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1.
PLoS One ; 15(9): e0238618, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32915834

RESUMO

INTRODUCTION: British Columbia's (BC) Take-Home Naloxone (THN) program provides naloxone to bystanders for use in cases of suspected opioid overdose. This study seeks to provide trends and analysis from the provincial BC THN program since inception in 2012 to the end of 2018. MATERIALS AND METHODS: BC THN shipment and distribution records from 2012-2018 were retrieved. Frequency distributions were used to describe characteristics of individuals accessing the program. To evaluate correlates of distribution after the addition of hundreds of pharmacy distribution sites, an analytic sample was limited to records from 2018, and multivariate logistic regression was used to evaluate correlates of collecting naloxone at a pharmacy site. RESULTS: Since program inception to the end of 2018, there were 398,167 naloxone kits shipped to distribution sites, 149,999 kits reported distributed, and 40,903 kits reported used to reverse an overdose in BC. There was a significant increasing trend in the number of naloxone kits used to reverse an overdose over time (p<0.01), and more than 90% of kits that were reported used were distributed to persons at risk of an overdose. Individuals not personally at risk of overdose had higher odds of collecting naloxone at a pharmacy site, compared to other community sites (including harm reduction supply distribution sites, peer led organizations, drop-in centers, and supportive housing sites) (Adjusted Odds Ratio (AOR): 2.69; 95% CI: 2.50-2.90). CONCLUSIONS: This study documents thousands of opioid overdose reversals facilitated through the BC THN program. While those at highest risk of overdose may preferentially access naloxone through community sites, naloxone distribution through pharmacies has allowed the BC THN program to expand dramatically, increasing naloxone availability through longer opening hours on evenings and weekends. and in rural and remote regions. A diversity of naloxone distribution sites and strategies is crucial to prevent rising opioid overdose deaths.


Assuntos
Overdose de Drogas/tratamento farmacológico , Naloxona/uso terapêutico , Antagonistas de Entorpecentes/uso terapêutico , Transtornos Relacionados ao Uso de Opioides/tratamento farmacológico , Adulto , Colúmbia Britânica/epidemiologia , Overdose de Drogas/epidemiologia , Overdose de Drogas/prevenção & controle , Feminino , Redução do Dano , Humanos , Masculino , Pessoa de Meia-Idade , Naloxona/efeitos adversos , Antagonistas de Entorpecentes/efeitos adversos , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Farmácias/tendências
2.
Farm. comunitarios (Internet) ; 12(2): 3-4, mayo 2020.
Artigo em Espanhol | IBECS | ID: ibc-188371

RESUMO

La pandemia por el nuevo coronavirus SARS-CoV-2, causante del cuadro clínico COVID-19, ha supuesto una verdadera crisis sanitaria. En este contexto, los farmacéuticos comunitarios, al igual que otros colectivos, han tenido que adaptar y reforzar algunas de sus funciones para dar una respuesta eficaz a las necesidades sanitarias de la población. A pesar de las dificultades, los farmacéuticos comunitarios han estado en la primera línea de lucha contra el virus, readaptando sus instalaciones con medidas de seguridad, resolviendo todo tipo de consultas de la población y prestando servicios que se han demostrado de especial utilidad y necesidad durante la pandemia, como la atención farmacéutica domiciliaria a través de la dispensación de medicamentos y productos sanitarios con entrega en el domicilio de los pacientes. Los farmacéuticos también han trabajado con espíritu colaborador junto con el resto de profesionales de la atención primaria (médicos y enfermeras) en una línea de trabajo que debe mantenerse en el futuro, más allá de la pandemia, en beneficio de la salud de los pacientes y de la población general


No disponible


Assuntos
Humanos , Infecções por Coronavirus/prevenção & controle , Pneumonia Viral/prevenção & controle , Betacoronavirus , Pandemias , Farmácias/tendências , Papel Profissional , Farmacêuticos/tendências
3.
PLoS One ; 15(4): e0230863, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32241021

