This study assessed the quality of blood pressure screening services provided by community pharmacies in England. The researchers surveyed 500 pharmacies across England to evaluate the accuracy and calibration status of digital blood pressure monitors used, as well as the overall quality of blood pressure screening services. The results showed that 61% of responding pharmacies provided free blood pressure checks to patients. While most pharmacies used automatic blood pressure monitors, some monitors had failed validation tests or were outdated. The study recommends that pharmacies providing blood pressure screening use validated monitors calibrated annually and maintain accurate service records. If scaled up across England, the screening services could help diagnose over 1 million previously undiagnosed hypertensive patients over 7 years.
Effects of introducing RDTs in drug shops: Findings from a randomised trial i...ACT Consortium
Sian Clarke presents at the European Congress on Tropical Medicine and International Health on behalf of the London School of Hygiene & Tropical Medicine, the Ugandan Ministry of Health and University if Copenhagen.
Improving malaria treatment and control through enhanced diagnostic practiceACT Consortium
Professor David Schellenberg, director of the ACT Consortium, presents at the European Congress on Tropical Medicine and International Health in Basel, Switzerland on 7 September 2015.
Barriers to Recruitment in a Global cUTI Drug Study Case Study Covance
This case study describes the challenges faced and strategies applied to meet or exceed the target dates for studying this new drug and support the advancement of the investigational product.
The document summarizes a comparative analysis of access to orphan medicinal products (OMPs) in the UK, France, Germany, Italy, and Spain. It finds that OMPs have the widest availability in Germany and Italy, where Germany automatically reimburses all authorized OMPs and around 60% are reimbursed in Italy. Germany and France also provide the broadest access overall. The UK mechanisms provide access to less than 50% of authorized OMPs, while Germany provides the quickest access. On average, it takes around 24 months for countries to grant access, but times vary between countries.
ECO 11: Medicines Optimisation Through Precision - Sir Munir PirmohamedInnovation Agency
Munir Pirmohamed discusses the potential impact of medicines optimisation in terms of ensuring the right patients get the right choice if medicine at the right time. He presents a case history of over prescription and introduces three examples of medicines optimisation through use of genetics, big data, and pharmacogenetics profiling.
Effects of introducing RDTs in drug shops: Findings from a randomised trial i...ACT Consortium
Sian Clarke presents at the European Congress on Tropical Medicine and International Health on behalf of the London School of Hygiene & Tropical Medicine, the Ugandan Ministry of Health and University if Copenhagen.
Improving malaria treatment and control through enhanced diagnostic practiceACT Consortium
Professor David Schellenberg, director of the ACT Consortium, presents at the European Congress on Tropical Medicine and International Health in Basel, Switzerland on 7 September 2015.
Barriers to Recruitment in a Global cUTI Drug Study Case Study Covance
This case study describes the challenges faced and strategies applied to meet or exceed the target dates for studying this new drug and support the advancement of the investigational product.
The document summarizes a comparative analysis of access to orphan medicinal products (OMPs) in the UK, France, Germany, Italy, and Spain. It finds that OMPs have the widest availability in Germany and Italy, where Germany automatically reimburses all authorized OMPs and around 60% are reimbursed in Italy. Germany and France also provide the broadest access overall. The UK mechanisms provide access to less than 50% of authorized OMPs, while Germany provides the quickest access. On average, it takes around 24 months for countries to grant access, but times vary between countries.
ECO 11: Medicines Optimisation Through Precision - Sir Munir PirmohamedInnovation Agency
Munir Pirmohamed discusses the potential impact of medicines optimisation in terms of ensuring the right patients get the right choice if medicine at the right time. He presents a case history of over prescription and introduces three examples of medicines optimisation through use of genetics, big data, and pharmacogenetics profiling.
2016 indicator reference guide viral load suppression at 12 months#GOMOJO, INC.
1) This indicator measures the percentage of ART patients with a viral load result documented within the past 12 months. Viral load testing is important for monitoring treatment effectiveness and preventing drug resistance.
2) The numerator is the number of ART patients (adults and children) with a viral load result documented in their medical record within the past 12 months. The denominator is the number of ART patients reviewed whose medical records were examined.
3) Achieving high rates of viral load testing is critical for monitoring treatment outcomes and scaling up HIV treatment programs. Support for viral load testing includes procurement of reagents, transportation of samples, and clinical mentoring at ART sites.
This document discusses medicines optimisation, which aims to identify, intervene, and resolve issues with adverse medication performance, inappropriate prescribing, and non-compliance. The goal is to improve treatment outcomes for patients, improve value for the NHS, and ensure optimal and safe treatment based on evidence. Pharmacists can contribute by ensuring safe prescribing adheres to best practices, assessing drug histories for issues like polypharmacy, optimizing drug therapy, providing medication education, and coordinating information for patients. A case study examines a high-risk elderly patient taking multiple medications and proposes recommendations like reviewing medications like diuretics and shorter-acting benzodiazepines to reduce falls risk.
