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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
141

Situational Communication Self-Confidence Among Community Pharmacists: A Descriptive Analysis

Hagemeier, Nicholas E., Ventricelli, Daniel, Sevak, Rajkumar J. 01 November 2017 (has links)
Objective: To compare community pharmacists' self-perceived communication confidence in prescription drug abuse and addiction (PDAA)-related scenarios to their self-confidence in other scenarios. Methods: An 18-item survey instrument adapted from the Self-Perceived Communication Competence instrument was administered to 2000 licensed Tennessee community pharmacists. Items elicited communication confidence across common community pharmacy scenarios. Analysis of communication self-confidence scores across context, receiver, audience, and demographic variables was conducted. Results: Mean self-confidence ratings ranged from 54.2 to 92.6 (0-100 scale). Self-perceived communication confidence varied across context, receiver, audience, personal and practice setting characteristics. Scenarios that involved PDAA communication with patients were scored significantly lower than non-PDAA patient scenarios (mean = 84.2 vs. 90.4, p Conclusion: Community pharmacists are less confident in their ability to communicate with patients about PDAA as compared to non-PDAA scenarios. Practice Implications: Engaging patients and prescribers in PDAA conversations is a critical component of preventing and treating PDAA. Research is warranted to further explore measures of situational communication self-confidence and interventions to optimize self-confidence beliefs across PDAA scenarios.
142

Pharmacists and Prescribers as a Team

Hagemeier, Nicholas E., Ventricelli, Daniel 18 April 2017 (has links)
Controlled substance stewardship, much in the same vein as antimicrobial stewardship, is a professional obligation for prescribers and pharmacists alike in today’s practice environment. This presentation will introduce this concept and present a model for pharmacist-led controlled substance prescribing interventions in a primary care clinic. The Controlled Substances Initiative (CSI) at Penobscot Community Health Care in Bangor, Maine, was implemented in 2013. The interprofessional CSI Committee meets weekly to review patient cases involving controlled substances and communicate best practice recommendations to prescribers. All committee operations are sustained by pharmacists participating in a postgraduate residency training program. To assess the organization-wide impact of the initiative, presenters will share data on controlled substance dose reductions and mortality trends. They will offer pearls for application of this model to other practice settings, including community pharmacies.
143

Prescription Drug Abuse: Reflections and Visioning

Hagemeier, Nicholas E. 06 November 2013 (has links)
No description available.
144

