scholarly journals Community Pharmacies in Poland—The Journey from a Deregulated to a Strictly Regulated Market

2020 ◽  
Vol 17 (23) ◽  
pp. 8751
Author(s):  
Marcin Wiśniewski ◽  
Urszula Religioni ◽  
Piotr Merks
Keyword(s):  
European Union ◽  
Patient Care ◽  
Community Pharmacies ◽  
Legal Regulations ◽  
European Union Countries ◽  
The Law ◽  
The Impact

Community pharmacies are the primary entities providing drugs to individual patients in Poland. The pharmacy market has been changing for many years due to significant changes in market regulations. These changes significantly affect the profitability of pharmacies, which may impact the quality of pharmacotherapy. The small number of pharmacies, which resulted from changes in the law in 2017, can influence the level of patient care. The article presents the community pharmacies market in Poland. Particular attention is paid to the legal regulations affecting community pharmacies and the impact of these regulations on the overall shape of the market. The Polish system’s specificity, including the pharmacy market indicators, has been compared with data from other European Union countries.

scholarly journals Impact of a pilot NHS-funded sore throat test and treat service in community pharmacies on provision and quality of patient care

2020 ◽  
Vol 9 (1) ◽  
pp. e000833 ◽  
Author(s):  
Efi Mantzourani ◽  
Andrew Evans ◽  
Rebecca Cannings-John ◽  
Haroon Ahmed ◽  
Kerenza Hood ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Care ◽  
Sore Throat ◽  
Community Pharmacies ◽  
Antibiotic Prescribing ◽  
Local Health ◽  
Test And Treat ◽  
Quality Of Patient Care ◽  
The Impact

ObjectiveA National Health Service (NHS)-funded sore throat test and treat (STTT) service was introduced in selected pharmacies in two local health boards in Wales, as an extension to the national pharmacy common ailment scheme. The aim of this study was to evaluate the impact of STTT on provision and quality of patient care, namely antibiotic use, patient safety and general practitioner (GP) consultation rates.MethodsSecondary analyses of STTT consultation data to describe service outcomes, and routine data to explore changes in antibiotic prescribing and the prevalence of complications. Data were also collected from one GP practice to explore the feasibility of measuring changes in sore throat consultation rates in general practice.ResultsLess than 20% of 1725 consultations resulted in antibiotic supply. The availability of STTT was associated with greater reductions in prescriptions for phenoxymethylpenicillin than in areas where STTT was not available (−3.8% and −3.4%, difference 0.4%). When pharmacy supplies were included, the reductions in the supply of the antibiotic were similar. No increase in the monthly number of incidents of quinsy was detected, and patients were appropriately referred to other healthcare professionals during pharmacy consultations. GP consultation rates since introduction of STTT were found to be lower than the equivalent monthly average since 2014.ConclusionsData from the first 5 months of the STTT service suggest that it may have a role in safely rebalancing uncomplicated sore throat management from general practice to community pharmacies while continuing to promote antibiotic stewardship.

scholarly journals Pediatric Endocrinology in the Time of COVID-19: Considerations for the Rapid Implementation of Telemedicine and Management of Pediatric Endocrine Conditions

2020 ◽  
Vol 93 (6) ◽  
pp. 343-350
Author(s):  
Molly O. Regelmann ◽  
Rushika Conroy ◽  
Evgenia Gourgari ◽  
Anshu Gupta ◽  
Ines Guttmann-Bauman ◽  
...  
Keyword(s):  
Patient Care ◽  
Care Patient ◽  
The Novel ◽  
Patient Privacy ◽  
Pediatric Endocrinology ◽  
Quality Of Patient Care ◽  
Care Outcomes ◽  
Novel Coronavirus ◽  
The Impact

