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Considerations for development of pharmacy support models for COVID-19 alternate care sites.

PURPOSE: Guidance on alternate care site planning based on the experience of a health-system pharmacy department in preparing for an expected surge in coronavirus disease 2019 (COVID-19) cases is provided. SUMMARY: In disaster response situations such as the COVID-19 pandemic, healthcare institutions may be compelled to transition to a contingency care model in which staffing and supply levels are no longer consistent with daily practice norms and, while usual patient care practices are maintained, establishment of alternate care sites (eg, a convention center) may be necessitated by high pat…

Использование услуг в области сексуального и репродуктивного здоровья на базе аптек: количественное ретроспективное исследование.

ЦЕЛИ: Изучение возможностей использования услуг в области сексуального и репродуктивного здоровья (СРЗП) на базе аптек в целях оптимизации родов и выявления препятствий для доступа к ним. :: МЕТОДЫ: Поставщик медицинских услуг < < Умбрелла > > предлагает шесть SRHS из более чем 120 аптек в Бирмингеме (Англия). В этом ретроспективном исследовании данные, собранные в период с августа 2015 года по август 2018 года, использовались для анализа поглощения, характеристик пользователей и показателей посещаемости в зависимости от дня недели. Результаты: В анализ было включено в общей сложно

Совпадение в аннотации оригинала
OBJECTIVES: To explore the utilisation of pharmacy-based sexual and reproductive health services (SRHS) in order to optimise delivery and identify barriers to access. METHODS: The health provider Umbrella offers six SRHS from over 120 pharmacies in Birmingham (England). In this retrospective study, data collected between August 2015 and August 2018 were use…

Antiepileptic drug prescription in Dutch children from 2006-2014 using pharmacy-dispensing data.

OBJECTIVE: In the last two decades several new antiepileptic drugs (AEDs) have become available. The aim of our study was to analyse whether and how AED prescribing patterns in Dutch children have changed during the last decade and whether these changes were supported by guidelines and results from recently available trials. METHODS: From a large community pharmacy-dispensing database in the Netherlands, we identified children aged 0-19 years who received at least one prescription for an AED between 2006 and 2014. Children who also received prescriptions for migraine or psychiatric disorders …

Pharmacy Intervention to Improve HIV Testing Uptake Using a Comprehensive Health Screening Approach.

OBJECTIVE: HIV testing is increasingly available, yet barriers to HIV testing persist for low-income black and Latino people, especially those who use illicit drugs. HIV exceptionalism, or the idea that a positive HIV diagnosis is drastically different from a diagnosis for any other disease, may influence HIV testing-related stigma, resulting in reduced willingness to undergo HIV testing. This pharmacy-based intervention combined HIV testing with less stigmatized chronic disease screening tests (e.g., blood pressure, glucose, and cholesterol) to equate the concept of an HIV diagnosis with othe…

Direct pharmacy access to hormonal contraception: California physician and advanced practice clinician views.

BACKGROUND: The United States has high rates of unintended pregnancy, and many women report difficulties in obtaining contraception. Pharmacy access would expand access to hormonal contraception. STUDY DESIGN: A qualitative study using a structured interview guide was conducted with 20 reproductive health practitioners including physicians and advanced practice clinicians in California in 2008-2009. RESULTS: Most respondents considered the current prescription-only model of access to hormonal contraception to be too restrictive. Some reported a preference for a pharmacy access model where wo…

Pharmacy student knowledge retention after completing either a simulated or written patient case.

OBJECTIVE: To determine pharmacy students' knowledge retention from and comfort level with a patient-case simulation compared with a written patient case. DESIGN: Pharmacy students were randomly assigned to participate in either a written patient case or a simulated patient case in which a high-fidelity mannequin was used to portray a patient experiencing a narcotic and acetaminophen overdose. ASSESSMENT: Participants' responses on a multiple-choice test and a survey instrument administered before the case, immediately after the case, and 25 days later indicated that participation in the sim…

Addressing the pharmacist shortage through a cooperative internship program for foreign pharmacy graduates.

OBJECTIVE: To describe the Latin American Pharmacist Internship Program, a pilot project to prepare foreign-trained pharmacists for pharmacy licensure in the United States. SETTING: Two schools of pharmacy (located in Arequipa, Perú, and Boston, Mass.) and a chain pharmacy in the Greater Boston area. PRACTICE DESCRIPTION: Didactic/experiential pharmacy completion program. PRACTICE INNOVATION/INTERVENTIONS: Three distinct phases combining didactic courses delivered at two schools of pharmacy with supervised experiential training in a community pharmacy setting. MAIN OUTCOME MEASURE: Completi…

Impact of Medicare changes in pharmacy reimbursement on patient care: two case reports.

PURPOSE: Two case reports illustrate the impact of changes in pharmacy reimbursement associated with the Medicare Prescription Drug Improvement and Modernization Act (MMA) on patient care. SUMMARY: The Medicare Part D benefit is complex and difficult for patients to understand. A patient's personal financial situation and quality of life issues may enter into decisions about enrolling in Part D and the use of drug therapy. Local coverage decisions by the Centers for Medicare and Medicaid Services can limit access to drug therapy and raise ethical dilemmas. CONCLUSION: Changes in pharmacy rei…

Community pharmacy Target Intervention Program to improve aspirin use in persons with diabetes.