INNOVATIVE ASTHMA MANAGEMENT BY COMMUNITY PHARMACISTS IN AUSTRALIA

Kritikos, Vicky January 2007 (has links)
Doctor of Philosophy / Excerpt Chapter 2 - A review of the literature has revealed that asthma management practices in the Australian community are currently suboptimal resulting in significant morbidity and mortality. In adolescent asthma there are added challenges, with problems of self-image, denial and non-adherence to therapy where self-management skills assume a greater importance (Forero et al 1996, Price 1996, Brook and Tepper 1997, Buston and Wood 2000, Kyngäs et al 2000). In rural and remote areas in Australia, asthma management practices have been shown to be poorer and mortality rates from asthma are considerably higher compared to metropolitan areas (AIHW ACAM 2005, AIHW 2006). Limited access and chronic shortages of specialist services in rural areas are shifting the burden more and more towards the primary sector (AIHW 2006). It becomes paramount that people with asthma in rural settings become involved in self-management of their asthma and that community based health care providers be more proactive in facilitating these self-management behaviours by appropriate education and counselling. Health promotion activities, which are a broad range of activities including health education, have been acknowledged as having the potential to improve the health status of rural populations (National Rural Health Alliance 2002). Community pharmacy settings have been shown to be effective sites for the delivery of health promotion, screening and education programs (Anderson 2000, Elliott et al 2002, Cote et al 2003, Hourihan et al 2003, Watson et al 2003, Boyle et al 2004, Goode et al 2004, Paluck et al 2004, Sunderland et al 2004, Chambers et al 2005, Saini et al 2006). In the case of asthma, outreach programs have been shown to have beneficial effects in terms of reducing hospital admissions and emergency visits and improved asthma outcomes (Greineder et al 1995, Stout et al 1998, Kelly et al 2000, Legorreta et al 2000, Lin et al 2004). We proposed to extend the role of the community pharmacist beyond the traditional realm of the “pharmacy” into the community in rural Australia with the first asthma outreach programs designed for community pharmacy. The outreach programs were designed to include two health promotion strategies, the first targeting adolescents in high schools and the second targeting the general community. The project aimed firstly, to assess the feasibility of using community pharmacists to deliver two asthma outreach programs, one targeting adolescents and one for the wider community in a rural area and secondly, to assess the programs’ impact on adolescent asthma knowledge and requests for information at the community pharmacy. Excerpt Chapter 3 - Patient education is one of the six critical elements to successful long-term asthma management included in international and national asthma management guidelines, which have emphasised education as a process underpinning the understanding associated with appropriate medication use, the need for regular review, and self-management on the part of the person with asthma (Boulet et al 1999, National Asthma Council 2002, National Asthma Education and Prevention Program 2002, British Thoracic Society 2003, NHLBI/WHO 2005). The ongoing process of asthma education is considered necessary for helping people with asthma gain the knowledge, skills, confidence and motivation to control their own asthma. Since most health care professionals are key providers of asthma education, their knowledge of asthma and asthma management practices often needs to be updated through continuing education. This is to ensure that the education provided to the patient conforms to best practice guidelines. Moreover, health care professionals need to tailor this education to the patients’ needs and determine if the education provided results in an improvement in asthma knowledge. A review of the literature has revealed that a number of questionnaires have been developed that assess the asthma knowledge of parents of children with asthma (Parcel et al 1980, Fitzclarence and Henry 1990, Brook et al 1993, Moosa and Henley 1997, Ho et al 2003), adults with asthma (Wigal et al 1993, Allen and Jones 1998, Allen et al 2000, Bertolotti et al 2001), children with asthma (Parcel et al 1980, Wade et al 1997), or the general public (Grant et al 1999). However, the existing asthma knowledge questionnaires have several limitations. The only validated asthma knowledge questionnaire was developed in 1990 and hence, out of date with current asthma management guidelines (Fitzclarence and Henry 1990). The shortcomings of the other knowledge questionnaires relate to the lack of evidence of the validity (Wade et al 1997, Grant et al 1999, Bertolotti et al 2001), being outdated 81 with current concepts of asthma (Parcel et al 1980) or having been tested on small or inadequately characterised subject samples e.g. subject samples consisting of mainly middle class and well educated parents (Brook et al 1993, Wigal et al 1993, Moosa and Henley 1997, Allen and Jones 1998, Allen et al 2000, Ho et al 2003). Furthermore, most of the published asthma knowledge questionnaires have been designed to assess the asthma knowledge of the consumer (i.e. a lay person with asthma or a parent/carer of a person with asthma). There is no questionnaire specifically developed to assess the asthma knowledge of health care professionals, who are key providers of asthma education. It is hence important to have a reliable and validated instrument to be able to assess education needs and to measure the impact of training programs on asthma knowledge of health care professionals as well. An asthma knowledge questionnaire for health care professionals might also be used to gauge how successful dissemination and implementation of guidelines have been. Excerpt Chapter 4 - Asthma self-management education for adults that includes information about asthma and self-management, self-monitoring, a written action plan and regular medical review has been shown to be effective in improving asthma outcomes (Gibson et al 1999). These interventions have been delivered mostly in a hospital setting and have utilised individual and/or group formats. Fewer interventions have been delivered in a primary care setting, usually by qualified practice nurses and/or general practitioners or asthma educators and, to date, their success has not been established (Fay et al 2002, Gibson et al 2003). Community pharmacy provides a strategic venue for the provision of patient education about asthma. Traditionally, patient education provided by community pharmacists has been individualised. However, group education has been shown to be as effective as individualised education with the added benefits of being simpler, more cost effective and better received by patients and educators (Wilson et al 1993, Wilson 1997). While small group education has been shown to improve asthma outcomes (Snyder et al 1987, Bailey et al 1990, Wilson et al 1993, Yoon et al 1993, Allen et al 1995, Kotses et al 1995, Berg et al 1997, de Oliveira et al 1999, Marabini et al 2002), to date, no small-group asthma education provided by pharmacists in the community pharmacy setting has been implemented and evaluated.
145