A study analyzed data from over 2.8 million patients in 885 hospitals to determine if clinical pharmacy services and staffing levels were associated with lower mortality rates. The study found that 7 clinical pharmacy services were linked to reduced mortality, including pharmacist involvement in drug use evaluation, education, adverse drug reaction management, and medical rounds. Higher numbers of pharmacy administrators and clinical pharmacists per occupied bed were also associated with lower mortality. The number of clinical pharmacy factors impacting mortality doubled from 1989 to 1998, indicating the important role of clinical pharmacy in improving patient outcomes.
Breakout 4. 2 Benefits of implementing medicines optimisation in a COPD and a...NHS Improvement
The Victoria practice participated in a program to improve management of COPD and asthma patients through a patient-centered service focusing on motivational interviewing, adherence, inhaler technique, evidence-based prescribing, and regular reviews. The pharmacist-led asthma and COPD clinic aimed to optimize prescribing through 30-minute appointments to understand patients' medication use and encourage behavior change. Results showed a reduction in respiratory prescribing costs, improved COPD and asthma control scores, and lower exacerbation rates through a medicines optimization approach.
More than 200 million medication errors occur in NHS per year, now there’s a way to improve dispensing accuracy, reduce administration errors and improve adherence at the same time.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
This document discusses a feasibility study examining whether decisions by the UK's National Institute for Health and Care Excellence (NICE) influence decisions by health technology assessment bodies in other countries. The study analyzed 29 drug-indication pairs assessed by NICE and other countries' HTAs. The results suggest NICE decisions are related to subsequent HTAs in other countries. Drugs without positive NICE recommendations had a higher probability of being not recommended by other HTAs. Additionally, the number of fully reimbursed drugs was higher before versus after NICE assessment. The consideration of NICE decisions may increase the likelihood of other HTAs issuing negative decisions. However, the small sample size means results must be interpreted cautiously and more research is needed.
Answering key questions on malaria drug delivery: 8 years of researchACT Consortium
Presentation by David Schellenberg
Director, ACT Consortium
Professor of Malaria & International Health at London School of Hygiene & Tropical Medicine
Client satisfaction is a multidimensional construct that reflects the quality of service provided by healthcare providers. The objective of this study was to develop a client satisfaction scale that could be used to assess the quality of pharmacy services provided in Boru media hospital community and hospital pharmacy in respect of client perception of specific aspects of service performance.
The Nursing Care Journal invites all aspects related to the Nursing and Health Care Journal.
This is rapid peer review process which accepts high quality manuscripts.
This study explored barriers to implementing pharmaceutical care in UAE community pharmacies through surveys of 357 pharmacists. The main barriers identified were lack of time (64.7%), insufficient staff (61.9%), and lack of motivation (61.1%). Barriers varied somewhat between emirates. For example, in Abu Dhabi and Dubai, lack of time due to high workload was a major issue. In Sharjah, lack of patient information was cited, while lack of motivation was key in Ajman. Pharmacists expressed willingness to adopt pharmaceutical care but recognized significant obstacles. Addressing barriers like time constraints, understaffing, and lack of resources may help enable pharmacists to expand their role in patient care.
This document discusses scenario-building methods to define the future of clinical evidence requirements in the US drug development and healthcare systems. It identifies key factors like integration of health systems, use of big data, and patient roles that could impact clinical evidence requirements. Three potential scenarios are described ranging from a status quo system to a fully integrated system. The "moderate integration" scenario is deemed most likely, featuring some increased system integration, standardized electronic health records, growing big data opportunities, and more organized patient groups. Accountable care organizations are also examined, finding they may evaluate drug effectiveness and cost-effectiveness as risk-based payments increase and care pathways are established.
Hugh Gravelle: The impact of care quality on patient choiceNuffield Trust
Patients in England are more likely to choose general practices with higher clinical quality as measured by Quality and Outcomes Framework (QOF) points. A 1 standard deviation increase in QOF points is associated with a 20% increase in demand for a practice. While the effect of quality on an individual's choice is small, the large number of potential patients means quality has a large effect on total demand for a practice. Quality is the main driver of choice, more so than distance, practice characteristics, or patient attributes. This provides incentive for practices to improve quality to attract more patients.
Interventions to change providers' practice in cameroon h hopkinsACT Consortium
Presentation by Heidi Hopkins
Cross-cutting analysis Lead, ACT Consortium
Senior Lecturer in Malaria & Diagnostics at London School of Hygiene & Tropical Medicine
This document discusses a new drug development paradigm (NDDP) that aims to improve the efficiency and effectiveness of clinical drug development. It outlines several proposals that call for reforming the current drug development model, including using more modeling, adaptive trial designs, and integrating clinical trials into healthcare delivery systems. The NDDP proposes a more flexible framework with early patient/payer engagement, exploratory and confirmatory research phases using modern trial designs, and post-approval studies to establish relative value. Challenges for industry include conducting large simple trials, partnering to support more efficient trials, and having a clear evidentiary strategy tailored to different drug archetypes.
