Pub Date : 2015-09-15DOI: 10.18553/JMCP.1995.1.1.40
D. Christensen, P. Penna
OBJECTIVE: To review the concept of quality, the processes of quality assurance, and the methods of quality assessment as they relate to the delivery of pharmaceutical services. DATA SOURCES: Recent management and pharmacy literature. STUDY SELECTION: Not applicable. DATA EXTRACTION: Not applicable. DATA SYNTHESIS: Quality implies value, worth, and degree of excellence. The structure-process-outcome paradigm of Donabedian is an often applied measure of quality. Quality assurance (QA) is the process by which we ensure that services are appropriate, effective, and efficient. Examples of QA programs in pharmacy are those of the performance indicators of the Joint Commission on Accreditation of Healthcare Organizations, criteria used in drug-use evaluations, disease-specific profiles used in disease management, and profiling of provider care systems using instruments such as the Health Plan Employer Data and Information Set (HEDIS, now in version 2.0). CONCLUSION: The next few years will witness much experime...
{"title":"Quality Assessment and Quality Assurance of Pharmacy Services","authors":"D. Christensen, P. Penna","doi":"10.18553/JMCP.1995.1.1.40","DOIUrl":"https://doi.org/10.18553/JMCP.1995.1.1.40","url":null,"abstract":"OBJECTIVE: To review the concept of quality, the processes of quality assurance, and the methods of quality assessment as they relate to the delivery of pharmaceutical services. DATA SOURCES: Recent management and pharmacy literature. STUDY SELECTION: Not applicable. DATA EXTRACTION: Not applicable. DATA SYNTHESIS: Quality implies value, worth, and degree of excellence. The structure-process-outcome paradigm of Donabedian is an often applied measure of quality. Quality assurance (QA) is the process by which we ensure that services are appropriate, effective, and efficient. Examples of QA programs in pharmacy are those of the performance indicators of the Joint Commission on Accreditation of Healthcare Organizations, criteria used in drug-use evaluations, disease-specific profiles used in disease management, and profiling of provider care systems using instruments such as the Health Plan Employer Data and Information Set (HEDIS, now in version 2.0). CONCLUSION: The next few years will witness much experime...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.18553/JMCP.1995.1.1.40","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68347243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-09-15DOI: 10.18553/JMCP.1995.1.2.116
S. Kong, J. W. Salmon, Larry Barenbaum, H. Hatoum, R. Hutchinson
OBJECTIVE: To assess perceived importance of drug use review (OUR), pharmacoeconomic analyses, formulary design, and patient-oriented pharmacy services for future academic initiatives in managed care pharmacy. DESIGN: Mailed survey. SETTING: Not applicable. PARTICIPANTS: 405 managed care pharmacy directors. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Percentage of respondents identifying the importance of the topics. RESULTS: A response rate of 59.5% was achieved; 81% of the respondents thought CE programs related to specific topics would be valuable to persons in their positions. The longer the respondents held their present positions, the less likely such programs considered to be valuable. Pharmacists placed more emphasis than did non-pharmacists on topics related to traditional pharmacy practice in managed care settings. These topics included OUR: formulary design, patient-oriented pharmacy services, communication skills, legal issues, and employee benefit program design. CONCLUSION: It is v...