<b><i>Background:</i></b> Pediatric endocrine practices had to rapidly transition to telemedicine care at the onset of the novel coronavirus disease 2019 (COVID-19) pandemic. For many, it was an abrupt introduction to providing virtual healthcare, with concerns related to quality of patient care, patient privacy, productivity, and compensation, as workflows had to change. <b><i>Summary:</i></b> The review summarizes the common adaptations for telemedicine during the pandemic with respect to the practice of pediatric endocrinology and discusses the benefits and potential barriers to telemedicine. <b><i>Key Messages:</i></b> With adjustments to practice, telemedicine has allowed providers to deliver care to their patients during the COVID-19 pandemic. The broader implementation of telemedicine in pediatric endocrinology practice has the potential for expanding patient access. Research assessing the impact of telemedicine on patient care outcomes in those with pediatric endocrinology conditions will be necessary to justify its continued use beyond the COVID-19 pandemic.

scholarly journals The impact of government outsourcing on public spending: Evidence from European Union countries

2017 ◽  
Vol 39 (2) ◽  
pp. 333-348 ◽  
Author(s):  
José M. Alonso ◽  
Judith Clifton ◽  
Daniel Díaz-Fuentes
Keyword(s):  
European Union ◽  
Public Spending ◽  
European Union Countries ◽  
The Impact

scholarly journals Entrepreneurial Innovation: the European Union perspective

2018 ◽  
Vol 18 (2) ◽  
pp. 137-154 ◽  
Author(s):  
Augustin Ignatov
Keyword(s):  
European Union ◽  
Future Research ◽  
The European Union ◽  
Business Innovation ◽  
The North ◽  
Quantitative Analyses ◽  
Entrepreneurial Innovation ◽  
Entrepreneurial Activities ◽  
The Impact

Abstract Entrepreneurship is the driving force of economic development and progress. A successful state, first of all, provides favourable conditions motivating the businesses to grow and flourish. Presently, the European Union is developing unevenly with multiple economic misbalances across the community, the West and the North being more competitive than the South and the East. The aim of the present research is to examine the framework of interdependence between the degree to which the governance quality and economic freedom in the European Union are supporting entrepreneurial activities and the performance of the community in terms of entrepreneurial innovation. The results reached through applying both qualitative and quantitative analyses show that the interdependence between entrepreneurial innovation and regulatory efficiency is strong for many of the European Union states which is determined by multiple factors including the institutional and economic ones. Also, the present paper underlines the importance of the proper regulatory framework for the efficient development of business innovation. The future research on this matter could consider in depth the impact of socio-cultural environment, its influence on the quality of governance and the impact of both upon the European entrepreneurial innovation.

scholarly journals Assessment of the Effect of Technological Innovations on Unemployment in the European Union Countries

2021 ◽  
Vol 32 (2) ◽  
pp. 130-139
Author(s):  
Zigmas Lydeka ◽  
Akvile Karaliute
Keyword(s):  
European Union ◽  
Method Of Moments ◽  
Scientific Literature ◽  
Generalized Method Of Moments ◽  
Technological Innovations ◽  
Labour Demand ◽  
The European Union ◽  
Independent Variables ◽  
European Union Countries ◽  
The Impact

Innovation and unemployment are two economic elements related to each other that have been constantly analyzed in the economic debates from the beginning of the 21st century. A classical question is whether innovation creates or destroys jobs. The conventional approach contemplates innovation as a transformation instrument of an economy, resulting in economic growth and jobs creation. Another approach points out to various mechanisms which can compensate the primary effect of innovations and cause an ultimate effect of innovations on labour demand to be unclear. In view of the fact that there are many different explanations about the impact of innovations on labour demand, this paper, after the analysis of theoretical and empirical scientific literature in this field, provides an empirical analysis with unemployment as the dependent variable. The authors use data from 28 European Union countries for the period of 1992–2016 and pursue to research how technological innovations affect unemployment rate. There are two core independent variables – expenditure on R&D (research and development) and number of patent applications – as the main proxies for technological innovations. Control variables that affect unemployment are included to the model as well. The model was estimated using a dynamic two-step System Generalized Method of Moments (GMM-SYS) of a panel data system. After the composition of 12 different estimations of the model, the results suggest that, in some cases, technological innovations affect unemployment.

scholarly journals GEOTECHNICAL CHARACTERISTICS OF EMBANKMENT ALONG THE RAILWAY ROUTE OF ENTITY BORDER OF FEDERATION OF BIH – MAGLAJ, SECTION km 103+500 MAGLAJ

