Download or read book Effectiveness of Pharmacist Interventions in the Self Management of Asthma in the Community Setting written by Ming-Wai Lau and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Effectiveness of Pharmacist Interventions in the Self Management of Asthma in the Community Setting: a Systematic Review" by Ming-wai, Lau, 劉明偉, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background: Asthma is a global health problem affecting people of all ages. Despite huge progress on the management of asthma in recent decades, suboptimal health outcomes associated with under-management is still commonly encountered. Self management was shown to be a both clinically and cost effective approach to improve asthma outcomes in some studies. The role of pharmacists in promoting self management of asthma was explored in individual studies but limited review was conducted to assess its effectiveness. Objective: To investigate the effectiveness of pharmacist interventions on the self management of asthma patients in the community setting and to examine if the benefits, if any, could be realized by implementing such interventions in Hong Kong. Methods: A systematic search was conducted on Medline, Embase, Pubmed and Cochrane Library without time limit to identify studies assessing the clinical, humanistic and economic outcomes of pharmacist-led self management interventions towards adolescent or adult patients with asthma compared to usual care. Risk of bias of studies was appraised using a tool adapted from the Effective Practice of Organization of Care version of the Cochrane Risk of Bias Tool. Results: The search yielded 504 studies of which eight studies were eligible for inclusion. The included studies involved 1674 patients, were published between 2001 and 2008 and were originated from seven countries. Discrepancies of findings were noted in the majority of outcome measures reviewed. Significant benefits of pharmacist interventions included improvement of inhalation technique and reduction of rescue medication use although no significant effect was observed with regard to forced expiratory volume in one second and days lost from work or school. Conclusions: The evidence of pharmacist interventions on the self management of asthma remains inconsistent, probably attributable to variable quality of studies and heterogeneous assessment methods and outcome measures. Future research should aim to produce randomized, controlled studies incorporating allocation concealment with a follow-up period of over one year. Nevertheless, pharmacist-led asthma self management initiatives could be implemented at the general outpatient clinic setting in Hong Kong to further improve the quality of primary care. DOI: 10.5353/th_b5098646 Subjects: Asthma - Treatment
Download or read book Effectiveness of Pharmacist Interventions in the Self Management of Asthma in the Community Setting written by 劉明偉 and published by . This book was released on 2013 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Asthma Therapy written by Peter Barnes and published by CRC Press. This book was released on 1998-10-01 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text gives a comprehensive discussion of the range of treatments available in asthma therapy and aims to provide a reference manual for both the specialist and trainee in respiratory medicine.
Download or read book Evidence Helping people help themselves written by Debra de Silva and published by The Health Foundation. This book was released on 2011 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Self Management for Long Term Conditions written by Sara Corben and published by . This book was released on 2010-02 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A review of UK health research funding written by David Sir Cooksey and published by The Stationery Office. This book was released on 2006-12-06 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Review sets out to propose a structure for the funding arrangements for the whole spectrum of health research, with the objective of obtaining the maximum benefit from research success and, where possible, eliminating duplication of effort. The Review found, however, that the UK is at risk of failing to reap the full economic, health and social benefits that the UK's public investment in health research should generate. There is no overarching UK health research strategy to ensure UK health priorities are considered through all types of research and there are two key gaps in the translation of health research: (i) translating ideas from basic and clinical research into the development of new products and approaches to treatment of disease and illness; (ii) implementing those new products and approaches into clinical practice.The Review also found that the wider funding arrangements for supporting translation of ideas from conception to practice could be more coherent or comprehensive and, where arrangements exist, they do not function well. The Review identified cultural, institutional and financial barriers to translating research into practice in the publicly funded research arena. But it also found that, in the private sector, the pharmaceuticals industry is facing increasing challenges in translating research into health and economic benefit. The Review has sought to make recommendations that will increase the translation of R&D into health and economic benefit for the UK, both in the public and private sectors. The Review recommends that the Government should seek to achieve better coordination of health research and more coherent funding arrangements to support translation by establishing an Office for Strategic Coordination of Health Research (OSCHR).
Download or read book Promoting Safety of Medicines for Children written by World Health Organization and published by World Health Organization. This book was released on 2007 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: Monitoring the safety of medicine use in children is of paramount importance since during the clinical development of medicines only limited data on this aspect are generated through clinical trials. Use of medicines outside the specifications described in the license (e.g. in terms of formulation indications contraindications or age) constitutes off-label and off-license use and these are a major area of concern. These guidelines are intended to improve awareness of medicine safety issues among everyone who has an interest in the safety of medicines in children and to provide guidance on effective systems for monitoring medicine safety in pediatric populations. This book will be of interest to all health care professionals medicine regulatory authorities pharmacovigilance centres academia the pharmaceutical industry and policy-makers. Systems for monitoring medicine safety are described in Annex 1. Pharmacovigilance methods and some examples of recent information on adverse reactions to marketed medicines are discussed in Annex 2.