RESUMO

BACKGROUND: The emergence of chronic diseases as major causes of disability and death has necessitated the introduction of new strategies to effectively address the ever-changing nature of public health problems. As a result, the role of community pharmacies in promoting public health is growing in recent years through the provision of extended pharmacy services. This study was conducted with the aim of assessing community's extent of use and approval of extended pharmacy services at community pharmacies in Bonga town, Southwest Ethiopia. MATERIALS AND METHODS: Community based cross-sectional study was conducted in Bonga town, Southwest Ethiopia, on households selected by systematic random sampling. Data was collected using semi-structured questionnaire. Data was collected by personally delivering questionnaires to respondents in selected households. Results of the study were described by frequency, mean and standard deviation (SD). Binary logistic analysis was performed to identify potential associations between dependent and independent variables. RESULTS: Out of 356 individuals included in the study, 58.4% recalled visiting community pharmacy premises during the previous six months. Out of these, 34.6% visited the community pharmacies to get extended pharmacy services. College educated participants were 19.4 times more likely to have used extended pharmacy services as compared to illiterate individuals whereas those who earn monthly income more than 5000 Ethiopian Birr were 3.6 times more likely than those with monthly income of 2000 Ethiopian Birr or less. Of the total participants, 91.3% approved the provision of extended pharmacy services in community pharmacies. CONCLUSION: The extent of community's use of extended pharmacy services at community pharmacies was found to be low. Nevertheless, majority of the study subjects approved the provision of extended pharmacy services at community pharmacies. Efforts to improve the practice of extended pharmacy service provision at community pharmacies should be made by all stake holders.


Assuntos
Serviços Comunitários de Farmácia/tendências , Farmácias/estatística & dados numéricos , Farmácias/tendências , Adulto , Serviços Comunitários de Farmácia/estatística & dados numéricos , Estudos Transversais , Etiópia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Farmacêuticos/estatística & dados numéricos , Papel Profissional , Saúde Pública , Inquéritos e Questionários
4.
Ann Pharmacother ; 54(9): 907-920, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32115996

RESUMO

Objective: To review specific literature that aimed to predict the future of US pharmacy, beginning in the late 1980s. Data Sources: Articles were identified from searching MEDLINE, CINAHL, Google Scholar, and references of relevant articles. The following combinations of search terms were used: future, pharmacy, prediction, and forecast. Study Selection and Data Extraction: The following inclusion criteria were applied: (1) full-text commentary, review, or original research and (2) focused predominantly on the pharmacy in the United States. Data on predictions for the future of pharmacy were extracted. Data Synthesis: We selected 3 articles published between 1988 and 2006, with each aiming to project the future for the following decade. We examined each prediction in light of the current knowledge. Relevance to Patient Care and Clinical Practice: Educators, practitioners, and other stakeholders should consider reflecting on the changes in pharmacy for the past 3 decades and applying both historical and emerging trends to improve patient care and sustain practice in the third decade of the 21st century and beyond. Conclusion: Most of the predictions for the future of pharmacy from the past 3 decades materialized, with some still in progress (reimbursement for pharmacy services), whereas others manifested in unexpected ways (transition from shortage to excess of pharmacists). Current forces shaping pharmacy include, but are not limited to, growing spending and use of specialty drugs, automation of pharmacy operations, growth of pharmacy in the digital health enterprise, and growing consumer interest in the use of analytical pharmacy that tests drugs before dispensing.


Assuntos
Assistência Farmacêutica , Farmácia/tendências , História do Século XX , História do Século XXI , Humanos , Assistência ao Paciente/normas , Assistência ao Paciente/tendências , Assistência Farmacêutica/história , Assistência Farmacêutica/tendências , Farmácias/história , Farmácias/tendências , Farmacêuticos/normas , Farmacêuticos/tendências , Estados Unidos
5.
BMJ Open Qual ; 9(1)2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32111608

RESUMO

OBJECTIVE: A National Health Service (NHS)-funded sore throat test and treat (STTT) service was introduced in selected pharmacies in two local health boards in Wales, as an extension to the national pharmacy common ailment scheme. The aim of this study was to evaluate the impact of STTT on provision and quality of patient care, namely antibiotic use, patient safety and general practitioner (GP) consultation rates. METHODS: Secondary analyses of STTT consultation data to describe service outcomes, and routine data to explore changes in antibiotic prescribing and the prevalence of complications. Data were also collected from one GP practice to explore the feasibility of measuring changes in sore throat consultation rates in general practice. RESULTS: Less than 20% of 1725 consultations resulted in antibiotic supply. The availability of STTT was associated with greater reductions in prescriptions for phenoxymethylpenicillin than in areas where STTT was not available (-3.8% and -3.4%, difference 0.4%). When pharmacy supplies were included, the reductions in the supply of the antibiotic were similar. No increase in the monthly number of incidents of quinsy was detected, and patients were appropriately referred to other healthcare professionals during pharmacy consultations. GP consultation rates since introduction of STTT were found to be lower than the equivalent monthly average since 2014. CONCLUSIONS: Data from the first 5 months of the STTT service suggest that it may have a role in safely rebalancing uncomplicated sore throat management from general practice to community pharmacies while continuing to promote antibiotic stewardship.


