Journal of Pharmacy Practice and Community Medicine最新文献

{"title":"The Cost Analysis of Network Drug Information Services at Ministry of Health Institutions in Saudi Arabia","authors":"Y. Alomi, Sultan Mohammed Al-Jarallah","doi":"10.5530/jppcm.2018.4.53","DOIUrl":"https://doi.org/10.5530/jppcm.2018.4.53","url":null,"abstract":"Objective: To explore analysis cost of network Drug Information Services at Ministry of Health institutions. Methods: It is cost simulation of a 2-months cross-sectional survey of all drug information centers at MOH Hospitals. Any drug opened and provided services to health care professionals and the public participated in the questionnaire. All type of drug information centers national or regional or local at healthcare institutions including in the survey. All type of hospitals or primary care centers included in the survey (public, pediatric, maternity, psychiatry) included in the study. The survey consisted of two part. Demographics data and the second part included the variable expenses included personal cost, material and supply cost, Fixed expenses including direct cost, non-salary cost and overhead cost. All cost used as United States dollar currency. Results: The survey distributed to sixty drug information centers in total responded forty-six centers, the response rate was 76.66 %. The majority of hospitals 11 (23.9%) with (100-199 beds) and 11 (23.9%) with (200-299 beds). The highest average monthly salary was for the Head of Drug Information Centers (3,160.98 USD) followed by the regular pharmacist (2,909.80 USD) and Clinical Pharmacist (2,823.53 USD). The average daily cost of Drug Information Centers was (537.41 USD) and monthly (16,122.3 USD). The most contribution was personal cost 506 USD (94.26%) Followed by material and supply 14.81 (2.75%) USD and non-salary cost 9.06 USD (1.68%). Conclusion: The daily cost of consuming of drug information services is high. The number of services should increase and cost avoidance of clinical activities is required to do periodically. Key words: Cost, Network, Drug Information Services, Ministry of Health, Saudi Arabia.","PeriodicalId":16825,"journal":{"name":"Journal of Pharmacy Practice and Community Medicine","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83857316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Growing Burden of Stroke, Recent Advancements in Management and Global Commitments: The Way Forward","authors":"V. Nambiar, R. Sudevan, Amrutha Ajai, V. Chattu","doi":"10.5530/jppcm.2018.4.45","DOIUrl":"https://doi.org/10.5530/jppcm.2018.4.45","url":null,"abstract":"Worldwide, cerebrovascular accidents (stroke) are the second leading cause of death and the third leading cause of disability. Strokes mainly affect individuals at the peak of their productive life. Despite its enormous impact on countries’ socio-economic development, this growing crisis has received very little attention to date.[1] In order to achieve the UN Sustainable Development Goal 3 which aims for a 30% reduction in non-communicable diseases by 2030, it requires a substantial reduction in cardiovascular diseases. Especially the secondary prevention of recurrent myocardial infarction and stroke among those with known cardiovascular disease can reduce cardiovascular mortality and morbidity. The cost-effectiveness of secondary prevention of cardiovascular disease,[2] coupled with lifestyle changes, has long been established and it is the need of the hour to apply the recent advancements in emergency management of stroke to decrease mortality, morbidity and improve the quality of life. Read more...","PeriodicalId":16825,"journal":{"name":"Journal of Pharmacy Practice and Community Medicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80208318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Elements Altering Sleep Duration and Improving Quality of Life in Patients","authors":"Ishrar Ishrar SMG, Narayana Narayana G, Pavani Pavani A, Ravi Ramudu D, Sahithi Sahithi B","doi":"10.5530/jppcm.2018.4.55","DOIUrl":"https://doi.org/10.5530/jppcm.2018.4.55","url":null,"abstract":"","PeriodicalId":16825,"journal":{"name":"Journal of Pharmacy Practice and Community Medicine","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88042704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge of Tuberculosis and Influencing Factors among New Pulmonary Tuberculosis Patients in Yemen","authors":"M. Anaam, S. Alsahali, S. Alfadly, M. Al-Musali, Khalid Siddeeg, A. Aldhubhani","doi":"10.5530/jppcm.2018.4.47","DOIUrl":"https://doi.org/10.5530/jppcm.2018.4.47","url":null,"abstract":"Background: Tuberculosis (TB) remains a serious cause of illness in Yemen. Knowledge is believed to be associated with patients’ willingness to seek treatment and adherence to treatment. Objectives: To assess patients’ knowledge of TB and identify possible influencing factors. Methods: A cross-sectional study was conducted for a period of three months (October to December, 2013) to assess knowledge of TB among new TB patients