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Biomedical subjects

H Fonneløp

Publications and source records attributed to H Fonneløp.

6 recordsLinked to original sources

[Returned medicines as quality indicator for pharmacotherapy--what is left?].

Unused medication accumulating in the homes of patients represents a medical, professional, financial and ecological challenge. Drugs returned to pharmacies show what kinds of medication are not being used. In our survey. 14 pharmacies registered all the medication returned during a three-month period. A total of 641 persons handed in 4,860 containers of medication during this period. A third of the containers were unopened and another third had more than half the contents left. The returned drugs were valued at approx. 450,000 NOK. Drugs used in cardiovascular and respiratory diseases constituted the largest part of the medication returned, both with respect to value and to volume. Drugs returned to pharmacies give an indication of the efficacy of pharmacotherapy. The results should prove suitable for reflection in multi-professional quality groups.

Drug Costs↗

["To be used as directed by your physician"--reasons why patients do not use prescribed medicines].

Research and practice indicate that a substantial amount of drugs prescribed for patients are never used. However, we do not know much as to why around 10% of the drugs paid for by the National Insurance are not used. The object of our survey was to identify and illustrate different reasons for this waste. On a questionnaire, 462 persons, who returned unused medication to 14 Norwegian pharmacies during a three-month period in 1994, indicated their reasons for not using the drugs. About half of these persons were also willing to participate in an in-depth interview. Using qualitative methodology, we grouped the reasons for having surplus medication into four main categories: Altered drug requirements--because of changes in the state of the patient's health or because of a new treatment regime. How the patients handled the prescribed drugs--influenced by the patient's knowledge, attitude and physical ability. Illness, social network and the complexity of the treatment were also contributing factors in this category. Coordination of the health services--related to how closely the various sections within the health care service worked together. Prescribing and distribution of drugs--related to rules and regulations, politics, technology, availability and the degree of economic consciousness among doctors and pharmacists. Both the professional and the socioeconomic aspects cited in this study call for reflection and may be used as a basis for further general discussion on the prescribing and handling of drugs, as well as the economic aspect of drug issue. They may also serve as an inspiration for local quality assurance measures and collaboration, especially between the various groups involved in the primary health care service.

Drug Costs↗

[Health services for physicians. Experiences from a pilot project].

The topic of article is a two-year trial of health service for doctors in the districts of Asker and Eidsvoll, under the auspices of the Akershus branch of the Norwegian Medical Association. The object of the trial was to develop a model for a health service for doctors. All doctors in the selected districts, except those covered by occupational health services, were invited to take part in the trial. Doctors recruited as doctors for colleagues, were given systematic tutoring and teaching throughout the trial period. The authors describe how the trial was organized and carried out, and summarize the practical experience gained so far. They also give a brief account of the continued efforts of the Akershus branch of the Norwegian Medical Association to develop a better health service for doctors.

Attitude of Health Personnel↗