SVMPharma Real World Evidence – Real World Evidence as a driver of HTA approv...SVMPharma Limited
SVMPharma Real World Evidence (RWE) – In this article we examine the benefits of RWE in support of HTA submissions and re-submissions, and ask whether RWE is something you can afford to pass up. For more resources RWE visit us at svmpharma.com
This document discusses the clinical research environment and opportunities in Asia, specifically Taiwan. It notes that Asia is now the fastest growing market for drug development and offers the lowest costs for clinical trials worldwide. Taiwan has a strong clinical research environment supported by English medical documentation and an improving regulatory system. The large and diverse patient populations in Asia also provide significant opportunities for patient recruitment into clinical trials. Overall, Asia and countries like Taiwan, South Korea, and China present advantages for clinical research including lower costs and large patient pools that make them attractive locations for global drug companies to conduct clinical trials.
Medicines optimisation, pop up uni, 9am, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
The document discusses the potential benefits of including clinical pharmacists as active members of medical teams in drug registration clinical trials. It notes that clinical pharmacist involvement in regular medical care has been shown to improve certain clinical outcomes. However, clinical pharmacists are not currently required to have an active role in registration trials, which aim to obtain the best clinical results to ensure drug safety and efficacy. The inclusion of clinical pharmacists in registration trials could help rationalize decision making and potentially improve trial results by reducing issues like undetected toxicity or suboptimal drug selection that cause patients to leave trials early. For these reasons, the document argues that regulatory agencies should require clinical pharmacist participation in new clinical trials.
Podium Presentation Midwest Social and Administrative Conference,Chicago,2008aramasa3
The document describes a study that developed and tested a survey instrument to measure patient satisfaction with pharmacy services among HIV-infected patients receiving care from either a mail-order or community pharmacy. Exploratory factor analysis established the construct validity of the survey and showed two key factors. Reliability testing found high internal consistency. The survey can be used to compare patient satisfaction across different pharmacy settings and inform efforts to improve patient-reported outcomes.
The document summarizes 5 studies on adverse drug reaction (ADR) reporting rates among healthcare professionals. A retrospective study found an ADR reporting rate of 57.14% among ICU patients. A questionnaire revealed barriers to reporting like lack of training and awareness. Healthcare professionals were then educated on ADR reporting. A prospective study post-education found an increased ADR reporting rate of 72.72%, indicating education improved reporting. The document concludes education is needed to enhance pharmacovigilance among healthcare professionals.
2016 indicator reference guide viral load suppression at 12 months#GOMOJO, INC.
1) This indicator measures the percentage of ART patients with a viral load result documented within the past 12 months. Viral load testing is important for monitoring treatment effectiveness and preventing drug resistance.
2) The numerator is the number of ART patients (adults and children) with a viral load result documented in their medical record within the past 12 months. The denominator is the number of ART patients reviewed whose medical records were examined.
3) Achieving high rates of viral load testing is critical for monitoring treatment outcomes and scaling up HIV treatment programs. Support for viral load testing includes procurement of reagents, transportation of samples, and clinical mentoring at ART sites.
This document discusses medicines optimisation, which aims to identify, intervene, and resolve issues with adverse medication performance, inappropriate prescribing, and non-compliance. The goal is to improve treatment outcomes for patients, improve value for the NHS, and ensure optimal and safe treatment based on evidence. Pharmacists can contribute by ensuring safe prescribing adheres to best practices, assessing drug histories for issues like polypharmacy, optimizing drug therapy, providing medication education, and coordinating information for patients. A case study examines a high-risk elderly patient taking multiple medications and proposes recommendations like reviewing medications like diuretics and shorter-acting benzodiazepines to reduce falls risk.
A study analyzed data from over 2.8 million patients in 885 hospitals to determine if clinical pharmacy services and staffing levels were associated with lower mortality rates. The study found that 7 clinical pharmacy services were linked to reduced mortality, including pharmacist involvement in drug use evaluation, education, adverse drug reaction management, and medical rounds. Higher numbers of pharmacy administrators and clinical pharmacists per occupied bed were also associated with lower mortality. The number of clinical pharmacy factors impacting mortality doubled from 1989 to 1998, indicating the important role of clinical pharmacy in improving patient outcomes.
Breakout 4. 2 Benefits of implementing medicines optimisation in a COPD and a...NHS Improvement
The Victoria practice participated in a program to improve management of COPD and asthma patients through a patient-centered service focusing on motivational interviewing, adherence, inhaler technique, evidence-based prescribing, and regular reviews. The pharmacist-led asthma and COPD clinic aimed to optimize prescribing through 30-minute appointments to understand patients' medication use and encourage behavior change. Results showed a reduction in respiratory prescribing costs, improved COPD and asthma control scores, and lower exacerbation rates through a medicines optimization approach.
