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The feature articles below are "opinion" pieces and reflect the views of the individual authors. They are not the views of AusPharm.net.au P/L, its directors or editorial group unless explicitly stated to be so.


Opinion

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Pharmacy ownership – a dream or a nightmare? :: Michael Scavone : 13/3/2008 : In Government circles there is an unwritten understanding that you don’t set up an enquiry unless you know or have a reasonable idea of what the outcome is likely to be.

The debate around pharmacy ownership circa 1999 was nearly at boiling point. The States were dragging their feet to conclude competition policy reviews before the 2000 deadline. The supermarket lobby was excited at the prospect of getting a foot in the pharmacy door. The Federal Government and the Opposition stated publicly that they supported the current model of pharmacist owned pharmacies and the Pharmacy Guild in NSW mobilised the troops with a petition of thousands of signatures aimed at retaining the status quo.

Solution – set up an enquiry. This was known as the Wilkinson Review aka the National Competition Policy Review of Pharmacy aka a Review of Pharmacy Ownership.    More... premium


Medication Reviews: who should do them? :: Kevin de Vries : 5/3/2008 : An article in Pharmacy News this week discusses training and accreditation requirements for performing Home Medicines Reviews (HMR). The article focuses on the relatively slow uptake of HMRs and seeks opinions as to why this may be the case. Some of the themes that emerge are the barriers (real or perceived) that exist to gaining accreditation, inadequate remuneration, whether new graduates should qualify to deliver HMRs and whether the accreditation education is too “highfalutin’ and complex”.
Professor Charlie Benrimoj (University of Sydney) is quoted as saying: “The [accreditation] process sends messages that only the elite can do HMRs; therefore there is no direct encouragement for ‘normal’ pharmacists to get themselves up to speed to provide HMRs.” Professor Benrimoj calls for as many pharmacists as possible to become accredited, stating that with an effectively managed, decent set of criteria “…any registered pharmacist should be able to sit the exam. It could be a day after registration.”   More... premium


PBS Reforms & F2A WADP – if only there was a substitute? :: Norman Thurecht : 28/2/2008 : In today's AusPharm feature article, JR Pharmacy Services' Norman Thurecht has a go at making sense of one of the little understood measures in the PBS reform package, the “Weighted Average Disclosure Price” or WADP.

"When the PBS reforms were announced in November 2006 they created a great wave of interest but to date the ripples of change have not been felt – but rest assured, they will. There are many facets to the reforms. While the total effects (both positive and negative) will only be felt in the years to come, it is important to understand what changes are occurring now so you can plan for change."    More... premium


If sex sells, might 'evolution' be sexier than 'history'? :: Geoff Miller : 26/2/2008 : Along with my colleagues at the Australian Academy of the History of Pharmacy, I often wonder what our universities and societies might do to inspire interest and ensure longevity in activities in pharmacy history.

While history might be light heartedly considered by some as “the story of something that never happened, written by someone who wasn’t there”, we should ignore its impact on our here and now at our peril. As George Santayana opined, “Progress, far from consisting in change, depends on retentiveness. When change is absolute there remains no being to improve and no direction is set for possible improvement: and when experience is not retained, as among savages, infancy is perpetual. Those who cannot remember the past are condemned to repeat it.”   More... premium


First class? Not always! :: Archana Haria : 21/2/2008 : In our AusPharm feature today, pre-reg Archana Haria's story of her recent visit to India gives us a chance to reflect on the quality of health care we experience in Australia.

 

"On a recent ‘adventure’ to India I had an unfortunate encounter with the Indian railway system. Insisting that the railway system is a ‘true experience’, a friend, who had backpacked around ‘the world’ recently, advised me to make this very much a part of my adventure.

Little did I know what he meant by ‘true experience’. As I entered the Mumbai station of Dadar I was greeted with masses of people, the distinct ‘smell’ of India (a concoction of incense, spices and musk) and, of course, hawkers trying to convince me that they have the ‘world’s best…’!"    More... premium


Every cloud has a silver insurance policy :: Bruce Moffat : 15/2/2008 : NSW 'listers may recall reading the sad story back in December of a Sydney man crushed to death when a pharmacy's awning collapsed on him after a freak storm.