OBJECTIVE: To identify the rate of aspirin or antiplatelet/anticoagulant use in persons with diabetes presenting to community pharmacies and determine whether a student pharmacist-driven Target Intervention Program (TIP) could increase the number of eligible persons with diabetes receiving aspirin therapy in accordance with American Diabetes Association (ADA) recommendations. DESIGN: Unblinded, single intervention. SETTING: Eight Community Pharmacy Advanced Practice Experience (CPAPE) sites in New York State. PARTICIPANTS: Persons having prescriptions filled for diabetes medications or supp…

Results of a community pharmacy-based breast cancer risk-assessment and education program.

We tested the hypothesis that an education program addressing breast cancer screening schedules and modalities coupled with a breast cancer risk assessment provided by community pharmacists can increase women's confidence in performing screening practices endorsed by the American Cancer Society (ACS). This randomized, paired, pre-post study was conducted in six community pharmacies and two health-screening fairs; subjects were 140 women over 18 years of age. The pharmacist-administered program used the Breast Cancer Risk-Assessment Tool (Gail model) software provided by the National Cancer Ins

"Methadone at the pharmacy like Suboxone®?… It would untangle a lot of tangles." Perspectives of North Carolinians with lived experience of opioid use on potential benefits of methadone dispensing at community pharmacies.

BACKGROUND: Medications for opioid use disorder (MOUD), including methadone, reduce overdoses, overdose deaths, hospitalizations, and all-cause mortality. Yet existing literature widely documents barriers to methadone access for people with opioid use disorder (OUD) in the U.S. and aspects of methadone treatment that U.S. patients find challenging, including inconvenient hours, limited locations, and clinic policies and staff treatment sometimes experienced as arbitrary or stigmatizing. To date, three U.S. studies explored patient interest in opioid treatment program (OTP)-pharmacy collaborati…

Community pharmacy and lung cancer: a service innovation pilot using community pharmacy across Leeds to signpost patients with symptoms of possible lung cancers towards a patient self-request chest X-ray service.

BACKGROUND: Survival rates from lung cancer in the UK are inferior to those experienced in other high-income countries. Improving access to investigations for people with symptoms may offer some utility to address this. This pilot investigated the potential of community pharmacy to identify and signpost people with symptoms of possible lung cancer towards an existing self-request chest X-ray service (SRCXRS) in Leeds. METHODS: All community pharmacies across Leeds were invited to participate in this pilot. 27 completed necessary staff training and signposted people with symptoms of possible l…

Palliative Care education in undergraduate pharmacy curricula in Brazil: a descriptive cross-sectional study.

BACKGROUND: Palliative Care is essential for improving the quality of life of individuals with life-threatening conditions. Despite its growing relevance, the education of health professionals in this field remains insufficient. In Brazil, the implementation of the National Policy for Palliative Care reinforces the need to qualify the health workforce. In this context, the present study aimed to analyze the availability of Palliative Care courses in undergraduate Pharmacy programs in Brazil, as well as to characterize their content. METHODS: This is a cross-sectional, descriptive, documentary…

Building on the 2025 national academies pharmacy workshop: ensuring access to community pharmacist care.

Growing medication use, chronic disease burden, and primary care provider shortages have intensified the need for additional models of care … ding on the 2025 National Academies of Sciences, Engineering, and Medicine workshop, Innovations in Pharmacy Training and Practice to Advance Patient Care, this paper examines existing and proposed state and federal payment policies and how their design influences implementation and scalability in community pharmacy practice. Recommendations include broad …

Pharmacy Resident Performed Longitudinal Medication Adherence Assessments in Candidates for Deceased Donor Kidney Transplant.

IntroductionOur institution implemented the Kidney Adherence Call Evaluations (KACE) program as a prospective medication nonadherence screening and education method in select deceased donor kidney transplant candidates, referred by transplant providers. Assessments were completed by first post-graduate year pharmacy residents with preceptor oversight. We aimed to 1) estimate resident time commitments to KACE, 2) evaluate changes in medication adherence tool usage from initial to last KACE encounters, and 3) assess transplant listing status at 6 months after KACE completion.DesignA retrospectiv…

From Anxiety to Action: Mental Health Education Transforming Pharmacy Students' Self-Care and Resilience.

OBJECTIVE: Pharmacy students experience alarmingly high rates of mental health challenges, with 18% to 60% reporting depressive symptoms, 21% to 50% experiencing anxiety, and up to 17% reporting suicidal ideation. Despite recognizing the importance of self-care, students struggle to prioritize their well-being, creating a critical knowledge-behavior gap, while professional resilience declines throughout training. METHODS: This study examined how a 2-session mental health educational intervention was associated with reported shifts in pharmacy students' cognition of stress, self-care, and prof…

Safety and Effectiveness of Pharmacy Compounded Chenodeoxycholic Acid Capsules for Patients With Cerebrotendinous Xanthomatosis.

Chenodeoxycholic acid (CDCA) is an essential drug for patients with rare metabolic disease cerebrotendinous xanthomatosis (CTX). To ensure continuation of treatment, the Amsterdam UMC hospital pharmacy developed pharmacy compounded CDCA capsules when the authorized CDCA capsules were no longer available for Dutch patients. This study reports the safety of pharmacy compounded CDCA through pharmacovigilance monitoring and assesses its effectiveness by evaluating biochemical outcome measures, both in patients who were previously treated with authorized CDCA and subsequently switched to the compou…