Pharmaceutical Supply Chain and Distribution Network: Implications on Access to Medicine and Quality Health Care- Critical Analysis of The Public Pharmaceutical Sector in Tanzania

2010 ◽  
Author(s):  
Nesia Mahenge
Keyword(s):  
Health Care ◽  
Supply Chain ◽  
Critical Analysis ◽  
Distribution Network ◽  
Pharmaceutical Sector ◽  
Access To Medicine ◽  
Quality Health Care ◽  
Pharmaceutical Supply Chain ◽  
The Public ◽  
Quality Health

scholarly journals By Her Own Authority: The Scope of Midwifery Practice under the Ontario Midwifery Act, 1991

1993 ◽  
Vol 31 (2) ◽  
pp. 349 ◽  
Author(s):  
Elizabeth Massey
Keyword(s):  
Health Care ◽  
Consumer Choice ◽  
Medical Profession ◽  
Normal Pregnancy ◽  
Professional Status ◽  
Quality Health Care ◽  
The Public ◽  
Midwifery Practice ◽  
Quality Health ◽  
Regulatory Model

Midwifery is recognized as an autonomous, self-governing profession under Ontario's Midwifery Act, 1991 and Regulated Health Professions Act, 1991. The author discusses the implications of this new legislation and addresses how the Acts define the nature and scope of midwifery practice. Although the new regulatory model grants midwives legal and professional status, their statutory scope of practice is limited to "normal" pregnancy, labour and delivery. Within the new regulatory framework, the authority to define the meaning of "normal" remains with physicians. Therefore, the capacity to control the scope and availability of midwifery services lies in the hands of the medical profession, which has historically been opposed lo the autonomous practice of midwifery. The author explores the other elements of the Midwifery Act, 1991, such as matters of assessment and diagnosis, and issues of potential liability, and whether or not these could hind midwifery practice by established medicine within the Ontario health care system. In implementing the Acts, much consultation remains to be done among members of the relevant professional bodies and the public to balance competing interests and views, while ensuring quality health care and consumer choice.

Labels, Lawyers, & Logic

2015 ◽  
Vol 21 (2) ◽  
Author(s):  
Peter J. Pitts
Keyword(s):  
Health Care ◽  
Monetary Incentives ◽  
Quality Health Care ◽  
American Health Care System ◽  
The Public ◽  
American Health Care ◽  
Achievable Goal ◽  
Quality Health ◽  
Corporate Liability ◽  
Excessive Risk

America deserves access to high-quality health care without avoidable medical errors and complications. This achievable goal begins with harnessing and using the power of information. And that begins with clear, accurate, and usable labeling.The American health care system is undermined, underserved, and undervalued when labeling is written more for corporate liability protection than as a valuable tool for health care providers.Today, labeling includes excessive risk information and exaggerated warnings. And this has set into motion a dangerous dynamic: labeling that does not accurately communicate to either the health care professional or the patient the conditions in which any given product can be used safely and effectively. This is nothing less than a grave menace to the public health. America is suffering from a legal system that is dangerous to its health. Why has this happened? There is, unfortunately, a simple answer - fear of liability. Manufacturers have significant monetary incentives to add dense and confusing legalese because, under current law in most states, they can be found liable for failing to provide "adequate" warnings about therapeutic products. Money, not medicine, is driving this dangerous practice. When it comes to labeling written for lawyers rather than doctors, more is less.

Critical success factors in the supply chain management of essential medicines in the public health-care system in Malawi

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Feston Kaupa ◽  
Micheline Juliana Naude
Keyword(s):  
Public Health ◽  
Health Care ◽  
Supply Chain ◽  
Success Factors ◽  
Public Health Care ◽  
Essential Medicines ◽  
Pharmaceutical Supply Chain ◽  
Content Type ◽  
The Public ◽  
Critical Success

Purpose The purpose of the paper is to report on a study that investigated the critical success factors (CSFs) in the supply chain management of essential medicines in the public health-care delivery system in Malawi. Design/methodology/approach The exploratory and descriptive study followed a qualitative and quantitative research approach. Data were collected by means of semistructured interviews and a questionnaire administered to suppliers of essential medicines, regulators, donors and logistics companies in Malawi. Data was analyzed using SPSS. Findings The findings revealed that the significant CSFs are knowledge of disease patterns and prevalence, skills and experience of personnel, adequate financial resources, collaboration with supply chain partners and an efficient procurement and distribution system. Research limitations/implications There were a number of limitations in this study. Although every effort was made to carefully and purposefully select the participants for the in-depth interviews in the first phase of the study and the respondents for the questionnaire in the second phase of the study, they were not randomly selected. As such, the findings cannot be generalised to all stakeholders in the pharmaceutical supply chain in Malawi. However, they can be used as a basis for further research on the topic. Originality/value No previous studies that deal with the identification of CSFs in the Malawi pharmaceutical supply chain were found. Therefore, this research makes a twofold contribution to the body of knowledge in the field. First, it identifies CSFs; second, it could assist stakeholders in the public health-care service delivery system in Malawi with regard to how they can improve the supply of essential medicines.

TRIPs, TRIPs-PLUS, Developing Countries and Public Health: The Case of Egypt

2008 ◽  
Vol 5 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Mohamed Salem Abou El Farag
Keyword(s):  
Public Health ◽  
Health Care ◽  
Developing Countries ◽  
Developed Countries ◽  
Degree Of Freedom ◽  
Health Needs ◽  
Pharmaceutical Drugs ◽  
Quality Health Care ◽  
The Public ◽  
Quality Health

AbstractThe article critically examines how Egyptian legislators made use of the degree of freedom left in the TRIPs Agreement for WTO Members to incorporate appropriate measures in their national laws aiming at meeting the public health needs and concerns, particularly access to quality health care and affordable pharmaceutical drugs. The article also explores and warns against the recent attempts made by a number of developed countries to impose TRIPs-plus obligations on several developing countries, including Egypt, for their detrimental effects on public health.

Maintenance of Licensure: Protecting the Public, Promoting Quality Health Care

2010 ◽  
Vol 96 (2) ◽  
pp. 13-20 ◽  
Author(s):  
Humayun J. Chaudhry ◽  
Janelle Rhyne ◽  
Frances E. Cain ◽  
Aaron Young ◽  
Martin Crane ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Competence ◽  
Quality Health Care ◽  
The Public ◽  
Quality Health ◽  
License Renewal

IN BRIEF The authors describe a system in which physicians periodically demonstrate ongoing clinical competence as a condition of license renewal.

Medical care and health policy

2016 ◽  
Author(s):  
Shirley A. Hill
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Mistrust ◽  
Quality Health Care ◽  
The Public ◽  
System P ◽  
Black Patients ◽  
Quality Health ◽  
Quality Of Medical Care

Substantial data suggests that African Americans, even those who are insured, simply do not get the same quality of medical care as do White Americans. They not only bring to the medical encounter a legacy of medical mistrust, but are often treated disrespectfully by physicians who are less likely to aggressively pursue diagnoses and treatments for their black patients. Unequal access to quality health care is also a product of the dual health care system, with Blacks more likely to experience inferior and impersonal care in the public sector of that system.

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