Visuomenės vaistinės pacientų gaunamos farmacinės ir sveikatinimo informacijos tyrimas ir vertinimas / Analysis and evaluation of the medicine and health information received by the community pharmacy patients

Daukšienė Šaškovaitė, Jurgita 20 September 2010 (has links)
Darbo tikslas - Ištirti ir įvertinti visuomenės vaistinės pacientų gaunamą farmacinę ir sveikatinimo informaciją. Tiksli, teisinga ir savalaikė informacija apie vaistus ir sveikatos stiprinimą yra svarbus sveikatos priežiūros ir saugaus vaistų vartojimo komponentas. Šiandien pacientams yra prieinama daug rašytinių, vaizdinių ir interaktyvių informacijos šaltinių. Dalis pacientus pasiekiančios informacijos gali būti dviprasmiška ar netgi klaidinanti. Itin svarbu, kad prieš priimdami svarbus gydymosi sprendimus pacientai pasikonsultuotų su atitinkamą išsilavinimą turinčiu sveikatos priežiūros specialistu. Vaistininkai – lengviausiai pasiekiami sveikatos priežiūros specialistai. Ši pozicija įpareigoja suteikti pacientams reikalingas žinias apie vaistus ir sveikatą. Mūsų tyrimo metu buvo taikyti skirtingos prigimties mokslinės informacijos rinkimo kiekybiniai metodai – apklausa, stebėjimas ir slapto pirkėjo tyrimas. Tyrimų rezultatai atskleidė, kad visuomenės vaistinėms pacientams vaistinėje suteikiamos konsultacijos apimtis ir trukmė priklauso nuo įsigyjamo vaisto tipo, vaistų kiekio, paciento amžiaus, lyties, jų aktyvumo (užduodamų klausimų). Informacija dažniausiai suteikiama vaistininko iniciatyva taikant diversifikuotus informacijos pateikimo būdus. Pacientams ne tik suteikiama informacija apie įsigyjamus vaistus, bet taip pat ir atsakoma į jų klausimus apie ligas bei gydymosi alternatyvas. / The aim of the study is to evaluate the medicine and health information received by the community pharmacy patients. Objectives: To evaluate the patients’ attitude towards the pharmacist as the source of information about the health care and medications; to compare the patients’ attitude towards their doctors and pharmacists as the sources of the information about medicines; to determine the importance of the drug usage problem among the pharmacy clients and the correlation between the proper use of the medications and the information given by the pharmacists; to analyze the aspects and the ways of the information about drugs given at the pharmacies; to determine factors which influence the amount of received information by community pharmacy patients; to detect what part of the pharmacy patients give questions to the pharmacist; to analyze what factors influence community pharmacy patient satisfaction; to reveal whether the pharmacists, while delivering extra health care services, also use the possibility to spread the health promotion information. Evaluation of the medicine and health information was performed with a complex of various sociological methods such us questionnaire, participant observation and secret standardized patient.
146

Visuomenės vaistinėje dirbančių farmacijos specialistų nuomonė apie farmakologinį budrumą ir patirtis teikiant informaciją gyventojams apie nepageidaujamas reakcijas į vaistą / Attitudes of the Community Pharmacists Towards Pharmacovigilance and Experience of Providing Information on Adverse Drug Reaction to the Community Pharmacy Patients