More than 200 million medication errors occur in NHS per year, now there’s a way to improve dispensing accuracy, reduce administration errors and improve adherence at the same time.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
This document discusses a feasibility study examining whether decisions by the UK's National Institute for Health and Care Excellence (NICE) influence decisions by health technology assessment bodies in other countries. The study analyzed 29 drug-indication pairs assessed by NICE and other countries' HTAs. The results suggest NICE decisions are related to subsequent HTAs in other countries. Drugs without positive NICE recommendations had a higher probability of being not recommended by other HTAs. Additionally, the number of fully reimbursed drugs was higher before versus after NICE assessment. The consideration of NICE decisions may increase the likelihood of other HTAs issuing negative decisions. However, the small sample size means results must be interpreted cautiously and more research is needed.
Answering key questions on malaria drug delivery: 8 years of researchACT Consortium
Presentation by David Schellenberg
Director, ACT Consortium
Professor of Malaria & International Health at London School of Hygiene & Tropical Medicine
Client satisfaction is a multidimensional construct that reflects the quality of service provided by healthcare providers. The objective of this study was to develop a client satisfaction scale that could be used to assess the quality of pharmacy services provided in Boru media hospital community and hospital pharmacy in respect of client perception of specific aspects of service performance.
The Nursing Care Journal invites all aspects related to the Nursing and Health Care Journal.
This is rapid peer review process which accepts high quality manuscripts.
This study explored barriers to implementing pharmaceutical care in UAE community pharmacies through surveys of 357 pharmacists. The main barriers identified were lack of time (64.7%), insufficient staff (61.9%), and lack of motivation (61.1%). Barriers varied somewhat between emirates. For example, in Abu Dhabi and Dubai, lack of time due to high workload was a major issue. In Sharjah, lack of patient information was cited, while lack of motivation was key in Ajman. Pharmacists expressed willingness to adopt pharmaceutical care but recognized significant obstacles. Addressing barriers like time constraints, understaffing, and lack of resources may help enable pharmacists to expand their role in patient care.
This document discusses scenario-building methods to define the future of clinical evidence requirements in the US drug development and healthcare systems. It identifies key factors like integration of health systems, use of big data, and patient roles that could impact clinical evidence requirements. Three potential scenarios are described ranging from a status quo system to a fully integrated system. The "moderate integration" scenario is deemed most likely, featuring some increased system integration, standardized electronic health records, growing big data opportunities, and more organized patient groups. Accountable care organizations are also examined, finding they may evaluate drug effectiveness and cost-effectiveness as risk-based payments increase and care pathways are established.
Hugh Gravelle: The impact of care quality on patient choiceNuffield Trust
Patients in England are more likely to choose general practices with higher clinical quality as measured by Quality and Outcomes Framework (QOF) points. A 1 standard deviation increase in QOF points is associated with a 20% increase in demand for a practice. While the effect of quality on an individual's choice is small, the large number of potential patients means quality has a large effect on total demand for a practice. Quality is the main driver of choice, more so than distance, practice characteristics, or patient attributes. This provides incentive for practices to improve quality to attract more patients.
Interventions to change providers' practice in cameroon h hopkinsACT Consortium
Presentation by Heidi Hopkins
Cross-cutting analysis Lead, ACT Consortium
Senior Lecturer in Malaria & Diagnostics at London School of Hygiene & Tropical Medicine
This document discusses a new drug development paradigm (NDDP) that aims to improve the efficiency and effectiveness of clinical drug development. It outlines several proposals that call for reforming the current drug development model, including using more modeling, adaptive trial designs, and integrating clinical trials into healthcare delivery systems. The NDDP proposes a more flexible framework with early patient/payer engagement, exploratory and confirmatory research phases using modern trial designs, and post-approval studies to establish relative value. Challenges for industry include conducting large simple trials, partnering to support more efficient trials, and having a clear evidentiary strategy tailored to different drug archetypes.
SVMPharma Real World Evidence – Real World Evidence as a driver of HTA approv...SVMPharma Limited
SVMPharma Real World Evidence (RWE) – In this article we examine the benefits of RWE in support of HTA submissions and re-submissions, and ask whether RWE is something you can afford to pass up. For more resources RWE visit us at svmpharma.com
This document discusses the clinical research environment and opportunities in Asia, specifically Taiwan. It notes that Asia is now the fastest growing market for drug development and offers the lowest costs for clinical trials worldwide. Taiwan has a strong clinical research environment supported by English medical documentation and an improving regulatory system. The large and diverse patient populations in Asia also provide significant opportunities for patient recruitment into clinical trials. Overall, Asia and countries like Taiwan, South Korea, and China present advantages for clinical research including lower costs and large patient pools that make them attractive locations for global drug companies to conduct clinical trials.
Medicines optimisation, pop up uni, 9am, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
The document discusses the potential benefits of including clinical pharmacists as active members of medical teams in drug registration clinical trials. It notes that clinical pharmacist involvement in regular medical care has been shown to improve certain clinical outcomes. However, clinical pharmacists are not currently required to have an active role in registration trials, which aim to obtain the best clinical results to ensure drug safety and efficacy. The inclusion of clinical pharmacists in registration trials could help rationalize decision making and potentially improve trial results by reducing issues like undetected toxicity or suboptimal drug selection that cause patients to leave trials early. For these reasons, the document argues that regulatory agencies should require clinical pharmacist participation in new clinical trials.