in five Yemini regions. Descriptive results were presented as frequencies and percentage. Kolmogorov-Smirnov test (K-S test) was used for normality test. Chi-square (Χ2) testing and Kruskal-Wallis H test were used to describe differences between groups. Multiple linear regression was performed to identify factors influencing the knowledge. Multicollinearity was considered before performing multiple linear regression. SPSS version 18 (Chicago, IL) was used for data analysis. Results: A total of 450 patients with a mean age (±SD) of 32.7 (±13.6) years (range 15–80 years) were interviewed; 59.3% of respondents were males, 64.4% of respondents reported receiving TB information from the health staff. Slightly more than half (55.6%) of the patients’ were aware about the method of TB transmission. The majority (82.2%) of the respondents knew that TB is a curable disease. About two thirds (71.8%) of the tuberculosis patients were found to be aware about duration of treatment. About 271 (60.2%) of the respondents were categorized as having a good level of knowledge about TB. The median knowledge score was 4.0. Kruskal-Wallis H test showed significant differences in the medians between groups with regard to gender, age, education status, marital status, living status, stigma and receiving health education. However, multiple linear regression analysis showed that age, education status, stigma and receiving health education at health centers were the only factors that significantly influencing the knowledge. About 44% of the patients expressed fear of being known as tuberculosis patients in the community. Conclusion: The knowledge of TB and its treatment was generally moderate with a median score of 4. Majority of the patients knew that TB is a curable disease with regular treatment and recommended duration. This will psychologically encourage them to adhere to treatment instructions. Key words: Tuberculosis, Knowledge, Health education, Yemen.","PeriodicalId":16825,"journal":{"name":"Journal of Pharmacy Practice and Community Medicine","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76215250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Morbidity Profile and Self-medication Practice among the Non-Medical Workers Employed at a Private Health Care Institute in Mangaluru: A Cross Sectional Study","authors":"U. SudarshanPai, S. Alexander","doi":"10.5530/JPPCM.2018.4.51","DOIUrl":"https://doi.org/10.5530/JPPCM.2018.4.51","url":null,"abstract":"Background: Self medication is a public health concern at global level considering the rise of drug resistance cases. There are no published studies in India regarding the burden of self medication among Non medical workers employed at a private health care institute. So this study was undertaken with the following objectives: (1) To know morbidity profile and to find out preferential condition for self medication, (2) To identify the portal of access to drugs for self medication among the Non medical workers employed at a private health care institute. Materials and Methods: An interview based descriptive cross sectional study was conducted among the Non medical workers employed at a prominent private health care institute of Mangalore city. Non-medical workers were assessed for their: (1) Morbidity (health condition suffered in last one year) status, (2) Preferential health condition for self-medication and (3) Portal of access to drugs for self medication. The data was analysed using SPSS Software for windows, version 16.0. The results are presented as frequencies and proportions in appropriate tables. Results: Three hundred twenty Non medical workers had participated in the study. More than half (53.8%) of the respondents were between 25 to Key words: Non-medical workers, Self-medication, Morbidity, Private health care institute.","PeriodicalId":16825,"journal":{"name":"Journal of Pharmacy Practice and Community Medicine","volume":"213 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89021274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Provider’s General Perception and Attitude toward Pharmacists in Saudi Arabia","authors":"Y. Alomi, Sarah Abdullah Al-Hathlool, M. Albadi, M. Almulhim, Yousef Aboshalaf, Mytham Al-Ethan","doi":"10.5530/jppcm.2018.4.52","DOIUrl":"https://doi.org/10.5530/jppcm.2018.4.52","url":null,"abstract":"Objective: To explore the Healthcare professionals’ perception and attitude towards pharmacists in Saudi Arabia. Methods: It is a 4-month cross-sectional survey of healthcare professionals’ perception towards pharmacists. The survey consisted of two-part of demographic information and second part forty-nine questions divided into four domains. It included domain one: healthcare providers general perception of pharmacist domain 2: Healthcare professionals’ perception of pharmaceutical care services, domain 3: healthcare professionals’ perception of visiting ambulatory care and domain 4: Healthcare professionals’ perception of pharmacists’ relationship and counseling. All types of