Valaika, Gytis 30 June 2014 (has links)
Tikslas: Išanalizuoti Lietuvos visuomenės vaistinėse dirbančių farmacijos specialistų požiūrį į pacientams suteikiamą informaciją apie galimus vaistų nepageidaujamus poveikius. Darbo metodika: Tyrimui atlikti buvo taikomas analizės metodas – anketavimas. Apklausta 230 farmacijos specialistų dirbančių visuomenės vaistinėse. Tyrimo duomenys apdoroti naudojant SPSS 17.0 versiją. Darbe pateikiami grafikai ir lentelės sudaryti MS Excel 2007 programa. Rezultatai: Daugumos farmacijos specialistų (98,2%) nuomone, teikti informaciją apie NRV yra būtina. Pagrindiniai veiksmai, pacientui pasireiškus NRV, yra paciento nukreipimas pas gydytoją (93,8%) arba konsultavimas (73,0%). Tik 4 proc. respondentų nesusiduria su problemomis teikiant informaciją susijusią su NRV. Pagrindiniai barjerai iš farmacijos specialisto pusės yra laiko (83,7%) bei žinių (57,2%) trūkumas, o iš paciento pusės – nenoras išklausyti suteikiamos informacijos (63,9%), nedrąsa klausti (44,6%), konfidencialumo (42,1%) bei išsilavinimo (41,6%) trūkumas. Nustatyta, kad ne visos vaistų grupės yra vienodai svarbios suteikiant informaciją apie NRV (p<0,05). Pagrindinės vaistų grupės yra antidepresantai (82,4%), krešumo sistemą veikiantys vaistai (82,4%), antibiotikai (79,4%), antipsichoziniai vaistai (73,5%) bei NVNU (67,6%). Išvados: 1. Farmacijos specialistų nuomone, informacijos apie NRV teikimas pacientams yra būtinas, tačiau ne visi sutinka, kad jis yra pagrindinis asmuo, galintis suteikti šią informaciją. Daugiau nei... [toliau žr. visą tekstą] / Objective: To analyze the attitude of pharmaceutical professionals working in Lithuanian community pharmacies towards providing information about adverse drug reactions. Methods: A questionnaire method was aplied during this research. 230 of 264 pharmacists working in community pharmacies participated in the survey (response rate 87,1%). Results: The majority of pharmaceutical professionals (98,2%) believed that the provision of information about adverse drug reactions (ADRs) is necessary. 97,8% of respondents said that they spoke to patients about reported adverse effects to drugs.The main pharmacists actions after receiving information that patients experienced ADRs were consulting (93,8%) or reffering the patient to a doctor (73,0%). Almost all (96%) respondents told that they have problems when providing information about ADRs. 3 out of 4 specialists point out that the main problem is the lack of time. Approximately half of them think that they lack of knowledge to provide such information. Problems encountered from the patient‘s side is their unwillingness to listen to the information provided (63,9%), timidity to ask for such information (44,6%), lack of privacy (42,1%) and education (41,6%).It was found that not all drug groups are equally important in providing information about ADRs (p<0,05). The main groups of medicines are antidepressants (82.4%), coagulation system drugs (82.4%), antibiotics (79.4%), antipsychotics (73.5%) and NSAIDs (67.6%). Conclusion: According... [to full text]
147

