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Southern Med Review

Klaus Michael Leisinger, Laura Faden Garabedian, Anita Katharina Wagner
More than two billion people in low- and middle-income countries (LMIC) lack adequate access to essential medicines. In this paper, we make strong public health, human rights and economic arguments for improving access to medicines in LMIC and discuss the different roles and responsibilities of key stakeholders, including national governments, the international community, and non-governmental organizations (NGOs). We then establish a framework of pharmaceutical firms' corporate responsibilities - the "must," the "ought to," and the "can" dimensions - and make recommendations for actionable business strategies for improving access to medicines...
December 2012: Southern Med Review
Ayyaz Kiani
No abstract text is available yet for this article.
December 2012: Southern Med Review
Shane Scahill, Caroline Vaughan, Zaheer-Ud-Din Babar
No abstract text is available yet for this article.
December 2012: Southern Med Review
Syed Tabish Razi Zaidi, Jennifer L Marriott
OBJECTIVE: To measure clinicians' perceptions of barriers and facilitators to the adoption of a Computerised Decision Support System (CDSS) for antibiotic approval, and to examine the correlation between these perceptions and actual usage of the system by clinicians. METHODS: This study was conducted in a tertiary care university hospital of Melbourne, Australia. A survey tool comprising of demographic items and newly developed scales to measure clinicians' perceptions of barriers and facilitators to use of an CDSS was developed...
December 2012: Southern Med Review
Christine Leopold, Aukje Katja Mantel-Teeuwisse, Leonhard Seyfang, Sabine Vogler, Kees de Joncheere, Richard Ogilvie Laing, Hubert Leufkens
OBJECTIVES: This study aims to examine the impact of external price referencing (EPR) on on-patent medicine prices, adjusting for other factors that may affect price levels such as sales volume, exchange rates, gross domestic product (GDP) per capita, total pharmaceutical expenditure (TPE), and size of the pharmaceutical industry. METHODS: Price data of 14 on-patent products, in 14 European countries in 2007 and 2008 were obtained from the Pharmaceutical Price Information Service of the Austrian Health Institute...
December 2012: Southern Med Review
Ka Keat Lim, Chew Charn Teh
OBJECTIVE: The objective of the study was to assess public knowledge and attitudes regarding antibiotic utilization in Putrajaya, Malaysia. METHODS: A self-administered questionnaire survey was conducted among public attending a local hospital. The four-part questionnaire collected responses on demographic characteristics, recent use of antibiotics, knowledge and attitude statements. Cronbach's alpha for knowledge and attitude statements were 0.68 and 0.74 respectively...
December 2012: Southern Med Review
Anita Kotwani, Sushil Shendge
OBJECTIVES: Poorly controlled asthma imposes a considerable burden and is a serious public health problem in the developing world. A key challenge for healthcare professionals is to help patients to engage in self-management behaviours with optimal adherence to appropriate treatment. The aim of the present study was to investigate the pattern of self-management in asthmatic patients enrolled as out-patients in a tertiary care referral public chest hospital, in Delhi, India. METHODS: The study population was adult asthma patients (n=200) visiting the emergency room (December 2008-December 2009) of a chest hospital for asthma exacerbation...
December 2012: Southern Med Review
NĂºria Homedes, Antonio Ugalde
OBJECTIVE: To study antibiotic dispensing to US and Mexican residents, at Mexican pharmacies at the US-Mexico border, and the pharmacy clerks' capability to promote appropriate use. METHODS: The site selected was Ciudad Juarez, Chihuahua (pop. 1.2 million) separated from El Paso, Texas (pop. 800,000) by the Rio Grande River. A convenience sample of 32 pharmacies located near the international bridges, major shopping centers, and interior neighborhoods was selected...
December 2012: Southern Med Review
Wei Cheng, Yunyun Fang, Dehui Fan, Jing Sun, Xuefeng Shi, Jiao Li
No abstract text is available yet for this article.
July 2012: Southern Med Review
Fahad Saleem, Mohamed Azmi Hassali, Asrul Akmal Shafie, Muhammad Atif, Noman Ul Haq, Hisham Aljadhey
OBJECTIVE: This study aims to evaluate association between Health related quality of lifeand disease state knowledge among hypertensive population of Pakistan. METHODS: A cross sectional descriptive study was undertaken with a representative cohort of hypertension patients. Using prevalence based sampling technique, a total of 385 hypertensive patients were selected from two public hospitals of Quetta city, Pakistan. Hypertension Fact Questionnaire (HFQ) and European Quality of Life scale (EQ-5D) were used for data collection...