2017 ◽  
Vol 1 (16) ◽  
Author(s):  
Neđo Đurić
Keyword(s):  
European Union ◽  
Laboratory Tests ◽  
Soil Depth ◽  
The Other ◽  
Geotechnical Characteristics ◽  
Time Period ◽  
European Union Countries ◽  
Improvement Measures ◽  
Train Speed

Railway route from entity border to Maglaj is on corridor V of railways that connects Adriatic seawith European Union countries. More precisely, it is on the railway Samac – Sarajevo that was builtduring the fifties. From Doboj to Zenica exist two tracks, one built in 1947. and the other thirty yearslater. In time, the railway worn out, since it was not maintained properly during its exploitation, soallowed train speed is 40 km/h. Reconstruction of railway had previously started on sections with aimto achieve the level of train speed to 120 km/h.Terrain research in order to overview quality of material on which the railway is laid, and immediateenvironment that has effect on railway route, were conducted by sections, from which section km103+500 – Maglaj is one of the most important considering characteristics of the terrain on which theroute passes. Research along railway route were conducted by using research trial pits from both sidesand in between tracks, to depth of entry in basic soil. Depth of research works is different for old andnew track, considering the way of construction in time period of 30 years. Beyond narrow corridor ofrailway route research of characteristics of the terrain were not conducted, because of inability toaccess due to mining. Results of terrain and laboratory tests showed geotechnical characteristics ofmaterial, based on which were given quality improvement measures for deposited materials, and basefor reconstruction of railway.

Impact of Health Information Technologies on the Quality of Healthcare Deliveries

2021 ◽  
Vol 6 (1) ◽  
pp. 30-44
Author(s):  
Patricia Whitley ◽  
Hossain Shahriar ◽  
Sweta Sneha
Keyword(s):  
Patient Care ◽  
Health Information ◽  
Medical Errors ◽  
Information Technologies ◽  
Healthcare Delivery ◽  
Well Being ◽  
Quality Of Healthcare ◽  
Quality Healthcare ◽  
The Impact

Through a literary review of recent research, this paper examines the mixed impact of health information technology (HIT) on patient care, medical errors, and the quality of healthcare delivery in selected hospital settings such as emergency departments. Specific technologies examined include the electronic health record (EHR), medical devices, artificial intelligence, and robotics. The paper identifies that some healthcare technologies are increasingly valuable in reducing medical errors, improving healthcare quality, and in producing better patient-centered outcomes. It also determines that technologies have complicated the delivery of quality patient care, increased the incidences of clinician burnout, and made receiving quality healthcare in America's hospital systems possibly less sure. The paper concludes with some suggestions for improving HIT's implementations and confirms the need for further evaluation of the impact of HIT in increasing patient safety and clinician well-being.

scholarly journals Potential and competitiveness of EU countries in terms of slaughter livestock production

2019 ◽  
Vol 65 (No. 12) ◽  
pp. 550-559 ◽  
Author(s):  
Agnieszka Tłuczak
Keyword(s):  
European Union ◽  
Great Britain ◽  
Spatial Econometrics ◽  
Cattle Production ◽  
Strong Concentration ◽  
Eu Countries ◽  
Slaughter Cattle ◽  
European Union Countries ◽  
The Impact ◽  
The Relationship

Models and methods of spatial econometrics are gaining more and more popularity. Their advantage is the opportunity to examine the interrelationships between individual territorial units. These methods, apart from the own potential of the region, take into account the impact of neighbouring objects and location in space. The aim of the study is to examine the relationship between the potential and the level of competitiveness of individual European Union countries in the field of slaughter cattle production. In addition, the paper attempts to determine the specialisation of individual EU countries in the production of slaughter animals by sector. The analysis covered the years 2010–2016, using Eurostat data. The obtained results allow indicating countries in which there is a strong concentration of income potential (Sweden, Spain, Great Britain, France and Belgium). Countries in which the highest values of the potential quotients in the entire European Union are distinguished (Poland, Finland and Belgium).<br />

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