INNOVATIVE ASTHMA MANAGEMENT BY COMMUNITY PHARMACISTS IN AUSTRALIA

Kritikos, Vicky January 2007 (has links)
Doctor of Philosophy / Excerpt Chapter 2 - A review of the literature has revealed that asthma management practices in the Australian community are currently suboptimal resulting in significant morbidity and mortality. In adolescent asthma there are added challenges, with problems of self-image, denial and non-adherence to therapy where self-management skills assume a greater importance (Forero et al 1996, Price 1996, Brook and Tepper 1997, Buston and Wood 2000, Kyngäs et al 2000). In rural and remote areas in Australia, asthma management practices have been shown to be poorer and mortality rates from asthma are considerably higher compared to metropolitan areas (AIHW ACAM 2005, AIHW 2006). Limited access and chronic shortages of specialist services in rural areas are shifting the burden more and more towards the primary sector (AIHW 2006). It becomes paramount that people with asthma in rural settings become involved in self-management of their asthma and that community based health care providers be more proactive in facilitating these self-management behaviours by appropriate education and counselling. Health promotion activities, which are a broad range of activities including health education, have been acknowledged as having the potential to improve the health status of rural populations (National Rural Health Alliance 2002). Community pharmacy settings have been shown to be effective sites for the delivery of health promotion, screening and education programs (Anderson 2000, Elliott et al 2002, Cote et al 2003, Hourihan et al 2003, Watson et al 2003, Boyle et al 2004, Goode et al 2004, Paluck et al 2004, Sunderland et al 2004, Chambers et al 2005, Saini et al 2006). In the case of asthma, outreach programs have been shown to have beneficial effects in terms of reducing hospital admissions and emergency visits and improved asthma outcomes (Greineder et al 1995, Stout et al 1998, Kelly et al 2000, Legorreta et al 2000, Lin et al 2004). We proposed to extend the role of the community pharmacist beyond the traditional realm of the “pharmacy” into the community in rural Australia with the first asthma outreach programs designed for community pharmacy. The outreach programs were designed to include two health promotion strategies, the first targeting adolescents in high schools and the second targeting the general community. The project aimed firstly, to assess the feasibility of using community pharmacists to deliver two asthma outreach programs, one targeting adolescents and one for the wider community in a rural area and secondly, to assess the programs’ impact on adolescent asthma knowledge and requests for information at the community pharmacy. Excerpt Chapter 3 - Patient education is one of the six critical elements to successful long-term asthma management included in international and national asthma management guidelines, which have emphasised education as a process underpinning the understanding associated with appropriate medication use, the need for regular review, and self-management on the part of the person with asthma (Boulet et al 1999, National Asthma Council 2002, National Asthma Education and Prevention Program 2002, British Thoracic Society 2003, NHLBI/WHO 2005). The ongoing process of asthma education is considered necessary for helping people with asthma gain the knowledge, skills, confidence and motivation to control their own asthma. Since most health care professionals are key providers of asthma education, their knowledge of asthma and asthma management practices often needs to be updated through continuing education. This is to ensure that the education provided to the patient conforms to best practice guidelines. Moreover, health care professionals need to tailor this education to the patients’ needs and determine if the education provided results in an improvement in asthma knowledge. A review of the literature has revealed that a number of questionnaires have been developed that assess the asthma knowledge of parents of children with asthma (Parcel et al 1980, Fitzclarence and Henry 1990, Brook et al 1993, Moosa and Henley 1997, Ho et al 2003), adults with asthma (Wigal et al 1993, Allen and Jones 1998, Allen et al 2000, Bertolotti et al 2001), children with asthma (Parcel et al 1980, Wade et al 1997), or the general public (Grant et al 1999). However, the existing asthma knowledge questionnaires have several limitations. The only validated asthma knowledge questionnaire was developed in 1990 and hence, out of date with current asthma management guidelines (Fitzclarence and Henry 1990). The shortcomings of the other knowledge questionnaires relate to the lack of evidence of the validity (Wade et al 1997, Grant et al 1999, Bertolotti et al 2001), being outdated 81 with current concepts of asthma (Parcel et al 1980) or having been tested on small or inadequately characterised subject samples e.g. subject samples consisting of mainly middle class and well educated parents (Brook et al 1993, Wigal et al 1993, Moosa and Henley 1997, Allen and Jones 1998, Allen et al 2000, Ho et al 2003). Furthermore, most of the published asthma knowledge questionnaires have been designed to assess the asthma knowledge of the consumer (i.e. a lay person with asthma or a parent/carer of a person with asthma). There is no questionnaire specifically developed to assess the asthma knowledge of health care professionals, who are key providers of asthma education. It is hence important to have a reliable and validated instrument to be able to assess education needs and to measure the impact of training programs on asthma knowledge of health care professionals as well. An asthma knowledge questionnaire for health care professionals might also be used to gauge how successful dissemination and implementation of guidelines have been. Excerpt Chapter 4 - Asthma self-management education for adults that includes information about asthma and self-management, self-monitoring, a written action plan and regular medical review has been shown to be effective in improving asthma outcomes (Gibson et al 1999). These interventions have been delivered mostly in a hospital setting and have utilised individual and/or group formats. Fewer interventions have been delivered in a primary care setting, usually by qualified practice nurses and/or general practitioners or asthma educators and, to date, their success has not been established (Fay et al 2002, Gibson et al 2003). Community pharmacy provides a strategic venue for the provision of patient education about asthma. Traditionally, patient education provided by community pharmacists has been individualised. However, group education has been shown to be as effective as individualised education with the added benefits of being simpler, more cost effective and better received by patients and educators (Wilson et al 1993, Wilson 1997). While small group education has been shown to improve asthma outcomes (Snyder et al 1987, Bailey et al 1990, Wilson et al 1993, Yoon et al 1993, Allen et al 1995, Kotses et al 1995, Berg et al 1997, de Oliveira et al 1999, Marabini et al 2002), to date, no small-group asthma education provided by pharmacists in the community pharmacy setting has been implemented and evaluated.
148