Editorial clinical pharmacist active role in registrative clinical trials m.l...
Similar to Quality evaluation of community pharmacy blood pressure (BP) screening services: an English cross-sectional survey with geospatial analysis.
Podium Presentation Midwest Social and Administrative Conference,Chicago,2008aramasa3
The document describes a study that developed and tested a survey instrument to measure patient satisfaction with pharmacy services among HIV-infected patients receiving care from either a mail-order or community pharmacy. Exploratory factor analysis established the construct validity of the survey and showed two key factors. Reliability testing found high internal consistency. The survey can be used to compare patient satisfaction across different pharmacy settings and inform efforts to improve patient-reported outcomes.
The document summarizes 5 studies on adverse drug reaction (ADR) reporting rates among healthcare professionals. A retrospective study found an ADR reporting rate of 57.14% among ICU patients. A questionnaire revealed barriers to reporting like lack of training and awareness. Healthcare professionals were then educated on ADR reporting. A prospective study post-education found an increased ADR reporting rate of 72.72%, indicating education improved reporting. The document concludes education is needed to enhance pharmacovigilance among healthcare professionals.
Population Health Approach for Diabetic Patients with Poor A1c ControlPhytel
New clinical research from The American Journal of Managed Care is available on the benefits of a population health approach for diabetes care. The peer-reviewed findings underline the importance of proactive health management for all patients, not just those with already high A1c levels.
This study evaluated the perceptions of general practitioners (GPs) and community pharmacists (CPs) in Penang, Malaysia towards consumer reporting of Adverse Drug Reactions (ADRs). A survey was sent to 192 CPs and 400 GPs, with a response rate of 18%. The majority of respondents agreed that consumer reporting would add benefits to existing pharmacovigilance programs and increase knowledge of ADRs. However, many respondents doubted consumers' ability to write valid reports similar to healthcare professionals and believed more consumer education was needed. The study concluded that while respondents recognized the importance of consumer reporting, barriers around consumers' reporting abilities need to be addressed through increased education by media and non-governmental organizations.
Predicting Patient Adherence: Why and HowCognizant
To contain costs and improve healthcare outcomes, players across the value chain must apply advanced analytics to measure and understand patients’ failure to follow treatment therapies, and to then determine effective remedial action. This white paper lays out a framework for enabling patient adherence management and some general prescriptions on how to convert lofty concepts to meaningful action.
This document summarizes the results of a study that assessed whether increased cancer screening rates observed after implementing a clinic intervention called Cancer Screening Office Systems (Cancer SOS) were maintained after 24 months when clinics were expected to sustain the intervention without external support. The study found that at 24 months of follow-up, patients who received the intervention had received more cancer screening tests on average compared to the control group. Specifically, the intervention slightly increased rates of mammography screening but did not significantly impact rates of fecal occult blood tests or Pap smears compared to the control group. The effects on screening rates were more modest at 24 months compared to results seen at 12 months, indicating the effects of the intervention had diminished over time.
The document discusses barriers and solutions to adopting diagnostic technologies in healthcare. It provides examples of diagnostic technologies that have been successfully adopted in the UK, such as Coaguchek for INR testing and faecal calprotectin testing. Both faced initial barriers but were able to demonstrate benefits like improved patient outcomes and efficiency. The document outlines tips for implementing diagnostics, such as collecting baseline data, gaining stakeholder support, and clearly defining the patient pathway and expected impact. Overall it advocates that diagnostic technologies can help address gaps in healthcare if barriers are overcome and benefits are demonstrated.
Where is Real World Evidence? Finding sources for the outcomes that matterSVMPharma Limited
SVMPharma Real World Evidence (RWE) – In this article we examine the conventional sources of RWD and also evaluate their strengths and weaknesses, and when you may consider utilising each data source for RWE. For more resources on RWE visit us at www.svmpharma.com
Presentation for UP MSHI HI201 Health Informatics class under Dr. Iris Tan and Dr. Mike Muin. Check out my blog - http://jdonsoriano.wordpress.com/2014/10/09/fitting-the-pi…making-it-work/
The Conference Board of Canada - Tuesday, April 11, 2017 - Toronto, ON
"Leveraging Change Leadership: Driving Innovation Procurement Forward"
Presentació a càrrec de Antoni Gilabert, director de l'àrea de Farmàcia i del Medicament del CSC
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Re-establishing autonomy in elderly frail patients, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Richard Mendelsohn- Beyond 2010: SMART Living Paneleventwithme
The document discusses a digitally enabled citizen program called Birmingham OwnHealth that aims to improve health outcomes for those with chronic diseases. The program provides personalized care plans, information prescriptions, and support for self-management through telehealth and care managers. Initial outcomes include reductions in avoidable hospitalizations and emergency visits, as well as improvements in clinical metrics like HbA1c and blood pressure. An independent university study found participants in the program experienced greater reductions in these measures compared to controls.