healthcare professionals included in the study. The 5-point Likert response scale system was used. The questions were open and close-ended. The survey was distributed through social media by using WhatsApp to more than one thousand healthcare professionals overall the Kingdom of Saudi Arabia. The survey was made as an electronic format and it analyzed and discussed domain one: healthcare providers’ general perception of pharmacist through monkey survey system. Results: The total responders were (170) healthcare providers. Of those 150 (93.8%) were Saudi and 10 (6.25%) were non-Saudi. The gender distribution was 129 (75.9%) females and 41 (24.1%) were males. The majority of patient visited the pharmacy in the past 12-months more than ten times were 53 (31.36%) while 40 (23.67%) attended as visitors for 5-9 times. Most of the patient (143 (87.2%)) spent less than 16 minutes waiting for the medication at the pharmacy. The statement said by pharmacists with highest score was “the pharmacist had the significant role in preventing medications errors (4.76), pharmacy job is vital in our society (4.74), the pharmacist participates in patient therapeutic plan as part of the medical team (4.5)”. Also, the pharmacist is the first person to be asked about medications (4.47), Healthcare professionals know the clinical pharmacist and his role in patients’ care (4.47). More than 60% of healthcare professionals will choose the pharmacy as specialty or suggest to the family members or friend to select the pharmacy as their profession. Most of the healthcare providers visited the pharmacy as the pharmacist knows more about drug doses and adverse drug reaction 98 (58.33%) and the to seek pharmacists help in general health illness (96 (57.14%)). Other reason for visiting the pharmacy to get free consultation (49 (29.17%)) and since there is no need to have an appointment for pharmacy visit (48 (28.57%)). Also, most of the healthcare professionals refused to utilize the pharmacy just for cosmetics (118 (70.23%)). Conclusion: Most of the healthcare professionals had a real perception towards the pharmacist and his role in preventing medication errors and sharing in the therapeutic plan. The pharmacist should expand clinical pharmacy services at all healthcare institutions in Saudi Arabia since","PeriodicalId":16825,"journal":{"name":"Journal of Pharmacy Practice and Community Medicine","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74732244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cross-sectional Study on Occurrence of Medication Errors in Outpatient Pediatric Department of Public Sector Hospital, Lahore, Pakistan","authors":"A. Jamshaid, M. A. Bakar, S. Komal, Md Masood Imran, Q. Muhammad, Gillani Ali Hassan","doi":"10.5530/jppcm.2018.4.49","DOIUrl":"https://doi.org/10.5530/jppcm.2018.4.49","url":null,"abstract":"Background: The knowledge of medication errors is an essential prerequisite for better healthcare delivery. Medication errors are potential errors and impart a significant burden on patient quality of life as well as economic status. Objectives: The study was conducted with objective to determine the prevalence and nature of medication errors in pediatric out-patients and also to study their prescribing pattern. Methods: A quantitative cross-sectional study was conducted in Outpatient Pediatric Department of Public Sector Hospital, Lahore, Pakistan over a period of one month during which 240 prescriptions were evaluated to identify medication errors and prescribing pattern. Data was collected by using a self-designed data collection tool and analyzed using SPSS version 20. Results: Current study evaluated 240 outpatient prescription orders out of which 234 were found to have medication errors. Highest percentage of errors observed in studied population including prescription errors (missed prescriber and patient information) (86.8%), prescribing errors (7.6%) and dispensing errors (3.6%) respectively. Upper Respiratory Tract Infection was the extensive complaint of majority of patients and the drugs of concern were mainly antibiotics, antihistamines, analgesics and anti-inflammatory and expectorants. Conclusion: The current detection of medication errors reveals about recurrent basis of prescribing errors in addition to prescription parts errors. These findings emphasizes that prescribers need to work in alliance with pharmacist to improve patient’s quality of life in primary care. Key words: Medication error, Pediatric, Outpatient, Prescription.","PeriodicalId":16825,"journal":{"name":"Journal of Pharmacy Practice and Community Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82904322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rational Use of Antibiotics and Monitoring of Drug Interactions in Patients with Respiratory Tract Infection","authors":"N. Akbari, Ramakrishna Prudhivi, S. Naidu","doi":"10.5530/jppcm.2018.4.50","DOIUrl":"https://doi.org/10.5530/jppcm.2018.4.50","url":null,"abstract":"Background: A respiratory tract infection (RTI) is considered as one of the commonest public health problem dealt with in primary care. Objective: To evaluate the prescribing pattern of antibiotics, drug interactions involved and their rationality in the management of respiratory tract infection. Methods: The study was conducted in 180 RTI patients admitted in Sagar Hospital, Bengaluru. The study was a prospective, observational study. The information collected was based on inpatient case record and documented in the predesigned patient profile form. The data was analyzed and assessed using Micromedex 2.0, Medscape and www.drugs.com. Results: A total of 180 patients were included as per inclusion and exclusion criteria, out of which 98(54.4%) were male and the mean (SD) age of the patients was 58(14.3) years. Majority of patients had hypertension 77(26.22%) as co-morbidity followed by diabetes mellitus 64(21.89%). Among 180 cases, 42(23.33%) cases were diagnosed with URTI in which 7(16.66%) patients had sinusitis, 5(11.9%) had tonsillitis, 8(19.04%) had common cold, 2(4.76%) had pharyngitis and 19(45.23%) had unspecified URTI. In study population 134(74.44%) cases were diagnosed with LRTI in which 7(5.22%) were acute bronchitis, 40(29.85%) were bronchitis, 2(1.49%) were broncholithiasis, 29(21.64%) were pneumonia and 56(41.80) were unspecified LRTI. 4(2.23%) cases were diagnosed with both URTI and LRTI. In current study a total of 322 Antibiotics were prescribed among which most commonly used is Piperacillin+ Tazobactam 88(27.32%) followed by Clarithromycin 52(16.14%). The most offending drug in major, moderate and minor drug interactions was clarithromycin 111(79.28%), clarithromycin 65(51.58%) and Piperacillin + Tazobactam 23(56.09%) respectively. Conclusion: This study concluded the prudent use of antibiotics will diminish the burden of multi-drug resistance and thereby providing better patient management. Key words: Respiratory tract infection, Prescribing pattern, Rational use of antibiotics, Drug interactions.","PeriodicalId":16825,"journal":{"name":"Journal of Pharmacy Practice and Community Medicine","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87555704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicine Expenditure and Trends in National Health Insurance Funds Sudan","authors":"Mousnad Mousnad MA, Palaian Palaian S, Shafie Shafie AA, Mohamed Ibrahim MI","doi":"10.5530/jppcm.2018.3.34","DOIUrl":"https://doi.org/10.5530/jppcm.2018.3.34","url":null,"abstract":"","PeriodicalId":16825,"journal":{"name":"Journal of Pharmacy Practice and Community Medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80601037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitude and Practices of Community, Government and Corporate Sector Pharmacists towards Pharmaceutical Care in Maharashtra","authors":"Sunita Pawar, A. Pawar","doi":"10.5530/JPPCM.2018.3.36","DOIUrl":"https://doi.org/10.5530/JPPCM.2018.3.36","url":null,"abstract":"Background: Pharmacist can directly influence disease management by providing community based Pharmaceutical Care services. Pharmacists must evolve from dispensers to medication management practitioners. Therefore their knowledge, attitude and practices are the key necessities, so that they can work along with physicians to significantly improve the health of the patients. Objective: To assess the Attitude and Practices of Pharmacists regarding Pharmaceutical Care. Methods: This prospective study administered validated Attitude and Practices questionnaire on a sample of 508 pharmacists belonging to government, community and corporate sectors of Pune district in India. The level of attitude and practices towards pharmaceutical care were assessed with simple descriptive analysis and the outcomes from focused group discussion with higher officials from all three sectors. Results: The responses of all participants were significantly low across all components of Pharmaceutical care practices including patient counseling, solving drug related problems, doing interventions, ADR management and informing drug interactions, whereas the attitude to provide these services was found to be very high. From Focused group discussion with officials, it was confirmed that Pharmacists did not practice much patient care services due to barriers like lack of proper education and training of pharmacists, weak implementation of existing laws, inadequate clinical knowledge and lack of recognition of the pharmacy profession by other healthcare professionals. Conclusion: The study concluded that in India, dispensing of medicines still remains as a dominant service provide by all pharmacists and there is very limited practice of Pharmaceutical Care in spite of positive attitude of pharmacists towards it. Key words: Pharmacists, Attitude and practice, Pharmaceutical care, India.","PeriodicalId":16825,"journal":{"name":"Journal of Pharmacy Practice and Community Medicine","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79370735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}