Download or read book Global Surveillance Prevention and Control of Chronic Respiratory Diseases written by World Health Organization and published by World Health Organization. This book was released on 2007 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic respiratory diseases, such as asthma and chronic obstructive pulmonary disease, kill more than 4 million people every year, and affect hundreds of millions more. These diseases erode the health and well-being of the patients and have a negative impact on families and societies. This report raises awareness of the huge impact of chronic respiratory diseases worldwide, and highlights the risk factors as well as ways to prevent and treat these diseases.
Download or read book Pharmacy Practice in Developing Countries written by Ahmed Fathelrahman and published by Academic Press. This book was released on 2016-02-13 with total page 518 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pharmacy Practice in Developing Countries: Achievements and Challenges offers a detailed review of the history and development of pharmacy practice in developing countries across Africa, Asia, and South America. Pharmacy practice varies substantially from country to country due to variations in needs and expectations, culture, challenges, policy, regulations, available resources, and other factors. This book focuses on each country’s strengths and achievements, as well as areas of weakness, barriers to improvement and challenges. It sets out to establish a baseline for best practices, taking all of these factors into account and offering solutions and opportunities for the future. This book is a valuable resource for academics, researchers, practicing pharmacists, policy makers, and students involved in pharmacy practice worldwide as it provides lessons learned on a global scale and seeks to advance the pharmacy profession. Uses the latest research and statistics to document the history and development of pharmacy practice in developing countries Describes current practice across various pharmacy sectors to supply a valuable comparative analysis across countries in Africa, Asia, Europe, and South America Highlights areas of achievement, strengths, uniqueness, and future opportunities to provide a basis for learning and improvement Establishes a baseline for best practices and solutions
Download or read book Communication in Pharmacy Practice written by Sofia Kälvemark Sporrong and published by MDPI. This book was released on 2019-01-24 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a printed edition of the Special Issue "Communication in Pharmacy Practice" that was published in Pharmacy
Download or read book The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2016 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: The guideline offers clear, concise, and actionable recommendation statements to help clinicians to incorporate recommendations into clinical practice, with the goal of improving quality of care. Each recommendation is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms.
Download or read book Community Pharmacy written by Paul Rutter and published by Elsevier Health Sciences. This book was released on 2016-12-03 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its fourth edition, this best-selling book is fully updated to address the ever increasing demands on healthcare professionals to deliver high-quality patient care. A multitude of factors impinge on healthcare delivery today, including an ageing population, more sophisticated medicines, high patient expectation and changing health service infrastructure. Time demands on primary care doctors have caused other models of service delivery to be adopted across the world, leading to ongoing changes in the traditional boundaries of care between doctors, nurses, and pharmacists. Certain medical tasks are now being performed by nurses and pharmacists, for example prescribing. Healthcare policies to encourage patients to manage their own health have led to more medicines becoming available over the counter, allowing community pharmacists to manage and treat a wide range of conditions. Further deregulation of medicines to treat acute illness from different therapeutic areas seems likely. Government policy now encourages chronic disease management as a self-care activity, and could well be the largest area for future growth of reclassification of medicines. Pharmacists, now more than ever before, need to be able to recognise the signs and symptoms, and use an evidence-based approach to treatment. Community Pharmacy is intended for all non-medical prescribers but especially for pharmacists, from undergraduate students to experienced practitioners. Key features Guidance for arriving at a differential diagnosis Practical prescribing tips Trigger points for referral boxes Other hints and tips boxes Specific questions to ask boxes Case studies Self-assessment questions Consistent approach gives: Anatomy overview History taking and physical examination Prevalence and epidemiology Aetiology Arriving at a differential diagnosis Clinical features Conditions to eliminate Likely causes Unlikely causes Very unlikely causes Evidence base for OTC medicine Practical prescribing and product selection More on the examination of eyes, ears and mouth New sections on future-proofing (vaccinations etc.) New material covering inter-professional education for clinical skills. Now with a free accompanying e-book on StudentConsult which also gives additional material on: evidence-based medicine videos on physical examination additional written case studies more multiple-choice questions
Download or read book Asthma Adherence written by and published by . This book was released on 1999 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Developing a Protocol for Observational Comparative Effectiveness Research A User s Guide written by Agency for Health Care Research and Quality (U.S.) and published by Government Printing Office. This book was released on 2013-02-21 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is a resource for investigators and stakeholders who develop and review observational comparative effectiveness research protocols. It explains how to (1) identify key considerations and best practices for research design; (2) build a protocol based on these standards and best practices; and (3) judge the adequacy and completeness of a protocol. Eleven chapters cover all aspects of research design, including: developing study objectives, defining and refining study questions, addressing the heterogeneity of treatment effect, characterizing exposure, selecting a comparator, defining and measuring outcomes, and identifying optimal data sources. Checklists of guidance and key considerations for protocols are provided at the end of each chapter. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. More more information, please consult the Agency website: www.effectivehealthcare.ahrq.gov)
Download or read book The Pharmacist in Public Health written by Hoai-An Truong and published by American Pharmacists Association (APhA). This book was released on 2010 with total page 572 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book adequately captures the current state of affairs and issues relating to public health and the pharmacists' role in this area. One of the unique features is the Actions for Change Today section which details/itemizes the unmet needs in each area of public health.
