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PHCS II Final Exam Review
Pharmacy Healthcare System
36
Pharmacology
Graduate
09/16/2009

Additional Pharmacology Flashcards

 


 

Cards

Term
Slide regarding pharmaceutical industry
Definition
The U.S. is ranked #1 in the world for pharmaceutical innovation and profits
Term
Criticisms of the industry
Definition

Drug recalls

 

Pricing powers

 

Rx advertising

 

 

Term
Causes of adverse health
Definition

Higher-copayments

 

Monthly limits

 

For each 10% increase in cost sharing, Rx spending decreases by 2-6%

Term
Behavior that causes a certain percentage of death of patients
Definition

Behaviors that affect 35% of US deaths

 

smoking

poor diet

low exercise

Term
How errors affect physicians
Definition

stress

 

Difficulty sleeping(insomnia)

 

loss of confidence

 

NOT Weight gain

Term
Generics in terms of what's going on with them in prescription markets
Definition
Generics account for more than 50% of total rx market resulting in decrease sales but an increase profits
Term

What are the factors that affect the health system of the country?

 

Definition

Service delivery

Health Workforce

Health information

Medical technology

Health financing

Leadership and governance

Term

Canadian health care system, facts about it!

 

Universal access regardless if the patients can pay

Services covered are extensive

Great source of pride/ U.S. has 45 million uninsured

 

Definition

U.S. seeks to control costs by limiting supply of service while Canada utilizes cost-sharing.

True or False

 

False

 

Canadian physicians salary is __ less than U.S.

 

1/3

Term
Importance of diversity
Definition

Answer is C and D

 

Our country is becoming more diverse

 

minority serve as a role models, improve patient provider relationships and result in better follow up patient care, outcomes

Term
Institute of medicine report, what is that all about?
Definition

Ensure availability of pharmaceutical decision support

 

Include a pharmacist during rounds of patient care units

 

Change has been slow

Term
What affects the supply of pharmacists?
Definition

1. Female pharmacists

2. Length of education

3. Advanced training

4. Enrollment

5. Decreased interest

6. Pharmacist work patterns

7. Pharmacists leaving the profession

8. Foreign pharmacy graduates

Term
What affects the demand of pharmacists?
Definition

1. Aging population

2. New service roles

3. New jobs

4. New technology/technicians

Term
Aggregate demand index
Definition

5 = highest demand

June 2009 average was 3.69 versus 3.94 from one year ago

Numbers:

5 = High demand: difficult to fill open positions

4 = Moderate demand: some difficulty filling open positions

3= Demand in balance with supply

2= Demand is less than the pharmacist supply avail

1 = Demand is much less than the pharm. supp available

Term
Which states had the highest pharmacist demand?
Definition

2 level - Hawaii

3-level 14 states

4 level - 35

Term

Consolidation...which payers had merged together?

Which merger is paired incorrectly?

Definition

A. CVS/Eckerd

B. Riteaid/Eckerd

C. Walgreens/Happy Harrys

D. Kmart/sears

None of the above

 

None of the above

Term
OBRA 90
Definition

Mandates that pharmacist must offer counsel to Medicaid patients on outpatient prescription drugs

 

Requires pharmacists to document patient counseling and drug utilization review (DUR) activities

Term
Why pharmacy has become a political issue?
Definition

1. Economics

2. Baby boomers

3. Drug safety and errors

4. Patents

5. PBMs

6. Pharmaceutical industry

Term
What happens when you waive copy?
Definition

 

Increase generic utilization

 

Increased drug utilization

 

Improved patient outcomes

Term
Where do you get sources of pharmacy news?
Definition

1. www.pharmacytimes.com

2. www.drugtopics.com

3. www.uspharmacist.com

Term
What is projected shortage of pharmacists in the future?
Definition

Manpower project - shortage of 157,000 pharmacists by 2020

157,00 openings by 2020

Drive up salaries

Other incentives

Term
What is the largest provider of retail clinics?
Definition
Take Care
Term
Key things senator first said...
Definition

1. technology

2. incentives for healthcare

3. leadership

Term
Salaries of pharmacists
Definition

1. Average salary in 2008 was 112,00 to 135,000

2. Based on 4% annual raise

3. 2012 graduate $131,000 (40 hour a week)

4. 2015 graduate 142,000

5. 2020 graduate 173,000

6. 2025 graduate 210,000

Term
Coalitions to reform?
Definition

NACDS/NCPA partnership - independent pharmacy owners

 

NACDS/APhA Preceptor training - mainly applies to retail clinics

 

 

Term
Retail clinics
Definition

Continue to expand and physicians oppose it

 

Run by nurse practitioners and physicians assistants

Term
Different consolidation in the industry
Definition

More chain mergers

 

PBM/Chain partnerships

 

Hospitals mergers

 

Pharmacy manufacturers

Term
Treatment of various amongst ethnic groups
Definition
Asians generally require lower doses of antipsychotic drugs
Term
Health disparities
Definition
African Amerians are 1.6 more times likely to have diabetes
Term
What are global challenges and opportunities worldwide?
Definition

Healthcare is increasing portion of GDP

 

Injuries and Violence

 

Mental illness

 

aging population

Term
What are the reasons for the rising health care cost worldwide?
Definition

1. Prices

2. Technology

3. Aging

4. Waste

5. Inefficiency

6. Legal system

7. New disease patterns

8. Corporate consolidation

Too many consumers and providers

Term
US ranked in the world as a U.S. health organization and why
Definition

US is ranked number 37

United states outspends all other countries and ranks near the top on average measures

However, fails to deliver health care to large proportion of population

Term
Per Capita incomes of countries is it high or low (true or false question)
Definition

United states - Per capita spending = $5,274

 

Canada - per capita spending = $2,931

 

Germany  - per capita spending = $2,817

 

United Kingdom - per capita spending = $2160

Term
What are some issues with med therapy management?
Definition

1. Progress has been very slow

2. lack of standardization with plans

3. Qualified for those on a certain amount of meds and have certain conditions

4. Reimbursement

Term
What do pharmacists spend most of their time counseling on?
Definition
OTC
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