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Comparison of medical and non-medical student attitudes to social issues in medicine.

A 63-item questionnaire on attitudes to psychosocial issues in medicine was administered to final-year students in the Faculties of Medicine (n = 104), Pharmacy (n = 57) and Arts and Social Sciences (n = 75) of the University of Benin. The responses given were analysed by the summation and Cornell scalogram techniques for content and intensity. On aggregate, the pharmacy students scored significantly higher than their medical and arts/social science counterparts (P < 0.001). The advantage over medical students was on only one subscale: paramedical cooperation. The scores of the pharmacy and arts/social science groups were significantly lowe than those of medical students on the social factors subscale. On issues that threaten to diminish the traditional role and status of the medical profession (e.g. paramedical cooperation and government intervention), the attitude of medical students was either unenthusiastic or clearly resentful. However, they shared the same orientation as the other groups towards matters which did not challenge the prerogatives of medical doctors (e.g. preventive medicine and doctor-patient relationship). It is suggested that measures be adopted to raise the level of awareness of non-health professionals vis--vis the non-biological antecedents of disease and also to bridge the gap in attitudes among groups in the health care team.

Attitude↗

[Not Available].

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Austria↗

[Not Available].

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Ethics, Medical↗

[Not Available].

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Ethics, Medical↗

A proposed ethical framework for prescription drug benefit allocation policy.

OBJECTIVES: To present an ethical framework that could aid prescription drug benefit design and to propose that such a framework could be organized around a benefit allocation hierarchy. SUMMARY: Four hierarchical levels of allocation are proposed, as follows: (1) drug categories and subcategories, (2) individual drugs within covered drug categories, (3) specific indications of covered drugs, and (4) special features of drug use, such as quantities covered for specific indications. Rationales for decision making should address the distinct ethical issues apparent at each level. CONCLUSION: Ethical issues associated with designing and managing a pharmacy benefit can be identified by using a hierarchical prescription drug allocation scheme. Articulating these issues is an important first step toward arriving at a fully developed framework that will serve to produce rationales acceptable to typical stakeholders in prescription drug benefits.

Health Policy↗

Physician dispensing: issues of law, legislation and social policy.

Despite the fact that physicians have dispensed prescription drugs for profit for several years, the practice is currently under intense challenge and controversy. This recent flare-up can be explained by several factors including the involvement of the Federal Trade Commission (FTC), increased competition among physicians, alternative delivery systems and drug repackagers. Federal laws including the Food Drug and Cosmetic Act and Controlled Substances Act regulate dispensing practices, but have been interpreted to regulate dispensing by pharmacists, not physicians. All states have laws applicable to the dispensing of prescription drugs by physicians, but the wording of these laws raises unclear legal issues. Both uncertainty about these legal issues and pharmacists' concern over the increase in physician dispensing has promoted state legislative efforts to restrict or regulate the practice. These legislative efforts and the corresponding regulatory actions by state boards have triggered FTC involvement. From a social policy perspective physician dispensing raises significant concerns of ethics, conflicts of interest, patient welfare and economics. Based upon social policy, physician dispensing for profit is not a practice which should be condoned or allowed to flourish.

Drug Industry↗

An evaluation of clinical services: a case study.

The success of evaluation research rests largely in its usefulness. If the sponsors of an evaluation find the data meaningful, then the limitations that the problems of evaluation invariably impose on a study's scientific origin should not be given undue emphasis. In the case of MHMC, the evaluation results were used for program planning in the hospital and for explicating the content of testimony to the California legislature about pharmacy practice in the state. Of course, it would be unthinkable to advocate weak studies and unreliable data. The evaluator must assume the responsibility of determining if and when the balance between what can be done well is tipped in favor of unsound methods. The evaluator is also responsible for judging just how important the data from the study are. How many people will be affected? Are other data available to illuminate or be used with the evaluation?. As clinical pharmacy becomes more concerned with program evaluation, it will need to address ethical and political questions like these at the same time that it answers methodological ones.

California↗

Including the assessment of nontraditional factors in pharmacy school admissions.

OBJECTIVE: To review the relevant literature regarding the predictive ability of cognitive measures (ie, Pharmacy College Admissions Test [PCAT] scores and prepharmacy grade point average [GPA]) on both academic and clinical performance and discuss the inclusion of nontraditional assessment during the admissions process. DATA SOURCES: Articles were identified through searches of International Pharmaceutical Abstracts (1970-April 2004), MEDLINE (1966-January 2004), and ERIC (1966-April 2004) using the key words admissions variables, predictors of success, Pharmacy College Admissions Test, grade point average, cognitive variables, and noncognitive variables. STUDY SELECTION AND DATA EXTRACTION: Cross-sectional, longitudinal, and retrospective studies, as well as reviews, regarding pharmacy school and other higher education admissions' variables were included in this review. DATA SYNTHESIS: Many pharmacy school admissions committees give a majority weight to the traditional cognitive markers of prepharmacy GPA and PCAT scores when selecting viable applicants. Doing so may be problematic due to the magnitude of the relationship between traditional cognitive predictors and pharmacy school performance. CONCLUSIONS: Based on this review, a cogent argument is advanced for the need to examine, in addition to PCAT scores and GPAs, such nontraditional factors as empathy, citizenship, and ethical behavior. This may increase the predictive ability of preadmission factors on pharmacy school didactic and clinical performance. Schools of pharmacy can do this through questionnaires and interviews designed to assess nontraditional variables.

Humans↗

Ethical and legal considerations in a Swiss study on the quality of pharmacotherapy in the city of Basel.

We describe a study on the quality of pharmacotherapy that included downloading electronic records in pharmacies and obtaining other information from the Public Sickness Fund in Basel, Switzerland. Legal and ethical considerations were discussed with and approved by the Internal Review Board of the university clinics through which the project was organized. Technical procedures were used to assure anonymity of the records during data collection and for the analysis. Completion of the records through links with personal data could be performed using a legally required process for quality assurance of the Public Sickness Fund.

Drug Therapy↗

[Pharmaceutical ethics in the second Polish Republic].

The author has presented the state of Polish pharmacy directly before the Second World War. He underlined the dissonance between the owners and pharmaceutical employees. Parliamentary acts concerning pharmaceutical chamber and profession were to counteract the commercial tendencies. Unfortunately these acts had not been tested as they were directly followed by the outbreak of war.

History of Pharmacy↗