- Cardiovascular disease is the leading cause of death in Canada, and high blood pressure is the number one modifiable risk factor. However, many Canadians are unaware they have high blood pressure or it is not adequately controlled.
- The document outlines a strategy to improve hypertension management in Canada through initiatives targeted at primary healthcare providers and patients. It involves developing and testing education and management tools.
- An evaluation of the initial pilot phase found improvements in screening, diagnosis and control of high blood pressure among participating providers and patients compared to non-participants. Most providers also reported the strategy was effective and positively impacted their management of hypertensive patients.
The AHSN Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Reducing Problematic Polypharmacy in Haringey Care Homes, can be viewed here.
For more information about the polypharmacy programme, please visit https://www.ahsnnetwork.com/programmes/medicines/polypharmacy/
MicroGuide app, pop up uni, 1pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
NACCHO 2018 National Conference – Project Reference Group MeetingNACCHOpresentations
The document summarizes an ongoing project called IPAC that aims to integrate pharmacists within Aboriginal Community Controlled Health Services (ACCHS) to improve chronic disease management. The project is a collaboration between NACCHO, PSA, and JCU. It involves placing pharmacists at 22 ACCHS sites across Australia to provide services like medication reviews and education. Initial data shows over 150 patients enrolled with various services provided. The project aims to measure improvements in health outcomes, prescribing, and cost-effectiveness through 2021.
The document summarizes a study that evaluated the perceptions of general practitioners (GPs) and community pharmacists (CPs) in Penang, Malaysia towards consumer reporting of adverse drug reactions (ADRs). A survey was distributed to 192 CPs and 400 GPs, with a response rate of 18%. The study found that while the healthcare professionals were aware of the importance and potential benefits of consumer reporting, many doubted consumers' ability to write valid reports similar to healthcare professionals and believed more consumer education was needed. Most respondents agreed consumer reporting could add value if implemented properly.
This study compared information on medication use and drug-related problems (DRPs) obtained via a patient questionnaire versus a patient interview. 97 patients aged 65+ years with polypharmacy or geriatric problems completed the questionnaire and were then interviewed. There was 87.6% agreement between the questionnaire and interview for reported medications. More medications and DRPs were reported in interviews than questionnaires. Agreement on complete medication lists was 45.4% of patients. Vulnerable patients with many chronic diseases or medications showed lower agreement. The questionnaire provided reasonably similar but not identical information as interviews and may be suitable for medication reviews in most patients.
Similar to Quality evaluation of community pharmacy blood pressure (BP) screening services: an English cross-sectional survey with geospatial analysis. (20)
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Quality evaluation of community pharmacy blood pressure (BP) screening services: an English cross-sectional survey with geospatial analysis.
1. Quality evaluation of community pharmacy blood pressure (BP)
screening services: an English cross-sectional survey with
geospatial analysis.1
Authors: Ravina Barrett1,2, James Hodgkinson3
1School of Pharmacy and Biomolecular Sciences, University of Brighton, Brighton, UK
2School of Pharmacy and Biomedical Sciences, University of Portsmouth, Portsmouth, UK
3Institute of Applied Health Research, University of Birmingham, Birmingham, UK
Strengths and limitations
►We invited pharmacists from 500 pharmacies across England to complete a survey.
►We mailed our survey with a single follow-up of non-responders (Sept to Dec 2018).
►Postcodes of pharmacies were linked with freely available data on Index of Multiple Deprivation (IMD) scores, which
provides an estimate of the socioeconomic deprivation of the practice population.
►The interactive application helps to visualise the data easily: https://arcg.is/1jrevP
Objectives
The primary objective of this
study was to assess the
accuracy (calibration and
validation status) of digital BP
monitors.
Secondary objectives were
to assess the overall quality of
the BP service.
Methods
Participants and recruitment: We invited 500 pharmacies across England.
Inclusion criteria: Pharmacies that contribute to the NHS Business
Services Authority dispensing data. Included pharmacists or support staff .
Exclusion criteria: Pharmacies that are not NHS contractors, other
settings that offer BP monitoring (e.g., hospitals, GP surgeries, walk-in
centres). Questionnaire: The questionnaire was composed of items
relating to demographics, BP service provision and how it is delivered,
blood pressure monitor details, associated training, visual or manual
checks performed on monitors and instructions given to patients. It took
less than 10 minutes to complete the final survey.
Data analysis: Analyses were undertaken using SPSS The results
presented are descriptive, presented as proportions, correlational analysis
and independent sample tests. Missing data are presented.
Ethical approval: We sought and received favourable approvals (University of
Portsmouth, Science Faculty Ethics Committee (Reference Number: SFEC 2018-061, Date Submitted:
31 May 2018)). No financial (or similar) benefits were offered to minimise
biassed responses.
