scholarly journals Cost Analysis and Rational Use of Anti-Glaucoma Therapy in a Tertiary Hospital in Ghana

2021 ◽  
Vol Volume 13 ◽  
pp. 619-627
Author(s):  
Charles Nii Kwade Ofei-Palm ◽  
Naa Naamuah Tagoe ◽  
Dong Jatoe ◽  
Angela Agyare ◽  
Daniel Ankrah
Keyword(s):  
Cost Analysis ◽  
Tertiary Hospital ◽  
Rational Use ◽  
Glaucoma Therapy

scholarly journals Cost Analysis and Rational Use of Anti Glaucoma Therapy in A Tertiary Hospital in Ghana

2021 ◽  
Author(s):  
CHARLES NII KWADE OFEI-PALM ◽  
NAA Naamuah Tagoe ◽  
DANIEL NII AMOO ANKRAH ◽  
Dong Jatoe ◽  
Angela Agyare
Keyword(s):  
Cost Analysis ◽  
Treatment Cost ◽  
Beta Blockers ◽  
Therapeutic Option ◽  
Daily Treatment ◽  
Eye Drops ◽  
Expensive Drug ◽  
Cross Sectional ◽  
Rational Use ◽  
Glaucoma Therapy

Abstract IntroductionGlaucoma is the leading cause of irreversible blindness worldwide. In Ghana, 19.4% of all blindness recorded is due to glaucoma. Reducing intraocular pressure medically (using eye drops) is the evidence-based therapeutic optionObjectives To determine the rational use and undertake cost analysis of anti-glaucoma drugs among patients attending clinic at the Lions International Eye Centre, Korle bu Teaching Hospital (LIEC).MethodsIn this cross sectional study, we reviewed all prescriptions presented to the pharmacy unit from 01/12/015 to 31/03/2016. The dispensed drops were classified and all anti-glaucoma drugs were identified. This was followed by cost analysis.ResultsA total of 588 prescriptions were captured, 27.3% (161/588) contained an anti-glaucoma medication. The mean number of anti-glaucoma medications was1.71 of which 52.7% was prescribed to females.Prostaglandin analogues were the most prescribed (37% (102/276)), followed by beta blockers (25.4% (70/276)), carbonic anhydrase group of medicines (16.3% (45/276)), combined beta blockers (11.2% (31/276)), alpha agonists (8.7% (24/276)) and miotics (1.4% (4/276)). The median (IQR) average cost of anti-glaucoma therapy per prescription per month was GHC 65.00 (GHC38.5-GHC140). Azopt (Brimonidine) was the most expensive with daily treatment cost of GHC 5.8 (about US$ 1.45), whilst the least expensive drug with a daily treatment cost of GHC 0.14 (about US$ 0.035) was timolol eye drops. ConclusionsProstaglandins analogues remain the most preferred treatment for managing glaucoma at the Korle-Bu Eye Centre in Ghana but are also the most costly. This may adversely affect treatment among the poor since prostaglandins are currently not reimbursed.

scholarly journals COST ANALYSIS OF CORONARY INTERVENTIONS: TRANSRADIAL OR TRANSFEMORAL?

2017 ◽  
Vol 5 (3) ◽  
pp. 640-653
Author(s):  
Demet GÖKMEN KAVAK ◽  
İsmail AĞIRBAŞ ◽  
Yücel BALBAY ◽  
Keziban AVCI
Keyword(s):  
Coronary Angiography ◽  
Cost Analysis ◽  
Selection Process ◽  
Tertiary Hospital ◽  
Cost Minimisation Analysis ◽  
Intervention Selection ◽  
Cost Minimisation ◽  
Cardiology Clinic ◽  
The Subject ◽  
The Cost

The purpose of this research is to conduct cost minimisation analysis of coronary angiography interventions with Transradial (TRA) and Transfemoral (TFA) approach. Thus, operators will be guided in relation with intervention selection and cardiovascular area on the subject matter will be enriched which is quite inadequate with a cost analysis sample. The research has been conducted by evaluating and examining of data of the patients who had coronary angiography. Population of the research consists of angiography interventions in the scope of the research carried out within the year of 2013 in a Cardiology Clinic of a tertiary hospital. Patient records were randomly selected. At the end of the research, the findings have revealed that the costs of TRA and TFA have been respectively Turkish Liras (TRY)746,214 and TRY 710,040. The cost of TRA approach is higher than TFA approach. On the other hand, experts’ opinion is that TRA approach is a more reliable alternative compared to TFA approach. In the selection process of the approach to be used by the operators, it would be beneficial for the patients when both the cost and results of the intervention are considered simultaneously. 

scholarly journals Rational Use of Antibiotics – A Point Prevalence Study Carried out at a Tertiary Hospital in South-South Nigeria