Developing a professional identity : a grounded theory study of the experiences of pharmacy students undertaking an early period of pre-registration training

Quinn, Gemma L. January 2017 (has links)
Introduction: Trainee pharmacists are required to undertake a work-based pre-registration training placement (PRTP) in order to qualify. Literature exploring how this placement influences the development of students’ professionalism is sparse, however it is acknowledged that placements offer learning that can not be replicated in an academic environment. Following recent recommendations for the PRTP to be split into two six-month placements, the “sandwich” Master of Pharmacy (MPharm) programme at the University of Bradford offers a unique opportunity to study the impact of an early PRTP. This project aimed to understand the experiences of “sandwich” students during their early PRTP and generate a theory explaining how professionalism develops during this time. Methods: A constructivist grounded theory approach was taken. Fourteen students who had recently completed their early PRTP were interviewed using semi-structured, face-to-face interviews. A constant comparative approach to analysis was taken. Findings: The process developing a professional identity emerged as the core category. This consisted of four interlinking stages; reflection, selection of attributes, professional socialisation and perception of role. Developing a professional identity occurred under the conditions of realising the reality of the profession, developing practical knowledge and skills and learning from mentors. The consequence of developing a professional identity was that participants felt they were now a trainee professional. Discussion and conclusion: The theory demonstrates that developing a professional identity was the main process that occurred whilst MPharm students were on their early PRTP. Regulatory, funding and educational organisations should consider this when reviewing pharmacists’ training and students’ approach on return to university.
149

Patients atteints de maladies chroniques pulmonaires et pharmaciens : identification et modélisation des échanges de savoirs / Patients with chronic lung disease and pharmacists : identification and modeling knowledge exchange

Renet, Sophie 23 November 2016 (has links)
Dans une période marquée par un bouleversement des systèmes d’information et de santé et de la place de la maladie dans la société, la question du rapport au savoir en santé devient essentielle. La relation soignant-soigné, anciennement vécue sur un mode passif, est aujourd’hui un échange actif de savoirs entre deux individus et deux mondes sociaux, partenaires. Ces constats remettent en cause les rapports soignant-soigné, entre savoir savant et savoir profane, et les modèles de pratiques existants. En alliant les atouts des sciences de l’éducation à celles des modélisations mathématiques, nous avons caractérisé comment les patients atteints d’asthme ou d’hypertension artérielle pulmonaire échangeaient de l’information et des savoirs avec les pharmaciens de ville et hospitaliers. La méthodologie générale faisait appel à la stratégie de triangulation et se divisait en 4 parties : une analyse de la littérature, un remue-méninges, une analyse de contenu de 39 entretiens semi-dirigés, une étude statistique utilisant l’analyse des correspondances simples basée sur un questionnaire diffusé à 124 patients. La nature de l’échange de savoirs (ES) était composée de 3 dimensions interdépendantes que nous avons modélisée : « Modèle 3 C : cure, care et coordination ». L’intensité et la nature de l’ES variaient selon le type de pharmacien impliqué, la maladie, sa durée, son grade de sévérité, l’âge, le niveau d’apprenance, les représentations des patients vis-à-vis des pharmaciens et des médicaments. Le partenariat avec les professionnels de santé, le patient et les aidants, constituait une composante indispensable et facilitatrice de l’ES. L’ES contribuait à l’autoformation des patients pour acquérir des compétences d’autosoins et mieux gérer leur maladie chronique et ses impacts. Nous avons mis en évidence que le pharmacien s’apparentait à un facilitateur de l’autoformation des patients, de l’éducation diffuse et du bricolage des savoirs ; la pharmacie, officinale ou hospitalière constituait l’embryon d’un tiers-lieu. / In this period of change characterized by a disruption of information and health systems, the relationship issue of knowledge becomes more essential. The healthcare professional-patient relationship, formerly based on a passive mode, has become an active exchange of knowledge between two individuals and two social worlds, seen as partners. These observations challenge the healthcare professional -patient relationship, between scholar and lay knowledge, and existing practice models. Combining the strengths of Education Sciences to those of mathematical modeling, this work allows us accurately characterizing how patients with asthma or pulmonary arterial hypertension shared information and knowledge with both community and hospital pharmacists. This study uses a triangulation strategy and combines 4 parts: a literature analysis, a brainstorming, a content analysis of 39 semi-directed interviews and a correspondance analysis based on a questionnaire submitted to 124 patients. The nature of knowledge exchange consisted in 3 interrelated dimensions that we modeled : “3C Model: Cure, Care and Coordination”. The exchange intensity and nature varied with the type of pharmacist involved, the pathology, the severity and disease duration, the patient age, the knowledge level. The patient representations towards pharmacists and medicine also influenced the nature. We identified that the partnership between healthcare professionals, patients and caregivers was a fundamental component and a facilitator of knowledge exchange. We found that the knowledge exchange contributed to the self-training of patient to acquire self-care skills and better manage their chronic disease and its impacts. Finally, this study allowed highlighting (1) the pharmacist was a facilitator of patients selftraining, diffuse education and self-made knowledge; (2) the community and hospital pharmacies were the location where all these take place, as a third place.
150