Recommendations
Specifically we recommend that pharmacies providing this service:
(1) Use validated BP monitors, calibrated at 1 yearly intervals;
(2) Maintain audited records incorporating monitor details, service history and use
frequency;
(3) Stock at least three cuff sizes;
(4) Train service staff to quality standards both in a theoretical-based and
competency-based framework, which is accredited.
Results
In total, 109 responses (21.8% response rate) were received. 61% (n=66) of responding
pharmacies provided a free BP check to their patients. Service providers employed more
full-time pharmacists and were less likely to be co-located in GP practices.
Calibration, validation, cuff sizes, maintenance intervals.
Overwhelmingly pharmacies (97%; n=61) reported using an automatic BP monitor during
BP screening.
Twenty-five (43%) respondents were given their monitor by head office, 16 (28%) used a
monitor that was convenient for them, seven (12%) had done some brand research, five
(9%) identified their monitor as being “accredited”, and five (9%) were influenced by
advertisement.
Further to this, 61 respondents provided a monitor’s brand, 50 provided a model number
and 53 provided a batch number. We used the dabl®Educational Trust and the British and
Irish Hypertension Society (BIHS) website to check their validation status.
Forty (61%) pharmacies used recommended validated clinical meters, 6 (9%) monitors
had failed validation, and 20 (30%) respondents provided too little information to enable
us to determine their monitor’s status. One monitor was validated but listed as
discontinued by dabl® and archived by BIHS, which makes its continued use
questionable.
Though some shops had several cuff sizes in use, 23 (46%) just had one cuff size.
Regarding length of monitor time in use, 43 valid responses were received. Dates ranged
from 14/07/2005 to 01/09/2018. From this, we calculated length of time in service: 10
responders had their monitor in use between 0-1 year, 14 had their monitor in use
between 1-2 years, 12 had had their monitor in use between 2-5 years, six had had their
monitor in use between 5-10 years, and one had their monitor in use over 10 years.
Respondents replaced their BP monitor at different intervals; one person (2%) said they
replaced six monthly, eight (13%) said annually, 26 (41%) said two yearly, 19 (30%) said
the meter had not been replaced and nine (14%) said other (3 missing).
We also asked if respondents sent their monitor for calibration. Three (5%) sent it back to
the manufacturer, 13 (20%) sent it back to head office, and 44 (67%) did not send their
monitor for calibration (6 missing). This demonstrates that community pharmacies to
some extent replace the monitor rather than get it calibrated relying on monitors
warranty status.
Black star are
responders.
Blue dot are 66
service
providers.
Orange dot
represents
pharmacies that
screened 100+
members of the
public in the last
year.
Purple dot
represent
pharmacies that
screened members
of the public newly
detected with
hypertension in the
last month.
Conclusion
This rate of screening conservatively detected 1 to 2 undiagnosed hypertensive
patients monthly per service provider. If these estimates are scaled-up for
England and annualized across the 11,619 pharmacies in England, assuming a
60% service provision rate, it would represent detection of an additional 83,657
to 167,314 undiagnosed hypertensives, identifying 2% of the total undiagnosed
hypertensive English population. In seven years, in its current state, the service
could help diagnose 1.185 million people saving the NHS £120 million.
References
1: Barrett R, Hodgkinson J. Quality evaluation of community pharmacy blood pressure (BP) screening services: an English cross-sectional survey with geospatial analysis. BMJ Open. 2019 Dec 11;9(12):e032342. doi:10.1136/bmjopen-2019-032342. PubMed
PMID: 31831543; PubMed Central PMCID: PMC6924779.
Background
Hypertension-related appointments make up almost one in 10 of all GP consultations
each year. With the workload of GPs thought to be nearing saturation point, alternative
models of hypertension management such as pharmacist-led care have the potential to
alleviate this increasing burden on primary healthcare systems. Evidence from
systematic reviews shows that such interventions can significantly reduce blood
pressure compared with usual GP care.
This Photo by Unknown author is licensed under CC BY.
Editor's Notes
Background
Hypertension-related appointments make up almost one in 10 of all GP consultations each year. With the workload of GPs thought to be nearing saturation point, alternative models of hypertension management such as pharmacist-led care have the potential to alleviate this increasing burden on primary healthcare systems. Evidence from systematic reviews shows that such interventions can significantly reduce blood pressure compared with usual GP care. To explore the potential of implementing extended pharmacist roles in the management of hypertension in community settings, it is essential to describe current practice.
Objectives: The primary objective of this study was to assess the accuracy (calibration and validation status) of digital BP monitors.
Secondary objectives were to assess the overall quality of the BP service. Secondary objectives were assessed by ascertaining prevalence of service provision, level of service utilisation, quality of service (how the monitor make and model was chosen, length of time in service, care and maintenance including calibration history, visual or physical checks before each use, instructions provided to patients before taking measurements, available cuff sizes, relevant staff training) and estimated number of patients newly detected with hypertension. We also aimed to use this data to examine its association with geospatial location, dispensing data and IMD score.
