The Subcommittee of Clinical Pharmacy and Pharmaceutical Sciences, Committee of Pharmaceutical Sciences, Science Council of Japan, released the report "Promotion of Social Contributions of Research on Clinical Pharmacy and Pharmaceutical Sciences" in September 2017, after analyzing the current status of the doctoral course in the 4-year system and extensive discussion. The analysis demonstrated that most of the themes of the doctoral course were related to research. However, most of the students in the general selection were involved in basic research, while the students in the adult selection were undertaking research on clinical pharmacy and pharmaceutical sciences. This situation should be improved because the number of students in the adult selection is limited at present. On the other hand, most of the research on clinical practice includes only survey studies and their generalization will be difficult. It will therefore be important to promote collaboration between clinical practice and universities in the future. Based on this condition, the subcommittee proposed that "reverse-translational research" should be the core of research on clinical pharmacy and pharmaceutical sciences in the near future. In addition, 1) collaboration among different research fields, 2) collaboration with clinical practice, 3) maintenance of research funding, and 4) development of human resources should be addressed.


Assuntos
Comitê de Farmácia e Terapêutica/organização & administração , Farmácia/organização & administração , Ciência/organização & administração , Sociedades Científicas/organização & administração , Educação em Farmácia , Humanos , Colaboração Intersetorial , Japão , Pesquisa , Pesquisa Médica Translacional
16.
Yakugaku Zasshi ; 139(3): 401-404, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-30828018

RESUMO

Since the start of the 6-year program in pharmacy education, outcome-based education has progressed, and students' experience of onsite pharmacy practice has increased their awareness of their roles as pharmacists. This progress has been confirmed by student reports submitted at the end of onsite practice. In addition, the results of undergraduate students' graduation research as well as those of clinical research carried out in graduate schools are presented at the annual meetings of the Pharmaceutical Society of Japan (PSJ) and its local branches. Research activity is also promoted by the various divisions of the PSJ that represent a wide range of pharmacy-related fields, including the Division of Clinical Pharmaceutical Sciences. In this way, the PSJ effectively connects researchers in basic and clinical fields, promoting the development of both translational research and reverse-translational research based on needs and ideas brought from the clinic to the basic sciences. Following their presentation at academic meetings, clinical research outcomes are often published in academic journals, including in the three academic journals published by the PSJ: Yakugaku Zasshi, Biological and Pharmaceutical Bulletin, and Chemical and Pharmaceutical Bulletin. Yakugaku Zasshi accepts submissions of case studies, case reports, and survey reports related to clinical pharmacy, which can be submitted in either English or Japanese. As the foundational society for pharmacy and pharmaceutical sciences in Japan, the PSJ is committed to continuing advances in basic and clinical pharmacy research. In the last part of this review, I discuss graduate schools of pharmacy and pharmaceutical sciences.


Assuntos
Educação em Farmácia , Farmacêuticos , Farmácia/organização & administração , Papel Profissional , Pesquisa/tendências , Sociedades Farmacêuticas/organização & administração , Humanos , Japão , Publicações Periódicas como Assunto , Pesquisa Médica Translacional
17.
J Manag Care Spec Pharm ; 25(3-a Suppl): S1-S104, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30854912

RESUMO

The AMCP Managed Care & Specialty Pharmacy Annual Meeting 2019 in San Diego, California, is expected to attract more than 4,000 managed care pharmacists and other health care professionals who manage and evaluate drug therapies, develop and manage networks, and work with medical managers and information specialists to improve the care of all individuals enrolled in managed care programs. The AMCP Abstracts program provides a forum through which authors can share their insights and outcomes of advanced managed care practice. Poster presentations are scheduled for Wednesday, March 27, from 11:30 am to 1:00 pm. Posters will also be displayed on Tuesday, March 26, from 5:30 pm to 7:00 pm, during the opening night reception in the Expo, and on Thursday, March 28, from 9:30 am to 11:00 am. Podium presentations for the Platinum award-winning abstracts are Tuesday, March 26, from 2:30 pm to 3:45 pm. Professional abstracts that have been reviewed are published in the Journal of Managed Care & Specialty Pharmacy's Meeting Abstracts supplement. Abstracts were submitted in the following categories.


