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JAMA Mar 2024
Topics: Consumer Behavior; Pharmacies; Direct-to-Consumer Advertising; Drug Industry
PubMed: 38412063
DOI: 10.1001/jama.2024.2911 -
Health Care Management Science Sep 2023Drug shortages are a global and complex issue having negative impacts on patients, pharmacists, and the broader health care system. Using sales data from 22 Canadian...
Drug shortages are a global and complex issue having negative impacts on patients, pharmacists, and the broader health care system. Using sales data from 22 Canadian pharmacies and historical drug shortage data, we built machine learning models predicting shortages for the majority of the drugs in the most-dispensed interchangeable groups in Canada. When breaking drug shortages into four classes (none, low, medium, high), we were able to correctly predict the shortage class with 69% accuracy and a kappa value of 0.44, one month in advance, without access to any inventory data from drug manufacturers and suppliers. We also predicted 59% of the shortages deemed to be most impactful (given the demand for the drugs and the potential lack of interchangeable options). The models consider many variables, including the average days of a drug supply per patient, the total days of a drug supply, previous shortages, and the hierarchy of drugs within different drug groups and therapeutic classes. Once in production, the models will allow pharmacists to optimize their orders and inventories, and ultimately reduce the impact of drug shortages on their patients and operations.
Topics: Humans; Pharmacies; Canada; Pharmacy Service, Hospital; Pharmacy; Machine Learning
PubMed: 36913071
DOI: 10.1007/s10729-022-09627-y -
American Journal of Health-system... Aug 2022
Topics: Education, Pharmacy; Humans; Pharmaceutical Services; Pharmacies; Pharmacists; Pharmacy; Workforce
PubMed: 35869633
DOI: 10.1093/ajhp/zxac196 -
American Journal of Health-system... Mar 2022
Topics: Humans; Leadership; Pharmaceutical Services; Pharmacies; Pharmacy
PubMed: 34741614
DOI: 10.1093/ajhp/zxab402 -
American Journal of Health-system... Feb 2024
Topics: Humans; Artificial Intelligence; Pharmacy; Pharmaceutical Services; Pharmacies
PubMed: 38141260
DOI: 10.1093/ajhp/zxad316 -
International Journal of Pharmaceutical... 2022Patients' responses to medical treatment vary greatly; while many may benefit from pharmacological therapy, others may suffer from harmful drug reactions or show no...
Patients' responses to medical treatment vary greatly; while many may benefit from pharmacological therapy, others may suffer from harmful drug reactions or show no response at all. To provide an effective individualized care, one must understand the elements that lead to varying patient outcomes and how these factors may interplay in an individual's treatment outcome. Pharmacogenomics is the future of pharmacy, and there is a growing demand for this service. Compounding pharmacies are already at the forefront of meeting patients' unique drug requirements. This gives them the opportunity to provide their patients with more valuable services than only selling drugs dictated by the formula! This article discusses pharmacogenomics as a competitive strategy for compounding pharmacies.
Topics: Humans; Pharmacies; Pharmacogenetics; Pharmacy; Pharmaceutical Services
PubMed: 36445766
DOI: No ID Found -
Pharmacy-Based Infectious Disease Management Programs Incorporating CLIA-Waived Point-of-Care Tests.Journal of Clinical Microbiology Apr 2020There are roughly 48,000 deaths caused by influenza annually and an estimated 200,000 people who have undiagnosed human immunodeficiency virus (HIV). These are examples... (Review)
Review
There are roughly 48,000 deaths caused by influenza annually and an estimated 200,000 people who have undiagnosed human immunodeficiency virus (HIV). These are examples of acute and chronic illnesses that can be identified by employing a CLIA-waived test. Pharmacies across the country have been incorporating CLIA-waived point-of-care tests (POCT) into disease screening and management programs offered in the pharmacy. The rationale behind these programs is discussed. Additionally, a summary of clinical data for some of these programs in the infectious disease arena is provided. Finally, we discuss the future potential for CLIA-waived POCT-based programs in community pharmacies.