2020 ◽  
pp. 39-47
Author(s):  
Okechukwu Chioma
Keyword(s):  
Antibiotic Resistance ◽  
Antibiotic Use ◽  
Tertiary Hospital ◽  
Point Prevalence ◽  
Prescribing Patterns ◽  
Prevalence Study ◽  
Antibiotic Prescribing ◽  
Point Prevalence Study ◽  
Rational Use ◽  
Rational Use Of Antibiotics

Introduction: The burden of antibiotic resistance in the hospitals and communities is progressively worsening hence the critical need to put into practice all the key components of rational use of antibiotics in our daily patient interactions. This paper aims to highlight the problem of antibiotic resistance, the importance of rational use of antibiotics and to show an on the spot sketch of the antibiotic use pattern among in-patients in the children wards in a tertiary hospital. Methodology: A brief review of the existing literature on antibiotic resistance and the rational use of antibiotics was done. A one-day cross-sectional point prevalence study was conducted in the children wards in UPTH and all children receiving antibiotics on that day, identified. The prevalence of antibiotic use was determined by dividing the number of inpatients on antibiotics at the time of the survey by the total number of patients on admission. Data were presented in percentages using pie and bar charts. Results: There were a total of 40 children on admission in the paediatric wards with a Male: Female ratio of 1.2:1. 34 (85.0%) of the children on admission were receiving at least one antibiotic. The most common route of administration of the antibiotics was the intravenous route (94.1%). The five most commonly prescribed antibiotics in the children medical wards and the emergency ward were Ceftriaxone, Gentamycin, Cefuroxime, Metronidazole and Crystalline penicillin, while the five most common antibiotics prescribed in the special care baby unit were Gentamycin, Ceftazidime, Ceftriaxone, Metronidazole and Ofloxacin. Only 10 (29.4%) out of children receiving antibiotics had a microbiology culture result available, and 4 were receiving antibiotics in line with the culture sensitivity pattern. Two (5.9%) children had a multidrug-resistant infection. Conclusion: This study showed a high prevalence of antibiotic use among inpatients and low utilization of microbiology culture results in the choice of antibiotics in a tertiary hospital in South-south Nigeria. Antibiotic prescribing patterns among healthcare workers should be improved upon by training and retraining of personnel as well as strict adherence to antibiotic prescription guidelines.

Cost analysis of chronic hepatitis C virus management in a Malaysia tertiary hospital

2017 ◽  
Vol 9 (2) ◽  
pp. 141-144 ◽  
Author(s):  
Asrul Akmal Shafie ◽  
Muhammad Radzi Abu Hassan ◽  
Norazila Abdul Ghani ◽  
Beng Hoong Chew ◽  
Nor Syahireen Mohammed
Keyword(s):  
Chronic Hepatitis ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Cost Analysis ◽  
Chronic Hepatitis C ◽  
Tertiary Hospital ◽  
Chronic Hepatitis C Virus ◽  
Virus Management

scholarly journals Implementation and progress of clinical pharmacy in the rational medication use in a large tertiary hospital

2011 ◽  
Vol 9 (4) ◽  
pp. 456-460 ◽  
Author(s):  
Fábio Teixeira Ferracini ◽  
Silvana Maria de Almeida ◽  
Juliana Locatelli ◽  
Sandra Petriccione ◽  
Celina Setsuko Haga
Keyword(s):  
Patient Safety ◽  
Clinical Pharmacy ◽  
Medical Records ◽  
Positive Impact ◽  
Tertiary Hospital ◽  
Pharmacy Service ◽  
Clinical Pharmacy Service ◽  
Rational Use ◽  
Set Up ◽  
In The Beginning

ABSTRACT Objective: To show developments and contributions of a clinical pharmacy service in safety and rational use of medications in a large tertiary hospital. Methods: Clinical pharmacists were responsible for all issues using medications at the hospital. In the beginning this professional was responsible for analyzing medical prescriptions, horizontal visits, and to set up protocols. Afterwards, other activities were designated such as monitoring for drug safety, participating in committees and managed routines. If problems were found, the pharmacist reported them for the physician and, after intervention, registered the management on the prescription or in medical records. The data collected were presented as reports to medical managers. Results: There was an increase of clinical pharmacist employed in 2010, reaching 22 individuals. Interventions types also increased from 1,706 in 2003 to 30,727 in 2010. The adhesion observed in medical team in 2003 was 93.4%, reaching 99.5% of adhesion in 2010. Conclusion: Clinical pharmacy service shows a positive impact when it comes to performed interventions. It also promotes a rational use of medicines and increase patient safety. Pharmacists were included and their importance confirmed within the multidisciplinary team and in the process of patient safety.

scholarly journals Cost Analysis of Cervical Cancer Patients with Different Medical Payment Modes Based on Gamma Model within a Grade A Tertiary Hospital

2018 ◽  
Vol 131 (4) ◽  
pp. 389-394 ◽  
Author(s):  
Suo-Wei Wu ◽  
Tong Chen ◽  
Qi Pan ◽  
Liang-Yu Wei ◽  
Qin Wang ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cost Analysis ◽  
Cancer Patients ◽  
Tertiary Hospital ◽  
Gamma Model
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