Qualificação de fornecedores para o sistema público de produção de medicamentos

Schaurich, Anelise Praetzel January 2009 (has links)
O objetivo deste trabalho foi analisar uma proposta de Qualificação de Fornecedores passível de aplicação no âmbito dos Laboratórios Oficiais, e de alguma forma contribuir para a produção nacional, agregando qualidade aos insumos adquiridos e por conseqüência aos medicamentos produzidos pela Rede Pública, enriquecendo e qualificando o Parque Industrial Nacional e o Patrimônio Público. A pesquisa foi desenvolvida no Laboratório Oficial da Fundação Ezequiel Dias em Belo Horizonte (FUNED), MG, tendo sido reunidas informações dos Setores de Compras, Almoxarifado de Recebimento de Insumos, Planejamento de Produção, Garantia da Qualidade, Controle de Qualidade e Produção de Medicamentos. A pesquisa foi delineada através da Análise Documental dos registros que remeteram ao histórico de aquisição de insumos no ano de 2007. Foram analisadas AF (Autorizações de Fornecimento), AR (Autorizações de Recebimento), Check List de Recebimento de Insumos, Boletins da Divisão de Controle de Qualidade com registros de Análise Físico-Química de Matérias Primas, Relatórios de Não conformidade de Produto Acabado e de Matéria Prima. Houve revisão e adaptação do Método de Petrus para Qualificação de Fornecedores, especificamente para o Setor Farmacêutico. Os resultados alcançados demonstraram de forma positiva que a utilização da adaptação do Método de Petrus pode auxiliar na qualificação de insumos farmacêuticos, mas também demonstrou algumas dificuldades que remeteram a pesquisa à importância da Pré-Qualificação de Fornecedores na busca da Certificação e da Garantia da Qualidade dos medicamentos produzidos pelos Laboratórios Oficiais. / The aim of this study was to analyse a proposal of qualification of suppliers which could be applied in official laboratories, and somehow contribute for the national production, adding quality to purchased inputs and thus the drugs produced by the Brazilian governmental industry. These would enrich and qualify the national industry and public patrimony. This research was developed at Fundaçao Ezequiel Dias – FUNED’s Official Laboratory, in Belo Horizonte, MG. It was used information by Purchase, Warehouses, Production Planning, Quality Guaranties, Quality Control and Drug’s Production Departments. This study was designed by documentary analysis of records which recalled the historic acquisition in 2007. SA (supply authorizations), RA (receipt authorization), receipt of supply checklist, bulletins from the division of quality control with records of physic-chemical analysis of raw material, reports non-conformity of finished products and of raw materials were analysed. The Petrus’ Method for supplier’s qualification was revised and adapted, specifically for the pharmaceutical sector. The results showed that the use of the adaptation of Petrus’ Method can help qualify the pharmaceutical supplies but it also demonstrated some difficulties which pointed out the importance of pre-qualification of suppliers when aiming for the certification and quality guarantee for the produced drugs by official laboratories

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