scholarly journals Qualitative Analysis of the Role of Pharmacists in Home Medical Care as Perceived by other Professionals

Author(s):  
Miki Araki ◽  
Manako Hanya ◽  
Hiroyuki Kamei
2020 ◽  
Vol 140 (7) ◽  
pp. 869-875
Author(s):  
Eri Sakuma ◽  
Junya Kawauchi ◽  
Yasuaki Gyoda ◽  
Yukie Oikawa ◽  
Junko Watanabe

Author(s):  
Takashi Imanishi ◽  
Yuki Iwatake ◽  
Miyoko Okamura ◽  
Yoshitaka Yano ◽  
Masaaki Kusumoto

Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 120
Author(s):  
Rie Kubota ◽  
Junichi Mukai ◽  
Michiko Yamada ◽  
Yurika Yoshino ◽  
Nakaba Okamura

This study aimed to evaluate the usefulness of the practicum as well as assess the knowledge, skills, and various specific realizations that the students gained from it. A total of 244 students role-played a scenario in which a pharmacist visited a patient at home and provided pharmaceutical management services. After completing the practicum, the students completed (i) a questionnaire survey consisting of six questions that assessed their level of understanding of the role of pharmacists in home medical care and (ii) a rubric survey that evaluated their learning achievement. In addition, they submitted practicum portfolios describing the patients’ living conditions, physical conditions, and background as well as the services that required consideration of said variables. Their responses to the portfolio item “What were noticed through the practicum” were analyzed using the grounded theory approach. After the practicum, 45% and 53% of the students reported having a full and partial understanding of a pharmacists’ role in home medical care. The students’ mean ± standard deviation rubric score was 3.0 ± 0.4. They classified monitoring drug use, support for improving medication adherence, and observation to identify side effects early as major service categories in home medical care. The practicum led the students to perceive the need for communication with patients and various healthcare professionals to improve their readiness for practical training.


2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696713
Author(s):  
David Seamark ◽  
Deborah Davidson ◽  
Helen Tucker ◽  
Angela Ellis-Paine ◽  
Jon Glasby

BackgroundIn 2000 20% of UK GPs had admitting rights to community hospitals. In subsequent years the number of GPs engaged in community hospital clinical care has decreased.AimWhat models of medical care exist in English community hospitals today and what factors are driving changes?MethodInterviews with community hospital clinical staff conducted as part of a multimethod study of the community value of community hospitals.ResultsSeventeen interviews were conducted and two different models of medical care observed: GP led and Trust employed doctors. Factors driving changes were GP workload and recruitment challenges; increased medical acuity of patients admitted; fewer local patients being admitted; frustration over the move from ‘step-up’ care from the local community to ‘step-down’ care from acute hospitals; increased burden of GP medical support; inadequate remuneration; and GP admission rights removed due to bed closures or GP practices withdrawing from community hospital work.ConclusionMultiple factors have driven changes in the role of GP community hospital clinicians with a consequent loss of GP generalist skills in the community hospital setting. The NHS needs to develop a focused strategy if GPs are to remain engaged with community hospital care.


Author(s):  
Ranjeet S. Sawant ◽  
Bharat D. Zinjurke ◽  
Sandeep V. Binorkar

Abstract The ongoing coronavirus pandemic is caused by severe acute respiratory syndrome coronavirus 2 (SARS CoV 2) and unique in various facets. The earlier experience from the past severe acute respiratory syndrome (SARS) epidemics seem to be insufficient and there is need for better strategies in public health and medical care. Ayurved & Yog are well known for their preventive and therapeutic aspect, but not getting utilized properly for prevention of Covid 19 crisis which may also be helpful as supportive therapy along with current line of management. This paper is aimed at unrevealing the role of Ayurved and Yoga guidelines established by Department of AYUSH for prevention from SARS-CoV-2 by providing help to improving the quality of supportive/prophylactic therapy in relation with their immunity.


Corpora ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. 379-416
Author(s):  
Tatyana Karpenko-Seccombe

This paper considers the role of historical context in initiating shifts in word meaning. The study focusses on two words – the translation equivalents separatist and separatism – in the discourses of Russian and Ukrainian parliamentary debates before and during the Russian–Ukrainian conflict which emerged at the beginning of 2014. The paper employs a cross-linguistic corpus-assisted discourse analysis to investigate the way wider socio-political context affects word usage and meaning. To allow a comparison of discourses around separatism between two parliaments, four corpora were compiled covering the debates in both parliaments before and during the conflict. Keywords, collocations and n-grams were studied and compared, and this was followed by qualitative analysis of concordance lines, co-text and the larger context in which these words occurred. The results show how originally close meanings of translation equivalents began to diverge and manifest noticeable changes in their connotative, affective and, to an extent, denotative meanings at a time of conflict in line with the dominant ideologies of the parliaments as well as the political affiliations of individuals.