Assuntos
Farmácias/normas , Faringite/diagnóstico , Faringite/terapia , Qualidade da Assistência à Saúde/normas , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Farmácias/estatística & dados numéricos , Farmácias/tendências , Projetos Piloto , Qualidade da Assistência à Saúde/estatística & dados numéricos , Medicina Estatal/tendências , País de Gales
10.
Rev Saude Publica ; 53: 94, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31644724

RESUMO

OBJECTIVE: To evaluate trends in the use of generic and non-generic medicines to treat hypertension and diabetes under the Farmácia Popular Program (FP) and its impact on generic medicines sales volume and market share in the Brazilian pharmaceutical market. METHODS: This longitudinal, retrospective study used interrupted time series design to analyze changes in monthly sales volume and proportion of medicines sales (market share) for oral antidiabetic and antihypertensive medicines for generic versus non-generic products. Analyses were conducted in a combined dataset that aggregate monthly sales volumes from the Farmácia Popular program and from the QuintilesIMS™ (IQVIA) national market sales data from January 2007 to December 2012. The Farmácia Popular program phases analyzed included: a) 2009 reductions in medicines reference prices (AFP-II) and b) 2011 implementation of free medicines program for hypertension and diabetes, the Saúde não tem preço (SNTP - Health has no price). RESULTS: Patterns of use for FP-covered antidiabetic and antihypertensive medicines were similar to their use in the market in general. After one year of the decreases in government subsidies in April 2010, market share of antidiabetic and antihypertensive medicines experienced relative declines of -54.5% and -59.9%, respectively. However, when FP-covered medicines were made free to patients, overall market volume for antidiabetic and antihypertensive generics increased dramatically, with 242.6% and 277.0% relative increases by February 2012, as well as non-generics with relative increase of 209.7% and 279% for antidiabetic and antihypertensive medicines, respectively. CONCLUSIONS: Ministry of Health policies on the amount of patient cost sharing and on the choice of medicines on coverage lists have substantial impacts on overall generic sales volume in retail pharmacies.


Assuntos
Anti-Hipertensivos/uso terapêutico , Comércio/tendências , Serviços Comunitários de Farmácia/tendências , Medicamentos Genéricos/uso terapêutico , Hipoglicemiantes/uso terapêutico , Programas Nacionais de Saúde/tendências , Brasil , Comércio/estatística & dados numéricos , Serviços Comunitários de Farmácia/estatística & dados numéricos , Diabetes Mellitus/tratamento farmacológico , Política de Saúde , Humanos , Hipertensão/tratamento farmacológico , Análise de Séries Temporais Interrompida , Estudos Longitudinais , Programas Nacionais de Saúde/estatística & dados numéricos , Farmácias/estatística & dados numéricos , Farmácias/tendências , Avaliação de Programas e Projetos de Saúde , Valores de Referência , Estudos Retrospectivos , Fatores de Tempo
11.
Int J Pharm Pract ; 27(6): 582-588, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31310391

RESUMO

BACKGROUND: Despite the rigorous regulations governing the pharmacy profession in Lebanon, the increasing numbers of pharmacy graduates seem to be the greatest threat of demise. No forecast is available to assess the long-term projections of pharmacists supply. OBJECTIVE: The objective of this manuscript is to project the future size of the Lebanese pharmacy workforce till 2050 and discuss their potential consequences on the labour market. METHODS: This study was carried out in collaboration with the Lebanese Order of Pharmacists (OPL), where official numbers were retrieved from the registered pharmacists' database from 2006 to 2017. The data were analyzed as time series using the Auto-Regressive Integrated Moving Average (ARIMA) method. Projected numbers were plotted using Microsoft Excel office. RESULTS: The ratio of pharmacists to 10 000 inhabitants up till the end of 2017 was estimated at 17.52, compared with a worldwide mean of 5.09, with a continuous increase seen with the coming years, possibly reaching an estimated 41.17 pharmacists per 10 000 inhabitants by the year 2050. The total number of pharmacies increased from 1546 in 2006 up to 3174 at the end of 2017 nationwide, with a major increase seen in Bekaa (206.35%) and South Lebanon (171.08%) governorates, respectively. CONCLUSION: Our study shows that the dramatic increase in pharmacy graduates will worsen with time. To curb it, it is important to vote and apply new laws, and initiate a collaborative work between academia, professional associations, and employers from all sectors to find innovative solutions.