{"title":"Issues and Concerns of Managed Care Pharmacy Directors: Results of a National Survey","authors":"S. Kong, J. W. Salmon, Larry Barenbaum, H. Hatoum, R. Hutchinson","doi":"10.18553/JMCP.1995.1.2.116","DOIUrl":"https://doi.org/10.18553/JMCP.1995.1.2.116","url":null,"abstract":"OBJECTIVE: To assess perceived importance of drug use review (OUR), pharmacoeconomic analyses, formulary design, and patient-oriented pharmacy services for future academic initiatives in managed care pharmacy. DESIGN: Mailed survey. SETTING: Not applicable. PARTICIPANTS: 405 managed care pharmacy directors. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Percentage of respondents identifying the importance of the topics. RESULTS: A response rate of 59.5% was achieved; 81% of the respondents thought CE programs related to specific topics would be valuable to persons in their positions. The longer the respondents held their present positions, the less likely such programs considered to be valuable. Pharmacists placed more emphasis than did non-pharmacists on topics related to traditional pharmacy practice in managed care settings. These topics included OUR: formulary design, patient-oriented pharmacy services, communication skills, legal issues, and employee benefit program design. CONCLUSION: It is v...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68347391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-09-15DOI: 10.18553/jmcp.1995.1.2.90
M. Gore
{"title":"Automation and Professional Judgment","authors":"M. Gore","doi":"10.18553/jmcp.1995.1.2.90","DOIUrl":"https://doi.org/10.18553/jmcp.1995.1.2.90","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68348138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-09-15DOI: 10.18553/JMCP.1997.3.1.77
J. Riedlinger
OBJECTIVE: To describe selected alternative medicine practices and discuss their value in managed care settings. DATA SOURCES: Recent clinical and alternative medicine literature. DATA SYNTHESIS: A central difference between conventional and alternative medicine lies in their philosophies about their roles in affecting or controlling illness. While conventional practitioners attempt to cure the patient by acting as authoritative experts, alternative practitioners try to teach the patient to tap his or her own inner healing resources. Alternative practitioners hold that the individual has the capacity to maintain health and that people get sick when they are out of balance with their environment or society. Alternative medical practices typically address a spiritual component of health and illness largely ignored in conventional medicine. Because of the increasing acceptance of alternative medical practices, managed care organizations should be aware of their potential medical benefits and cost savings. Se...
{"title":"Alternative Medicine in Managed Care Pharmacy","authors":"J. Riedlinger","doi":"10.18553/JMCP.1997.3.1.77","DOIUrl":"https://doi.org/10.18553/JMCP.1997.3.1.77","url":null,"abstract":"OBJECTIVE: To describe selected alternative medicine practices and discuss their value in managed care settings. DATA SOURCES: Recent clinical and alternative medicine literature. DATA SYNTHESIS: A central difference between conventional and alternative medicine lies in their philosophies about their roles in affecting or controlling illness. While conventional practitioners attempt to cure the patient by acting as authoritative experts, alternative practitioners try to teach the patient to tap his or her own inner healing resources. Alternative practitioners hold that the individual has the capacity to maintain health and that people get sick when they are out of balance with their environment or society. Alternative medical practices typically address a spiritual component of health and illness largely ignored in conventional medicine. Because of the increasing acceptance of alternative medical practices, managed care organizations should be aware of their potential medical benefits and cost savings. Se...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.18553/JMCP.1997.3.1.77","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68350600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-09-15DOI: 10.18553/JMCP.1997.3.2.189
W. Simonson
OBJECTIVE: To review developments in the long-term care environment as they pertain to pharmacy practice. DATA SOURCES: Current literature describing the long-term care environment. STUDY SELECTION: Not applicable. DATA EXTRACTION: Not applicable. DATA SYNTHESIS: Long-term care is not synonymous with nursing home care. It encompasses a variety of care environments that offer high quality yet less-expensive alternatives to traditional nursing homes and represents a wide array of services formats that differ in name and description among states and regions. Health improvements, increased attention to quality of life, and the need to reduce the cost of care will stimulate the growth of long-term care facilities that are alternatives to nursing homes. CONCLUSION: The growing and evolving long-term care environment presents pharmacists with significant opportunities to expand their role. Managed care organizations must take note of pharmacists' accomplishments in long-term care and use their expertise to maxim...