2021 ◽  
Vol 19 (1) ◽  
pp. 159-176
Author(s):  
Joanna Stryjek

Nowadays, air pollution constitutes one of the most serious threats to human health and life. Poland belongs to the group of countries with the highest level of air pollution in the EU and OECD. The scale of the threat posed by air pollution shows its importance when it comes to the health security of the Polish citizens. However, the ongoing (political and scientific) debate on health security in Poland often ignores the problem of air pollution. The aim of the article is to 1) assess the threat currently posed by air pollution to health security in Poland, 2) locate the threat in the area of health security, and 3) analyse the process of transferring the problem of air pollution from the sphere of politics to the area of security, in accordance with the theory of securitization, developed by the Copenhagen School of Security Studies. Qualitative analysis of documents together with the application of the theory of securitization show that, in Poland, the state has started to play the role of an actor securitizing air pollution as an existential threat. Nevertheless, this process is at an early stage, and its further success depends, inter alia, on decisions and possibilities related to taking extraordinary measures to eliminate the threat posed by air pollution.


2020 ◽  
pp. 16-25
Author(s):  
Larisa Karaseva

The article presents the stages of implementation of the principles of lean production in the healthcare of the Russian Federation, outlines the goals and prospects of projects to optimize the quality and safety of medical care, emphasizes the role of nursing specialists in improving the ideology of a patient-oriented medical organization.


Author(s):  
К. А. Галкин

Ситуация пандемии COVID-19 в очередной раз напомнила о необходимости использования онлайн-сообществ здоровья, особенно в тех районах, где не хватает мест в местных больницах или существуют проблемы с получением качественной медицинской помощи. Это, например, сельские районы, где медицина ориентирована на лечение экстренно возникающих заболеваний и у врачей существуют сложности с возможностью лечения новой коронавирусной инфекции. Онлайн-сообщества здоровья в таком случае предоставляют возможность узнать необходимую информацию, а также общаться со специалистами, которые знают особенности нового коронавируса и могут дать необходимые советы. В настоящей статье на примере глубинных интервью с пожилыми людьми из сёл Ленинградской обл. и Республики Карелия рассмотрена роль телемедицины для пожилых людей и общения в онлайн-сообществах здоровья в контексте преодоления одиночества и изолированности, которая существует в сельской местности. В статье проанализированы особенности и основные препятствия для использования пожилыми людьми телемедицины и общения в онлайнсообществах здоровья - это проблемы с инфраструктурой и отключением электричества, отсутствие у пожилых людей компьютерной грамотности для общения и взаимодействия в онлайн-сообществах здоровья. Роль последних рассмотрена с точки зрения развития самозаботы пожилых людей в сельской местности в периферийных поселениях из-за отсутствия необходимой медицинской помощи. The situation of the COVID-19 pandemic has once again reminded of the need to use telemedicine and online health communities, especially in areas where there are not enough places in local hospitals or there are problems with obtaining quality medical care, such as rural areas where rural medicine is focused on treatment of emergency diseases and doctors have difficulties with the possibility of treatment, as well as explaining about the new coronavirus infection to patients and how this disease can be treated. In this case, online health communities provide an opportunity to find out the necessary information, as well as communicate with specialists who know the features of the new coronavirus and can give the necessary advice. Using the example of in-depth interviews with older people from villages in the Leningrad Region and the Republic of Karelia, the article examines the role of telemedicine for older people and communication in online health communities in the context of overcoming loneliness and isolation that exist in rural areas. The article analyzes the features of the use of telemedicine and the key barriers to the use of telemedicine and communication of older people in online disease communities. In rural areas the main barriers to telemedicine use are infrastructure problems and power outages, as well as the lack of computer literacy for communication and elder people’s interaction in online health communities. In the article the role of online health communities is considered in the context of the self-care of older people and from the point of view of the development of self-care of older people in rural peripheral settlements due to the lack of necessary medical care.


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