Syftet med studien var att undersöka om vårdpersonal använder fysisk aktivitet på recept(FaR) som behandling till personer med depression. Frågeställningar: Ordinerar vårdpersonal FaR som behandling till personer med depression? Arbetar vårdpersonalen utifrån Socialstyrelsens Nationella riktlinjer (2010) gällande patienter med depression? Metod Studien är gjord utifrån en kvalitativ metod och analyserad utefter en innehållsanalys. Intervjumetoden är av semistrukturerad art med en frågeguide på elva öppna frågor som underlag. Av de fyrtio kontaktade verksamhetschefer som i sin tur gick ut och frågade sina anställda om de var någon som ville ställa upp så intervjuades fyra stycken respondenter. Alla fyra informanterna var utbildade läkare inom allmänmedicin eller psykiatri som antingen arbetade inom primärvården (3) eller som specialist inom psykiatrin (1). Resultat Resultaten visar att alla intervjupersoner var positivt inställda till fysisk aktivitet som del i behandling till personer med depression. Även om själva FaR metoden ansågs som ett trubbigt och komplicerat verktyg så tyckte informanterna ändå att det gav positiva resultat för deras patienter att komma igång och aktivera sig. Det framkom att enklare budskap till vårdpersonal gällande de nationella riktlinjerna möjligen kan öka användningen av FaR för deprimerade inom hälso- och sjukvården, och på så sätt bidra till att fler patienter uppnår en förbättrad psykisk hälsa. I analysen framkom att de flesta hade många års erfarenhet av att arbeta med deprimerade. Slutsats Det kan rekommenderas att se över bristande rutiner i uppföljning med FaR för patienter som har depression samt en förenkling av journalinförandet och det digitala receptet. Med grund i denna studies resultat kan man dra slutsatsen att Socialstyrelsens nationella riktlinjer gällande personer med depression behöver lyftas fram och implementeras ytterligare i den svenska hälso- och sjukvården.

This thesis has addressedth e issue of primary care prescribing in different European countries. The first hypothesis investigated was: that the planned implementation of a multinational consensus-basedE uropean Formulary in primary care will result in more rational prescribing. A controlled trial involved 235 GPs from eight European countries with half the GPs participating in an educational intervention. This comprised dissemination of the Formulary and discussion of antibiotic and NSAID prescribing. Details of 101,544 doctor-patient consultations were collated and prescribing was compared and contrasted, before (Phase 1) and after the intervention (Phase 11), using performance indicators. This included measurement of the prescribing concordance with drugs recommended in the Formulary which increased by 2.9% (SEM 0.7) between Phases I to 11 in the intervention group and decreased by 1.3% (SEM 0.6) in the control group. This difference was found to be highly significant (p <0.001). Although some changes in clinical practice occurred, more notable differences were found in prescribing patterns between countries. A second hypothesis followed: that identification of the main influences on the participating GPs'prescribing will assist in the explanation of the varying effects of the Formulary in the different countries. A two-stage Delphi questionnaire study asked the GPs to identify the factors which they perceived to influence their prescribing and to rate their importance. The most important influences were drug related characteristics in six countries, followed by education/information and then patient factors. Pharmaceutical industrial factors were considered the least important influence in six countries, which followed regulatory factors in five countries. More influential factors appeared to be in the GPs' control, rather than ones imposed by national health care systems, regulation and government. The results show that the extent of Formulary adoption varied in different European countries. There remains a continuing place for the promotion of rational prescribing principally through education and information, including prescribing guidelines. Future initiatives may be more appropriate within countries but require adequate and sustained professional and government support.

Thesis (doctoral)--Universität Bonn.

Thesis (Ph. D.)--University of Chicago, 1938. / Lithoprinted. "Private edition, distributed by the University of Chicago libraries, Chicago, Illinois." Bibliography: p. 68-70.

Thesis (M.S.--Ohio State University, 2002. / Title from first page of PDF file. Document formatted into pages; contains xvi, 173 p.: ill. Includes abstract and vita. Co-advisors: Craig A. Pedersen, Dept. of Pharmacy; Anne Scheck McAlearney, School of Public Health. Includes bibliographical references (p. 169-173).