July 2012: Southern Med Review
Sabine Vogler, Nina Zimmermann, Claudia Habl, Jutta Piessnegger, Anna Bucsics
OBJECTIVE: The objective of this study was to provide an overview about the existence and types of discounts and rebates granted to public payers by the pharmaceutical industry in European countries. METHODS: Data were collected via a questionnaire in spring 2011. Officials from public authorities for pharmaceutical pricing and reimbursement represented in the PPRI (Pharmaceutical Pricing and Reimbursement Information) network provided the information and reviewed the compilation...
July 2012: Southern Med Review
Kirti Narsai, Abeda Williams, Aukje Kaija Mantel-Teeuwisse
OBJECTIVE: Access to medicines has long been and remains a challenge in African countries. The impact of medicines registration policies in these countries poses a challenge for pharmaceutical companies wanting to register medicines in these countries. The recent AMRHI (African Medicines Registration Harmonisation Initiative) has increased the focus on the need for harmonisation. Medicines registration regulations differ across African countries. Anecdotal evidence, based on the experience of pharmaceutical companies on progress towards harmonisation is somewhat different, i...
July 2012: Southern Med Review
Shazia Qasim Jamshed, Mohamed Izham Mohamed Ibrahim, Mohamed Azmi Ahmad Hassali, Imran Masood, Bee Yean Low, Asrul Akmal Shafie, Zaheer-Ud-Din Babar
OBJECTIVES: In developing countries out-of-pocket payments (OOP) are as high as 80% of healthcare spending. Generic medicines can be instrumental in reducing this expenditure. The current study is aimed to explore the knowledge, perception, and attitude of general practitioners towards generic medicines in Karachi, Pakistan. METHODS: This exploratory, descriptive study was conducted on a sample of 289 randomly selected general practitioners who were dispensing at their private clinics in Karachi, Pakistan...
July 2012: Southern Med Review
Andrew Brown, Ben Gilbert
OBJECTIVES: Limited human resources are widely recognised as a barrier to achieve health-related Millennium Development Goals. Availability of medical supplies and suitably trained health personnel are crucial to ensuring a well-functioning medical supply system. The objective of this paper is to identify the factors which influence the availability of medical supplies within the health facilities of Vanuatu. METHODS: A qualitative triangulated strategy using semi-structured interviews, observational workplace surveys and semi-structured focus groups was developed...
July 2012: Southern Med Review
Evans Sagwa, Aukje Kaija Mantel-Teeuwisse, Nunurai Ruswa, Jean Paul Musasa, Shanthi Pal, Panganai Dhliwayo, Brian van Wyk
OBJECTIVE: Namibia faces a dual burden of HIV/AIDS and tuberculosis (TB). In 2010, HIV prevalence was 18.8%, the TB case notification rate was 634 cases per 100,000 population and the TB/HIV co-infection rate was 58%. There were 372 cases of drug-resistant TB (DR-TB) in 2009. The objective of this study was to assess the prevalence, profile and outcome of adverse events (AEs) associated with treatment of DR-TB and to explore possible influences of HIV disease on the occurrence of adverse events...
July 2012: Southern Med Review
Joel Lexchin, Agnes Vitry
No abstract text is available yet for this article.
July 2012: Southern Med Review
Zaheer-Ud-Din Babar, Caroline Vaughan, Shane Scahill
No abstract text is available yet for this article.
July 2012: Southern Med Review
Kirsten Myhr
No abstract text is available yet for this article.
December 2011: Southern Med Review
Muhammad Abdul Hadi, Long Chiau Ming
No abstract text is available yet for this article.
December 2011: Southern Med Review
Nazli Muzeyyen Sencan, Albert Wertheimer, Chadd Brandon Levine
OBJECTIVES: The objective of this study was to do a pilot inquiry, to determine whether physicians with similar practices in the same neighborhood demonstrated any difference in the duration of compliance among their patients. METHODS: Through a cooperating urban community pharmacy, patients with prescriptions for hypertension and type II diabetes were identified for this pilot study. Patients refill medication records were searched to determine the average number of months of drug regimen compliance...
December 2011: Southern Med Review
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