Download or read book Models and Frameworks for Implementing Evidence Based Practice written by Jo Rycroft-Malone and published by John Wiley & Sons. This book was released on 2011-09-07 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Evidence-Based Nursing Series is co-published with Sigma Theta Tau International (STTI). The series focuses on implementing evidence-based practice in nursing and mirrors the remit of Worldviews on Evidence-Based Nursing, encompassing clinical practice, administration, research and public policy. Models and Frameworks for Implementing Evidence- Based Practice: Linking Evidence to Action looks at ways of implementing evidence gained through research and factors that influence successful implementation. It acknowledges the gap that exists between obtaining evidence and the practicalities of putting it into practice and provides direction to help to close this gap. This, the first book in the series, helps the reader to make decisions about the appropriateness of using various models and frameworks. A selection of models and frameworks are examined in detail including examples of their use in practice. The book concludes with an analysis and synthesis of the included models and frameworks. The models and frameworks that have been included are based on a number of criteria: that they are internationally recognised, have undergone widespread evaluation and testing, are transferable across different settings, and can be used by different disciplines. Models and frameworks include: Stetler Model Ottowa Model of Research Use IOWA model of evidence-based practice Advancing Research and Clinical Practice through Close Collaboration (ARCC) model Dobbins’ dissemination and use of research evidence for policy and practice framework Joanna Briggs Institute model Knowledge to Action framework Promoting Action on Research Implementation in Health Services (PARIHS) Key Points: Includes an overview of implementation issues and the use of theory and frameworks in implementing evidence into practice Chapters are written by the developers of the model or framework Each chapter provides background on an implementation model or framework, suitable applications, underlying theory and examples of use Each chapter examines strengths and weaknesses of each model alongside barriers and facilitators for its implementation
Download or read book Pharmacy in England written by Great Britain. Department of Health and published by The Stationery Office. This book was released on 2008 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This White Paper (Cm. 7341, ISBN 9780101734127), sets out a programme for future NHS pharmaceutical services in England. Divided into 8 chapters with 2 annexes, it covers the following areas: the background to the White Paper; the context of change, looking at the major health and social challenges that have prompted a review of pharmacy services; expanding access and choice through more help with medicines; more pharmacy services supporting healthy living and better care; communications and relationships and how these can be improved by highlighting the varied services and benefits offered by pharmacies and pharmacists; research and innovation in practice; the pharmacy profession; the current structure and contractual arrangements of the pharmacy system. The Government has set out a future vision for the pharmacy services in England, including a number of specific objectives, including: making pharmacies into "healthy living centres", promoting health and helping people to take care of themselves; offer NHS treatment for minor ailments; provide specific support for people who are starting a new course of treatment; offer screening for those at risk of vascular disease; use new technologies to expand choice and improve care in hospitals and the community; become commissioned based on the range and quality of the services being delivered. Related publications to this White Paper, include: The Future of Pharmacy (http://www.appg.org.uk/documents/ThefutureofPharmacy_006.pdf); Our Health, Our Care (Cm.6737, ISBN 0101673728); Our NHS, Our Future (http://www.ournhs.nhs.uk/fromtypepad/283411_OurNHS_v3acc.pdf); A Vision for Pharmacy in the New NHS, July 2003 (http://www.dh.gov.uk/en/Consultations/Closedconsultations/DH_4068353?).