Thesis (Ph. D.)--University of Wisconsin--Madison, 1974. / Typescript. Vita. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 233-237).

Thesis (M.S.)--University of Wisconsin--Madison, 1970. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Class of 2014 Abstract / Specific Aims: The purpose of this study is to determine if people who take or manage medications attend to the prescription warning labels (PWLs) and if education levels affect how they interpret these warnings. The primary hypothesis is that people without a high school degree/equivalent will have more difficulty correctly interpreting PWLs. Methods: A survey was designed to assess whether or not the general population attends to warning labels and if education levels affect how they interpret these warnings. The survey contained questions to assess PWL attendance, a quiz to assess PWL interpretation, and demographic information. Surveys were collected at Joel Valdez Main Library in Tucson, AZ from August 2013 to January 2014. For data analysis, the percentage of participants who attended to warning labels was calculated. To compare the two education groups a Chi square analysis was performed. Main Results: A total of 113 participants took the survey and 4 were excluded from analysis. The survey was completed by 55 men (51.4%) and 52 women (48.6%). The mean age of participants was 46.9 years (SD +/- 15.3). Of the participants who took and /or managed medications, 46.8 % of them attended to the PWLs. There was a significant difference in the number of correct responses between the education groups for only one of the PWLs (“external use only”) with a p-value of 0.03. Conclusion: The majority of the general public does not attend to PWLs. Education level does not significantly affect the interpretation of most PWLs.

Class of 2013 Abstract / Specific Aims: The purpose of this study was to investigate areas of ambiguity or error in the content of prescriptions generated using DrFirst’s electronic prescribing software Rcopia adetermines whether these quality issues are attributed to the software, physician, or both. Methods: Electronic prescriptions generated by DrFirst electronic prescribing software, Rcopia, from July 2012 through September 2012 were analyzed regarding the following metrics: number of free text prescriptions, quantity unit mismatches, and SIG issues. These metrics were expressed as a percentage of the total number of prescriptions generated for each month and used for descriptive analysis. Main Results: The total number of prescriptions generated were 12,043,268, of which 363,142 (3%) were free text (uncoded) and 11,680,126 (97%) were non-free text. SIG as directed was identified in 227,732 prescriptions, of which 11,208 (3.1%) were free text and 216,524(1.9%) were non-free text. Double SIG was identified in 174,625 prescriptions, of which 75,336 (20.1%) were free text and 1,746,250 (14.1%) were non-free text. A total of 830 (0.23%) of free text prescriptions contained a Latin abbreviation. Of 621,816 prescriptions containing a quantity unit error, 7,684 (2.1%) were free text prescriptions and 614,132 (5.3%) were non-free text prescriptions. Conclusion: The authors concluded that the software and physician are responsible for error. There were errors associated with selections made by the prescriber in the drop down menus and coded medications in Rcopia. Furthermore, errors were found in free text prescriptions which must be manually entered by the physician or their staff.

Class of 2008 Abstract / Objectives: Use of expired and unused prescription medication in the elderly population is not clearly defined. Improper use of medication can lead to serious adverse drug events and poor health outcomes. More information on the actual use of expired and unused medications in the elderly population may help in determining the need for future education of this population on this subject. Methods: A total of 72 people 65 years or older completed an anonymous survey about use of expired and unused medication. The completed survey was returned by mail. The data was extracted into a database and analyzed using chi-squared, averages, and percentages. Results: The data showed that there was no significant difference between the age groups with respect to willingness to share medications with family or friends. The population was predominantly white, and most respondents had completed some level of college education. The results showed 69.4% of respondents would share at least one category of medication with a friend or family member. 56.9% of respondents would share at least one category of medication with a friend, and 66.7% would share at least one with a family member (p=0.23). Respondents indicated they would take 23.4% of the medications listed as being in their possession if they were expired and would only share only 6.9% of the listed medications with a friend or family member. Conclusions: This data demonstrated that this population was reluctant to share medications they actually possessed, but were theoretically willing to share some categories of medications. More research needs to be done to assess use of expired medications and medication sharing in all populations, and especially in the elderly population.