Methods
Participants and recruitment: We invited 500 pharmacies across England. Inclusion criteria: Pharmacies that contribute to the NHS Business Services Authority dispensing data. Included pharmacists or support staff working in community pharmacy. Exclusion criteria: Pharmacies that are not NHS contractors, other settings that offer BP monitoring (e.g., hospitals, GP surgeries, walk-in centres). Questionnaire: The questionnaire was composed of items relating to demographics, BP service provision and how it is delivered, blood pressure monitor details, associated training, visual or manual checks performed on monitors and instructions given to patients. Survey Refinement was achieved with a research-team focus-group with contribution from experts at the research design service provided by the National Institute for Health Research. It took less than 10 minutes to complete the final survey. Data analysis: Analyses were undertaken using SPSS The results presented are descriptive, presented as proportions, correlational analysis and independent sample tests. Missing data are presented. We sought and received favourable ethical approval (University of Portsmouth, Science Faculty Ethics Committee (Reference Number: SFEC 2018-061, Date Submitted: 31 May 2018)). No financial (or similar) benefits were offered to minimise biassed responses.
Results
In total, 109 responses (21.8% response rate) were received, satisfying sample calculation needs. 61% (n=66) of responding pharmacies provided a free BP check to their patients. Service providers employed more full time pharmacists and were less likely to be co-located in GP practices. Pharmacists tended to lead the service delivery and tended to be more experienced.
Calibration, validation, cuff sizes, maintenance intervals.
Overwhelmingly pharmacies (97%; n=61) reported using an automatic BP monitor during BP screening. All measured BP at the upper arm.
Twenty-five (43%) respondents were given their monitor by head office, 16 (28%) used a monitor that was convenient for them, seven (12%) had done some brand research, five (9%) identified their monitor as being “accredited”, and five (9%) were influenced by advertisement.
Further to this, 61 respondents provided a monitor’s brand, 50 provided a model number and 53 provided a batch number. We used the dabl®Educational Trust and the British and Irish Hypertension Society (BIHS) website to check their validation status.
Forty (61%) pharmacies used recommended validated clinical meters, 6 (9%) monitors had failed validation, and 20 (30%) respondents provided too little information to enable us to determine their monitor’s status. One monitor was validated but listed as discontinued by dabl® and archived by BIHS, which makes its continued use questionable.
Though some shops had several cuff sizes in use, 23 (46%) just had one cuff size.
Regarding length of monitor time in use, 43 valid responses were received. Dates ranged from 14/07/2005 to 01/09/2018. From this, we calculated length of time in service: 10 responders had their monitor in use between 0-1 year, 14 had their monitor in use between 1-2 years, 12 had had their monitor in use between 2-5 years, six had had their monitor in use between 5-10 years, and one had their monitor in use over 10 years.
Respondents replaced their BP monitor at different intervals; one person (2%) said they replaced six monthly, eight (13%) said annually, 26 (41%) said two yearly, 19 (30%) said the meter had not been replaced and nine (14%) said other (3 missing). We also asked if respondents sent their monitor for calibration. Three (5%) sent it back to the manufacturer, 13 (20%) sent it back to head office, and 44 (67%) did not send their monitor for calibration (6 missing). This demonstrates that community pharmacies to some extent replace the monitor rather than get it calibrated relying on monitors warranty status.
Deprivation.
Pharmacies in all deciles responded, with relatively even distribution per decile.
We found higher frequency of BP screening by community pharmacy providers in the most deprived postcodes, though this is not statistically significant reflecting small sample size. Service utilization was approximately even. Respondents in less deprived areas were slightly more likely to have a validated monitor, though again this is not statistically significant. Calibration rates and length of time in service of monitors show limited relationship to deprivation of surrounding area. Provision of the service was linked to lower income rank (F=4.029, p= 0.047) and lower employment rank (F=4.651, p= 0.033).
Conclusion
This rate of screening conservatively detected 1 to 2 undiagnosed hypertensive patients monthly per service provider. If these estimates are scaled-up for England and annualized across the 11,619 pharmacies in England, assuming a 60% service provision rate, it would represent detection of an additional 83,657 to 167,314 undiagnosed hypertensives, identifying 2% of the total undiagnosed hypertensive English population. In seven years, in its current state, the service could help diagnose 1.185 million people saving the NHS £120 million.
Recommendations
We recommend in-service redesign and delivery improvements, and suggest professional bodies and researchers work together to create clearer frameworks for front-line practitioners, creating appropriate incentives to facilitate this service redesign. Specifically we recommend that pharmacies providing this service: (1) Use validated BP monitors, calibrated at 1 yearly intervals; (2) Maintain audited records incorporating monitor details, service history and use frequency; (3) Stock at least three cuff sizes; (4) Train service staff to quality standards both in a theoretical-based and competency-based framework, which is accredited.
Further work
Further research needs to be conducted to demonstrate the sufficiency of these measures, which once achieved, could be a nationally commissioned service. Ongoing analysis of this work needs to consider local area deprivation status with priority given to these service providers.