Topics: Community Pharmacy Services; Disease Management; Humans; Pharmacies; Pharmacy; Point-of-Care Systems; Point-of-Care Testing
PubMed: 32075903
DOI: 10.1128/JCM.00726-19 -
BMJ Sexual & Reproductive Health Oct 2023Self-managed medical abortions are generally safe; however, pharmacy provision of abortion pills is against the Ghanaian abortion law. Nevertheless, evidence shows...
BACKGROUND
Self-managed medical abortions are generally safe; however, pharmacy provision of abortion pills is against the Ghanaian abortion law. Nevertheless, evidence shows increasing numbers of women use it. An understanding of the influence of the law on pharmacies dispensing abortifacients and women who needed hospital care after using these pills is lacking. This study aimed to address this gap.
METHODS
We conducted 26 interviews with eight pharmacy workers and 18 women who sought hospital care after using abortion pills. Study participants were recruited from private pharmacies and hospitals within the Ashanti Region of Ghana between June 2017 and March 2018. We employed phenomenology in analysing the data.
RESULTS
Results show that criminalising medical abortion care from pharmacies does not stop abortions but rather drives it to be provided without oversight. It also denied pharmacy workers formal training in medical abortion care, resulting in situations where they failed to provide correct dosage information, used their discretion in determining the price of abortifacients and to whom they would dispense the pills. For women, it contributed to limited interaction with providers and an inability to insist on their rights even in instances where the pills were sold at exorbitant prices.
CONCLUSIONS
Due to the increasing numbers of Ghanaian women using medical abortion pills from pharmacies, although it is illegal, the ideal would be for medical abortion pills to be made legally available through pharmacies. Given that this may not occur in the short term, an immediate solution would be to upskill pharmacy workers.
Topics: Pregnancy; Humans; Female; Ghana; Pharmacies; Abortion, Induced; Abortifacient Agents; Pharmacy
PubMed: 36944481
DOI: 10.1136/bmjsrh-2022-201674 -
The Annals of Pharmacotherapy Sep 2020To review specific literature that aimed to predict the future of US pharmacy, beginning in the late 1980s. Articles were identified from searching MEDLINE, CINAHL,...
To review specific literature that aimed to predict the future of US pharmacy, beginning in the late 1980s. Articles were identified from searching MEDLINE, CINAHL, Google Scholar, and references of relevant articles. The following combinations of search terms were used: , , , and . The following inclusion criteria were applied: (1) full-text commentary, review, or original research and (2) focused predominantly on the pharmacy in the United States. Data on predictions for the future of pharmacy were extracted. We selected 3 articles published between 1988 and 2006, with each aiming to project the future for the following decade. We examined each prediction in light of the current knowledge. Educators, practitioners, and other stakeholders should consider reflecting on the changes in pharmacy for the past 3 decades and applying both historical and emerging trends to improve patient care and sustain practice in the third decade of the 21st century and beyond. Most of the predictions for the future of pharmacy from the past 3 decades materialized, with some still in progress (reimbursement for pharmacy services), whereas others manifested in unexpected ways (transition from shortage to excess of pharmacists). Current forces shaping pharmacy include, but are not limited to, growing spending and use of specialty drugs, automation of pharmacy operations, growth of pharmacy in the digital health enterprise, and growing consumer interest in the use of analytical pharmacy that tests drugs before dispensing.
Topics: History, 20th Century; History, 21st Century; Humans; Patient Care; Pharmaceutical Services; Pharmacies; Pharmacists; Pharmacy; United States
PubMed: 32115996
DOI: 10.1177/1060028020911085 -
American Journal of Health-system... Nov 2022
Topics: Humans; Workload; Pharmacy; Pharmacy Service, Hospital; Pharmacies
PubMed: 36179108
DOI: 10.1093/ajhp/zxac265