Assuntos
Mão de Obra em Saúde/estatística & dados numéricos , Assistência Farmacêutica/estatística & dados numéricos , Farmácias/estatística & dados numéricos , Farmacêuticos/estatística & dados numéricos , Adulto , Bases de Dados Factuais , Feminino , Mão de Obra em Saúde/tendências , Humanos , Líbano , Masculino , Pessoa de Meia-Idade , Assistência Farmacêutica/tendências , Farmácias/tendências , Farmacêuticos/tendências
12.
Yakugaku Zasshi ; 139(4): 533-538, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-30930383

RESUMO

We have conducted health promotion workshops in Kobe City, beginning in June 2016, to promote the view of pharmacies as community health centers that provide not only medicine but also offer support for maintaining and enhancing a person's health. To this end, we collaborated with Kobe Women's University (KWU). Our health promotion workshops included: 1. Activities of daily living (ADL) exercises led by a KWU professional; 2. Lectures on various diseases by dietitians and pharmacists; 3. Nutritional guidance from a dietitian; 4. Health counseling by a pharmacist; and 5. Measurements of bone density, vascular age, and so on. A significant portion of the participants were relatively healthy and had strong legs. In October 2017, we investigated changes in the participants' awareness about health through a questionnaire study. We analyzed the results of 26 individuals who participated in the workshops more than once-18 of them (69%) expressed increased interest in exercise, 15 (58%) had begun walking regularly, and 11 (42%) changed their diet in terms of dietary fiber and salt. This suggests that our health promotion workshops brought about positive changes in people with regard to awareness of health and a healthy lifestyle. To further explore how pharmacies might contribute to healthy life expectancy, we will continue to investigate the relationship between changes in exercise and diet and people's awareness of health. As a group exercise, from now on we have decided to expand the role of pharmacies as community health promotion centers with the slogan "Extend healthy life expectancy by having fun".


Assuntos
Assistência à Saúde/métodos , Promoção da Saúde/métodos , Envelhecimento Saudável , Estilo de Vida Saudável , Colaboração Intersetorial , Expectativa de Vida , Farmácias , Universidades , Atividades Cotidianas , Centros Comunitários de Saúde/tendências , Dieta , Educação , Exercício Físico , Educação em Saúde/métodos , Educação em Saúde/tendências , Humanos , Japão , Farmácias/tendências , Inquéritos e Questionários
13.
J Am Pharm Assoc (2003) ; 59(3): 310-318, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30940516

RESUMO

OBJECTIVES: The primary objective of this study was to identify and summarize the perspectives of managers, pharmacists, and pharmacy technicians regarding the implementation of the Optimizing Care Model and corresponding task delegation of final product verification to pharmacy technicians in the community pharmacy. A secondary objective was to better understand successes and concerns in implementing the model. DESIGN: This qualitative research study employed the use of semistructured interviews. The authors served as coders and analyzed the transcripts with the use of inductive and deductive thematic analysis. SETTING AND PARTICIPANTS: Key informants included managers, pharmacists, and pharmacy technicians participating in the Optimizing Care Model in community pharmacies across both chain and independent pharmacy settings in Iowa, Tennessee, and Wisconsin. Interviews were conducted via telephone. RESULTS: The research team interviewed 14 participants. Six themes were identified: The Optimizing Care Model catalyzes patient care service delivery expansion in the community pharmacy setting, effectiveness is driven by "freed-up" pharmacist time compared with the traditional model, the model positively affects roles and job satisfaction of pharmacy personnel, technician engagement and ownership have a strong impact on the success and ramifications of the model, significant changes to pharmacy operations are necessary for successful implementation, and there are several factors ensuring successful implementation and sustaining of the Optimizing Care Model. CONCLUSION: Various participants (pharmacists, managers, technicians) in a technician product verification program known as the Optimizing Care Model agreed that patient care delivery can be enhanced through the task delegation of final product verification to pharmacy technicians. Additional positive impacts on organizational and individual level outcomes were found, which included quality of work life, engagement, and commitment.