The manager of that pharmacy is Bruce Moffat, who tells us his story today....

"For those of you who would rather have a vicarious experience with a novel than a novel experience with a Vicar, read on. This is your vicarious experience of how your Pharmacy Insurance Policy works."    More... premium


Towards pharmacist prescribing rights - but let's get it right! :: Ron Batagol : 7/2/2008 : In our first feature article for 2008, Ron Batagol writes about pharmacists' core role, that of ensuring that our patients/clients are given their medicines in the correct dosages, with due consideration of safety and efficacy.


In a recent Pharmacy Board of Victoria Newsletter was a report on a case, referred to it by the Coroner, (1) of a pharmacist who had been "cajoled and bullied" by a client, obviously against the pharmacist's better judgement, into dispensing what turned out to be a fatal course of MS Contin treatment, after the prescriber was apparently uncontactable.

Unknown to the pharmacist, the patient turned out to be opiate naive, even though she assured the pharmacist that she had "taken the drug before and knew all about it!    More... premium


Evidence based and non evidence based medicines :: Michael Page : 18/12/2007 : As 2007 draws to a close Michael Page offers his view on why we should reconsider the way we look at the dichotomy that currently exists between 'orthodox' and complementary medicines.

"There are many ways in which we separate complementary and alternative medicine (CAM) – including herbal medicines, vitamins, and so on – from orthodox medicines."   More... premium


When is a pharmacy a supermarket? :: John Clayton : 13/12/2007 : In today's AusPharm feature, Cropper Parkhill solictor John Clayton talks about what factors come into play when deciding whether a pharmacy is also a supermarket.

"Community pharmacies are distinguishable from other retail outlets because they are owned and managed by pharmacists, they supply scheduled medicines and they provide predominantly health products. There is an ongoing debate about whether the pharmacy of the future will continue to be distinguishable for these reasons, or whether it will cease to exist as a separate entity and pharmacy services will be available alongside other consumer items in supermarkets and department stores.

"What prevents this happening now? What prevents a supermarket from dispensing medicines? Does anything prevent a pharmacist from selling a full range of domestic items and so, in effect, operating a supermarket?"    More... premium


Serendipitous benefits of Stilnox® :: Dr Geraldine Moses : 6/12/2007 : In her last contribution to AusPharm for 2007, Dr Geraldine Moses writes about 'good zolpidem'.

"Over the past 12 months, many of you would have followed the news of the bizarre sleep-associated side effects linked with zolpidem a.k.a. “Stilnox®”. Indeed, just last week the TGA issued updated warnings about the drug.(1) But did you know that zolpidem’s strange side effects have serendipitously created new applications for the drug in a range of CNS disorders from brain injury to restless legs?

Let me tell you all about it."   More... premium


Structuring for success! :: Mark Nicholson : 29/11/2007 : This is the last article this year from JR Pharmacy services Mark Nicholson. However, he will be back with more business commentary next year!

"Back in February, I wrote about the challenges involved in buying a pharmacy, including some of the financial realities that surround a successful purchase (see So you want to buy a Pharmacy! ). Today’s topic is about structuring for success."   More... premium


The Point of view of a Pre-reg! :: Rowan Lowe : 22/11/2007 : In today's AusPharm feature pre-reg Rowan Lowe talks us through the issues that are important for pre-regs.

"When agreeing to employ a pre-registration pharmacist, a preceptor should always keep in mind that they are not simply employing a staff member but are providing an opportunity to educate and train the next generation of pharmacists."    More... premium


The Best Weight Loss Drug is Food :: Dr Amanda Sainsbury-Salis, PhD : 20/11/2007 : After the recent dicussions on AusPharmList on weight loss prompted by Stuart Adams' article a 'lister was in touch to introduce AusPharm to Dr Amanda Sainsbury-Salis, saying that her work was worth a look.

Dr Sainsbury-Salis is a Senior Research Fellow at the Garvan Institute of Medical Research and author of The Don't Go Hungry Diet. In today's AusPharm feature she explains her research into reducing 'the famine reaction'.

