The general pharmacy work explored in The Netherlands

Michael, Mark

doi:10.1007/s11096-007-9186-z

Cited by 8 publications

(7 citation statements)

References 29 publications

(38 reference statements)

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“…Furthermore, most GPs are, for nonemergency care, only open during office hours on weekdays and limit telephone access to a certain time period per day, for example, from 8:00 to 12:00 A.M. In contrast to the United States and many other countries, only licensed pharmacies are allowed to dispense prescription drugs. About one-third of the work by Dutch pharmacists consists of care-related activities (e.g., pharmacotherapeutic consultation, medication surveillance) (Mark 2008). Pharmacists are free to provide any listed medicine within a therapeutic class, unless the GP prescribes a specific drug.…”

Section: Contextmentioning

confidence: 99%

Channeling Consumers to Preferred Providers and the Impact of Status Quo Bias: Does Type of Provider Matter?

Boonen

Donkers

Schut

2010

Health Services Research

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Context.To effectively bargain about the price and quality of health services, health insurers need to successfully channel their enrollees. Little is known about consumer sensitivity to different channeling incentives. In particular, the impact of status quo bias, which is expected to differ between different provider types, can play a large role in insurers' channeling ability. Objective. To examine consumer sensitivity to channeling strategies and to analyze the impact of status quo bias for different provider types. Data Sources/Study Design. With a large-scale discrete choice experiment, we investigate the impact of channeling incentives on choices for pharmacies and general practitioners (GPs). Survey data were obtained among a representative Dutch household panel (n 5 2,500). Principal Findings. Negative financial incentives have a two to three times larger impact on provider choice than positive ones. Positive financial incentives have a relatively small impact on GP choice, while the impact of qualitative incentives is relatively large. Status quo bias has a large impact on provider choice, which is more prominent in the case of GPs than in the case of pharmacies. Conclusion. The large impact of the status quo bias makes channeling consumers away from their current providers a daunting task, particularly in the case of GPs.Key Words. Managed competition, preferred provider choice, consumer channeling, status quo bias, discrete choice experiments In managed care markets, health insurers bargain over the price and quality of health care services. Selective contracting is an important tool for health insurers in negotiations with health care providers. Empirical research in the United States showed that health insurers using exclusionary provider networks obtain higher discounts than insurers without restrictions on provider choice (Staten, Dunkelberg, and Umbeck 1987;Melnick et al. 1992;Sorensen 2003). Research on health plan choice in the United States, however, showed that consumers are reluctant to choose a health plan with stringent restrictions r Health Research and Educational Trust

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Section: Contextmentioning

confidence: 99%

Channeling Consumers to Preferred Providers and the Impact of Status Quo Bias: Does Type of Provider Matter?

Boonen

Donkers

Schut

2010

Health Services Research

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“…In the Netherlands, patients are usually registered with 1 general practitioner (GP) and 1 community pharmacy. 20 The GP keeps a medical record per patient and the pharmacist a pharmaceutical record. In general, these are electronic records which operate a CDSS.…”

Section: Study Settingmentioning

confidence: 99%

Medication safety in patients with hepatic impairment: A survey of community pharmacists' knowledge level and their practice in caring for these patients

Weersink

Abadier

Boer

et al. 2020

Brit J Clinical Pharma

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Aims To study community pharmacists' level of knowledge on medication safety in patients with hepatic impairment and their practice in caring for these patients. Methods Pharmacists from Dutch community pharmacies (n = 1545) were invited to participate in an online survey. The survey consisted of 27 questions covering 2 main topics: knowledge and current practice. The level of knowledge was measured by a 6‐item knowledge test. Multiple linear regression was used to identify predictors of correctly answered responses. Results In total, 338 pharmacists (22%) completed the questionnaire. The mean knowledge score was 2.8 (standard deviation 1.6). Only 30.3% of respondents were able to appropriately advise on use of analgesics in severe cirrhosis. Postgraduate education on hepatic impairment, knowledge of recently developed practical guidance, and fewer years of practice were associated with a higher level of knowledge. In total, 70.4% indicated to evaluate medication safety in a patient with hepatic impairment at least once weekly. In the past 6 months, 83.3% of respondents consulted a prescriber about a patient with hepatic impairment. Frequently encountered barriers in practice were insufficient knowledge on the topic and a lack of essential patient information (i.e. diagnosis and severity of the impairment). Conclusion Community pharmacists regularly evaluate the safety of medication in patients with hepatic impairment, yet their level of knowledge was insufficient and additional education is needed. Pharmacists experienced several difficulties in providing pharmaceutical care. If these issues are resolved, pharmacists can play a more active role in ensuring medication safety in their patients with hepatic impairment.

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“…Hollanda'da yapılan bir çalışmada ise, serbest eczanelerde yapılan işlerin %34'ünü farmasötik bakım ile ilgili etkinliklerin oluşturduğu bulunmuştur. Bu etkinlikler ilaç tedavisi, tıbbi yardım veya hastalıkla ilgili danışmanlık, telefon konuşmaları, reçete ile ilgili bilgisayar işlemleri, majistral ilaç hazırlama ve ev bakımı ile ilgili hizmetleri kapsamaktadır (14).…”

Section: Materyal Veunclassified

Serbest eczacıların çalışma koşulları ve mesleki tutumlarına ilişkin değerlendirmeler: Ankara kent merkezi örneği

ASLAN¹

2008

Ankara Universitesi Eczacilik Fakultesi Dergisi

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Bu çalışmanın amacı, Ankara kent merkezinde çalışan serbest eczacıların çalışma koşullarını ve mesleki tutumları belirlemek ve değerlendirmektir. Kesitsel tipteki bu çalışmada, basit rastgele örnekleme yöntemi ile seçilen 251 serbest eczacıya kendilerinin doldurdukları anket uygulanmıştır. Bulgular, serbest eczacıların ağır iş yükü altında olduğunu, ekonomik sıkıntı çektiğini, zamanlarının çoğunu danışmanlık hizmetlerine ayıramadığını, işten ötürü stres yaşadığını göstermektedir. Ayrıca, eczacıların gelir miktarından memnun olmadığı ve dörtte birinin serbest eczacılığı bırakmayı planladığı saptanmıştır. Serbest eczacıların çalışma koşullarına yönelik yapılacak iyileştirmelere ihtiyaç duyulmaktadır. İlgili iyileştirmelerin eczacıların iş memnuniyetini artırmasının yanı sıra farmasötik bakım hizmetlerinin gerektiği biçimde verilmesine katkıda bulunacağı öngörülmektedir.

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The general pharmacy work explored in The Netherlands

Cited by 8 publications

References 29 publications

Channeling Consumers to Preferred Providers and the Impact of Status Quo Bias: Does Type of Provider Matter?

Channeling Consumers to Preferred Providers and the Impact of Status Quo Bias: Does Type of Provider Matter?

Medication safety in patients with hepatic impairment: A survey of community pharmacists' knowledge level and their practice in caring for these patients

Serbest eczacıların çalışma koşulları ve mesleki tutumlarına ilişkin değerlendirmeler: Ankara kent merkezi örneği

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