Assuntos
Serviços Comunitários de Farmácia/organização & administração , Serviços Comunitários de Farmácia/tendências , Assistência ao Paciente/métodos , Farmácias/organização & administração , Farmácias/tendências , Humanos , Entrevistas como Assunto , Iowa , Motivação , Assistência ao Paciente/tendências , Farmacêuticos/tendências , Técnicos em Farmácia/tendências , Papel Profissional , Pesquisa Qualitativa , Qualidade de Vida , Tennessee , Wisconsin , Engajamento no Trabalho
14.
Health Mark Q ; 36(4): 291-306, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31021284

RESUMO

Chain drug stores have increased their health care role through expanded pharmacy services and retail health clinics. They also are major food retailers. This creates a tension between health promotion and sales of unhealthy foods and beverages to pharmacy customers. This article explores opportunities to improve the nutritional quality of foods sold at chain drug stores that differ from general healthy food retail approaches. It considers the legal limits on marketing to pharmacy customers; the potential roles of health insurers, pharmacy benefit managers and retail health clinics to voluntarily improve food offerings; and formal policymaking legal considerations and approaches.


Assuntos
Comércio , Alimentos , Promoção da Saúde , Marketing/tendências , Farmácias/tendências , Formulação de Políticas , Preferências Alimentares , Humanos , Obesidade/prevenção & controle
15.
J Am Pharm Assoc (2003) ; 59(2S): S30-S34, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30713080

RESUMO

OBJECTIVE: To describe how independent and community pharmacies can better utilize Facebook to advertise their business and optimize health care communications with patients. DATA SOURCES: Not applicable. SUMMARY: Communication and advertising has changed dramatically over the past decade due to digital technologies. With Facebook leading the way, social media presents an excellent opportunity for independent and community pharmacies to utilize and grow their brand while connecting with patients and help improve public health. Pharmacy as a profession has been slower to uptake the use of social media when compared to other professions. Opportunity exists to utilize Facebook to better connect with patients, colleagues, and advertise pharmacy services. Research has identified several best Facebook practices designed to effectively engage a customer base such as content type/tone, posting frequency, and utilization of paid "boosts," in order to increase reach and better connect with patients and customers from the local community and even globally. CONCLUSION: Potential exists for independent and community pharmacies to utilize Facebook with respect to advertising, connecting with patients, and promoting public health care. When used effectively it has been shown to have a positive return on investment and help improve public health. In a rapidly changing and technological society, pharmacists must continue to adapt and stay informed of digital developments to remain a relevant and viable health care professional.


Assuntos
Meios de Comunicação/tendências , Farmácias/tendências , Mídias Sociais/tendências , Serviços Comunitários de Farmácia , Comunicação em Saúde/métodos , Promoção da Saúde/métodos , Humanos , Internet , Assistência Farmacêutica , Farmacêuticos , Papel Profissional , Relações Profissional-Paciente , Saúde Pública , Mídias Sociais/organização & administração
16.
J Am Pharm Assoc (2003) ; 59(2S): S67-S70, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30573374

RESUMO

OBJECTIVE: Approximately 30% of individuals admit that their medication nonadherence is due to forgetfulness, and 20%-30% of new prescriptions are never picked up. The primary objective of this study is to determine the impact of a text messaging reminder service on time to prescription pickup in an independent community pharmacy setting. METHODS: We conducted a retrospective evaluation using a pre-post design involving 42 individuals who voluntarily enrolled in a text messaging reminder service. The periods 3 months before and 3 months after the initiation of the service were compared. Text messages were sent to individuals when their prescriptions were ready to be picked up. Time to prescription pickup was the primary dependent variable, and the number of medications, distance from the pharmacy, age, and sex were examined. In addition, we sent a text message inquiring about satisfaction with the service. RESULTS: In an analysis of 487 prescription pickup instances, 212 occurred before and 275 after the service for the 42 enrolled individuals. The average time to prescription pickup significantly improved by 12.3 hours (P = 0.001) after implementing the service. After adjusting for age, sex, distance to the pharmacy, number of medications per instance, and number of text messages per instance, the time to prescription pickup improved significantly by 15.8 hours (P = 0.03) after implementation. Thirty-three individuals (79%) reported satisfaction with the text messaging service, whereas 9 patients (21%) did not respond to the survey. Individuals living between 2 and 5 miles from the pharmacy and those 50-64 years old were less likely to respond to the satisfaction survey compared with the other distance and age categories. CONCLUSION: A text message reminder service significantly improved the time to prescription pickup by almost 16 hours in an independent pharmacy. Overall, individuals were satisfied with the service.


Assuntos
Farmácias/organização & administração , Sistemas de Alerta/instrumentação , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Adesão à Medicação/estatística & dados numéricos , Pessoa de Meia-Idade , Satisfação Pessoal , Farmácias/tendências , Projetos Piloto , Prescrições/estatística & dados numéricos , Estudos Retrospectivos , Inquéritos e Questionários , Telemedicina/tendências , Envio de Mensagens de Texto
17.
J Opioid Manag ; 14(5): 373-380, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30387860

RESUMO

OBJECTIVE: To characterize pharmacy-related theft data reported to the Rx Pattern Analysis Tracking Robberies and Other Losses (RxPATROL®) database during the time periods before (2007-2010) and after (2011-2016) the August 2010 switch to reformulated OxyContin® (oxycodone hydrochloride) extended-release tablets (Purdue Pharma L.P.). METHODS: The RxPATROL® database was queried to identify characteristics associated with theft of drug products. Variables analyzed included incident counts, drugs involved (OxyContin or other oxycodone products), pharmacy-security features, and other incident-related information. The data captured from 2007 to 2010, defined as the original formulation period, were compared with those captured from 2011 to 2016, defined as the post-reformulation period. RESULTS: A total of 6,905 incidents were reported from 2007 to 2016, with robbery (51.8 percent) and burglary (26.4 percent) being the most commonly reported incidents. The number of total robbery incidents reported peaked in 2010 and remained steady. Incidents reported as robberies that involved OxyContin initially increased from 2007 to 2010 and then steadily decreased from 296 in 2010 to 13 in 2016. Total burglary reports decreased from 2009 to 2015 and slightly increased from 2015 to 2016. Total burglary reports that involved OxyContin decreased after 2009. Total burglary reports that involved oxycodone remained steady from 2009 to 2014, decreased from 2014 to 2015, and remained steady from 2015 to 2016. The majority of reported incidents occurred on weekdays and involved suspects who entered and exited through the front door at pharmacies without security features such as alarms, dead bolts, and cameras. CONCLUSION: Following replacement of the original formulation of OxyContin with a new formulation that has abuse-deterrent properties in 2010, pharmacy thefts of OxyContin reported to the RxPATROL® database decreased. The decreases were not fully explained by concurrent trends in total robbery or burglary incidents reported to the RxPATROL® database over the same time period.


Assuntos
Formulações de Dissuasão de Abuso , Analgésicos Opioides/provisão & distribução , Substâncias Controladas/provisão & distribução , Oxicodona/provisão & distribução , Farmácias/tendências , Desvio de Medicamentos sob Prescrição/tendências , Roubo/tendências , Bases de Dados Factuais , Humanos , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Uso Indevido de Medicamentos sob Prescrição/prevenção & controle , Uso Indevido de Medicamentos sob Prescrição/tendências , Fatores de Tempo , Estados Unidos
19.
Farm. comunitarios (Internet) ; 10(3): 3-4, 28 sept., 2018. ilus
Artigo em Espanhol | IBECS | ID: ibc-175233
20.
Rural Policy Brief ; 2018(2): 1-6, 2018 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-30080364

RESUMO

This Policy Brief continues the series of reports from the RUPRI Center updating the number of pharmacy closures in rural America with annual data. See our website for other analyses of trends and assessment of issues confronting rural pharmacies. Key Findings: (1) Over the last 16 years, 1,231 independently owned rural pharmacies (16.1 percent) in the United States have closed. The most drastic decline occurred between 2007 and 2009. This decline has continued through 2018, although at a slower rate. (2) 630 rural communities that had at least one retail (independent, chain, or franchise) pharmacy in March 2003 had no retail pharmacy in March 2018.


Assuntos
Fechamento de Instituições de Saúde/estatística & dados numéricos , Farmácias/provisão & distribução , Serviços de Saúde Rural/provisão & distribução , Previsões , Fechamento de Instituições de Saúde/tendências , Humanos , Medicare Part D , Farmácias/estatística & dados numéricos , Farmácias/tendências , Serviços de Saúde Rural/tendências , População Rural , Estados Unidos
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