Acording to Dr Sainsbury-Salis: "Whilst providing your clients with scientifically based advice for effective weight loss won't sell weight loss products such as the kind mentioned in Stuart Adam's article of October 23rd, a growing number of astute customers are looking for real solutions from professionals they can trust."   More... premium


Exposure to commonly-occurring chemicals during pregnancy - be alert but not alarmed! :: Ron Batagol : 13/11/2007 : Recently, after I returned from a vacation, I had a quick look, as is my wont, at what I had missed on AusPharmList in the two weeks that I had been away.

One exchange of posts immediately caught my eye. It concerned the situation of a pharmacist who sells a cough mixture which contains saccharin to a pregnant client and the ensuing debate around how to access the safety in pregnancy of saccharin used as a flavouring in medicinal products.   More... premium


Can you communicate? :: Archana Haria : 8/11/2007 : Recently I've been involved in the behind-the-scenes organisation of a nationwide public speaking competition aimed at high schoolers and the art of social intelligence interests me greatly.

I've seen some true gems walk through this competition, often discovered as diamonds in the rough, yet nothing prepared me for a recent 'moment in time'.

I thought I had seen the breadth and depth of social intelligence but I now reside in the comfort of mankind's unique ability to adapt.    More... premium


Pharmacy relocation - some hidden traps :: John Clayton : 30/10/2007 : In today's AusPharm feature from Cropper Parkhill lawyer John Clayton he tells the story of one young pharmacist's journey through the regulatory maze she needed to negotiate when looking to open her new pharmacy.

"....A young pharmacist identifies an opportunity to start a pharmacy in a new medical centre in a large city. The centre is less than 1.5 kilometres from the nearest pharmacy and so there is no possibility of seeking a new pharmacy approval under the Pharmacy Location Rules. However, the centre is more than 500 metres from the nearest pharmacy and so it may be possible to relocate a pharmacy approval number to the centre."    More... premium


What's the way forward? :: Roy Stevenson : 25/10/2007 : "...pharmacies should be implementing the range of cognitive services now available in some cases (e.g. HMRs and RMMRs) and soon to be available in others (e.g. asthma and diabetes disease state management programs, medication profiling and dose administration aids assistance)."

So said Bruce Annabel in a recent presentation to delegates at the Pharmacy Australian Congress Industry.

How many times do we have to hear this before the majority of us recognise the state of urgency that exists for change?   More... premium


Invest in a pharmacy? Or just buy shares or property? :: Mark Nicholson : 18/10/2007 : A 'lister emailed AusPharm a week or two back and posed the question above.

Who better to answer, we thought, than AusPharm writer Mark Nicholson, from JR Pharmacy Services.

"The BHP share price on October 1, 2002 was $9.10. Five years later, on October 12, 2007 it was $46.20. This represents an amazing annual growth rate of 38.4%!"    More... premium


Plans for the future in 'Pharmacy 210' :: Rowan Lowe : 9/10/2007 : A team from the Griffith University School of Pharmacy recently won the Pharmacy Guild of Australia's National Pharmacy Business Plan Competition. Rowan Lowe was part of the winning team and in today's AusPharm feature he tells us a little of how the team went about their task.

"Pharmacy exists in a competitive marketplace and differentiating one's business from those in the surrounding area can help to ensure a prosperous enterprise for years to come. How does a business owner discover a market segment that is yet to be utilised in your local area? It all comes down to research."   More... premium


Guidelines schmuidelines! No good unless you read them. :: Dr Geraldine Moses : 4/10/2007 : Have you read this month's Veteran's Mates Therapeutic Brief (VMTB) entitled Antipsychotics in Dementia? It's excellent.

Durrh, I hear you say? Or guidelines schmuidelines, I'm drowning in guideli   More... premium




About this page 

This features page will be updated with new opinion pieces regularly. Unlike the hard copy publications that publish all their content once each week/fortnight/month we will publish on a rolling basis.


Got something to say? Fancy yourself as a features writer? 

At AusPharm.net.au we are always on the lookout for people with an opinion to express. If you think you fit the bill, contact Mark Dunn to express an interest or to get further information.

 

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