{"title":"Pharmacy Practice in the Long-term Care Environment","authors":"W. Simonson","doi":"10.18553/JMCP.1997.3.2.189","DOIUrl":"https://doi.org/10.18553/JMCP.1997.3.2.189","url":null,"abstract":"OBJECTIVE: To review developments in the long-term care environment as they pertain to pharmacy practice. DATA SOURCES: Current literature describing the long-term care environment. STUDY SELECTION: Not applicable. DATA EXTRACTION: Not applicable. DATA SYNTHESIS: Long-term care is not synonymous with nursing home care. It encompasses a variety of care environments that offer high quality yet less-expensive alternatives to traditional nursing homes and represents a wide array of services formats that differ in name and description among states and regions. Health improvements, increased attention to quality of life, and the need to reduce the cost of care will stimulate the growth of long-term care facilities that are alternatives to nursing homes. CONCLUSION: The growing and evolving long-term care environment presents pharmacists with significant opportunities to expand their role. Managed care organizations must take note of pharmacists' accomplishments in long-term care and use their expertise to maxim...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68350633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-09-15DOI: 10.18553/JMCP.1997.3.3.270
C. Stern
{"title":"How to Evaluate Disease State Management Programs","authors":"C. Stern","doi":"10.18553/JMCP.1997.3.3.270","DOIUrl":"https://doi.org/10.18553/JMCP.1997.3.3.270","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68351044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-09-15DOI: 10.18553/jmcp.1997.3.4.383
C. Sardinha
{"title":"Managed Care Pharmacists: Leading the Way for a New Millennium","authors":"C. Sardinha","doi":"10.18553/jmcp.1997.3.4.383","DOIUrl":"https://doi.org/10.18553/jmcp.1997.3.4.383","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68351423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-09-15DOI: 10.18553/jmcp.1997.3.6.644
J. Wick
{"title":"Adverse Drug Reaction Tracking and Management in an Integrated Health Care System","authors":"J. Wick","doi":"10.18553/jmcp.1997.3.6.644","DOIUrl":"https://doi.org/10.18553/jmcp.1997.3.6.644","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68351976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-09-15DOI: 10.18553/JMCP.1997.3.6.717
Rocco Zullo
{"title":"Rutgers Externship Opens Door to Managed Care","authors":"Rocco Zullo","doi":"10.18553/JMCP.1997.3.6.717","DOIUrl":"https://doi.org/10.18553/JMCP.1997.3.6.717","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68352605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-09-15DOI: 10.18553/JMCP.1999.5.1.47
Larry Blandford
LARRY BLANDFORD, PHARM.D., is Product Director, Disease Management, Advance Paradigm, Inc., Hunt Valley, MD (at the time this article was wlitten D/: Blandford was Resident, Managed Care Phw'macy, Advance Paradigm); PETER E. DANS, MD., fA.C.P, is Medical Consultant, Advance Paradigm, Inc.;jOSEPH D. OBER, PHARMD., BCPS, is Senior Regional Manage!; Care Management Division, Glaxo Wellcome, Inc., Rochville, MD (at the time this article was w/itten D/: Oba was Senior Director, Disease Management, Advance Paradigm, Inc.); CLARE WHEELOCK is Director of Database Development, Disease Management, Advance Paradigm, Inc.
拉里·布兰德福德，医学博士。是马里兰州亨特谷Advance Paradigm, Inc.疾病管理的产品总监(撰写本文时，D/: Blandford是Advance Paradigm的住院医师，管理式医疗博士);PETER E. DANS, MD, fa。P, Advance Paradigm, Inc.的医疗顾问;jOSEPH D. OBER, PHARMD。担任BCPS高级区域经理!位于马里兰州罗奇维尔的葛兰素威康公司的护理管理部(撰写本文时，奥巴是Advance Paradigm公司疾病管理部的高级主管);CLARE WHEELOCK, Advance Paradigm, Inc.疾病管理数据库开发总监。
{"title":"Analyzing Variations in Medication Compliance Related to Individual Drug, Drug Class, and Prescribing Physician","authors":"Larry Blandford","doi":"10.18553/JMCP.1999.5.1.47","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.1.47","url":null,"abstract":"LARRY BLANDFORD, PHARM.D., is Product Director, Disease Management, Advance Paradigm, Inc., Hunt Valley, MD (at the time this article was wlitten D/: Blandford was Resident, Managed Care Phw'macy, Advance Paradigm); PETER E. DANS, MD., fA.C.P, is Medical Consultant, Advance Paradigm, Inc.;jOSEPH D. OBER, PHARMD., BCPS, is Senior Regional Manage!; Care Management Division, Glaxo Wellcome, Inc., Rochville, MD (at the time this article was w/itten D/: Oba was Senior Director, Disease Management, Advance Paradigm, Inc.); CLARE WHEELOCK is Director of Database Development, Disease Management, Advance Paradigm, Inc.","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.18553/JMCP.1999.5.1.47","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67487633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：