Assuntos
Farmácia/métodos , Resumos e Indexação como Assunto , California , Congressos como Assunto , Humanos , Programas de Assistência Gerenciada
18.
Afr J AIDS Res ; 18(1): 51-57, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30880584

RESUMO

The goal of this study was to evaluate the impact of socio-clinical factors on adherence to antiretroviral treatment in people living with HIV/AIDS in Koula-Moutou (a rural area of Gabon). Two adherence assessment methods based on patient declaration and compliance with pharmacy visits were used to determine qualitative and quantitative aspects of adherence to antiretroviral therapy (ART). The quantitative (82.2%) and qualitative (79.5%) adherences to ART declared by patients were higher than those obtained through pharmacy visit assessment methods (15.8% and 45.2%, respectively). Moreover, the declarative and pharmacy visit compliance methods showed fair agreement (quantitative Kappa = 0.317; qualitative Kappa = 0.311). A better quantitative or qualitative declarative adherence was associated with a lower level of education (P = 0.05 and P = 0.025 respectively). This study reported for the first time the factors influencing adherence to ART in a rural area of East Gabon. We recommend further investigations in a large cohort to better assess the impact of socio-clinical factors on ART adherence in a vulnerable group of patients.


Assuntos
Síndrome de Imunodeficiência Adquirida/tratamento farmacológico , Instituições de Assistência Ambulatorial/estatística & dados numéricos , Antirretrovirais/uso terapêutico , Escolaridade , Adesão à Medicação/estatística & dados numéricos , Farmácia/estatística & dados numéricos , Adulto , Estudos de Coortes , Feminino , Gabão , HIV-1/efeitos dos fármacos , HIV-1/isolamento & purificação , HIV-2/efeitos dos fármacos , HIV-2/isolamento & purificação , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Inquéritos e Questionários
19.
BioDrugs ; 33(2): 183-191, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30830647

RESUMO

INTRODUCTION: There has been a significant increase in the volume of biosimilar medicines recently due to the expiries of patent protections of biologic medicines. Biosimilars are considered new medicines, and their usage in therapy is often associated with uncertainty from the perspectives of physicians, pharmacists and patients. OBJECTIVES: The purpose of this study was to identify hospital pharmacist opinions towards these new medicines and investigate their usage in practice. METHODS: A paper-based, self-administered questionnaire was distributed to Polish hospital pharmacists. RESULTS: Biosimilars were used in 77% of surveyed hospitals, whereas originator biologics were utilised within 90% of settings. The former medicines were found to consist of less than one-third of the entire course of biological pharmacotherapy used within Polish hospitals. A total of 88% of hospital pharmacists were concerned that the new drugs were not identical with the biologic versions, 48% with their immunogenicity and 44% with other pharmacokinetic properties. The majority of respondents (87%) stated that the most important advantage of biosimilars related to decreased costs. Furthermore, according to participants, pharmacist-led substitution is not appropriate. CONCLUSION: Due to the numerous concerns relating to the usage of biosimilars, their introduction into patient therapy requires special attention from healthcare providers. While pharmacists involved in the distribution of biosimilars are conscious of their impact in decreasing costs of therapy, they do not feel comfortable in recommending their substitution without a physician's permission. There is a need for more precise legal regulations relating to biosimilars, improved communication between physicians and pharmacists, as well as educational initiatives to improve the safe and effective usage of biosimilars.


Assuntos
Medicamentos Biossimilares/uso terapêutico , Farmacêuticos/estatística & dados numéricos , Adulto , Atitude do Pessoal de Saúde , Produtos Biológicos/uso terapêutico , Custos de Medicamentos , Prescrições de Medicamentos , Feminino , Hospitais Gerais , Humanos , Masculino , Pessoa de Meia-Idade , Farmácia/estatística & dados numéricos , Polônia , Papel Profissional , Inquéritos e Questionários
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA