Readings for 10/10
Three Interesting Things:
1.) I think it is interesting the pharmacists are pushing to get more justification in the field of writing or editing prescriptions. When Dean Welch was here we touched on this concept and wondering whether this would effect the schooling of a pharmacist. They might have to take more disease state classes or be more involved in the medical rounds aspects in order to gain the excess information needed to write a prescription. I find the fact that they want to expand their limits interesting because they are crossing over a fine line that was made for a reason.
2.) One of the articles talked about how the pharmacists are at fault too because there are not enough educated pharmacists in the trade that know about all the drug interactions and the side effects that come with them. They referred to the uneducated pharmacists as "soda water dispensers, cigar, and soap sellers". If I am understanding this correctly this is referring to whole sale or community pharmacies (CVS, Walgreens, RiteAid) who do more convenience work rather than drug therapies. This traps them in a vicious cycle where their knowledge is deteriorating and they are not considered "pharmacists" anymore.
3.) I think it is interesting that the definition of rational use of a drug is "the prescription of a well document drug at an optimal dose, together with the correct information, at an affordable price". This paired with drug utilization research, which aims to find out the medical, social, and economic consequences, seems like a contradiction. If the rational of use is to have the perfect dose at the perfect price then there should not be any consequences but yet there are so many which usually come back to the pharmacist not the physician who is the once writing the initial prescription.
Three Questions:
1.) Would adding a in house pharmacist to every doctors office be more cost effective? Would having a digital system that checks the medication prescribed with the patient background also be effective?
2.) If physicians had a new way of writing prescriptions by having a section dedicated to medications the patient is already on, would this help make these collaborations easier?
3.) How do you better or improve the undesired drug use patterns? What is the approach?
1.) I think it is interesting the pharmacists are pushing to get more justification in the field of writing or editing prescriptions. When Dean Welch was here we touched on this concept and wondering whether this would effect the schooling of a pharmacist. They might have to take more disease state classes or be more involved in the medical rounds aspects in order to gain the excess information needed to write a prescription. I find the fact that they want to expand their limits interesting because they are crossing over a fine line that was made for a reason.
2.) One of the articles talked about how the pharmacists are at fault too because there are not enough educated pharmacists in the trade that know about all the drug interactions and the side effects that come with them. They referred to the uneducated pharmacists as "soda water dispensers, cigar, and soap sellers". If I am understanding this correctly this is referring to whole sale or community pharmacies (CVS, Walgreens, RiteAid) who do more convenience work rather than drug therapies. This traps them in a vicious cycle where their knowledge is deteriorating and they are not considered "pharmacists" anymore.
3.) I think it is interesting that the definition of rational use of a drug is "the prescription of a well document drug at an optimal dose, together with the correct information, at an affordable price". This paired with drug utilization research, which aims to find out the medical, social, and economic consequences, seems like a contradiction. If the rational of use is to have the perfect dose at the perfect price then there should not be any consequences but yet there are so many which usually come back to the pharmacist not the physician who is the once writing the initial prescription.
Three Questions:
1.) Would adding a in house pharmacist to every doctors office be more cost effective? Would having a digital system that checks the medication prescribed with the patient background also be effective?
2.) If physicians had a new way of writing prescriptions by having a section dedicated to medications the patient is already on, would this help make these collaborations easier?
3.) How do you better or improve the undesired drug use patterns? What is the approach?
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