Wednesday, August 22, 2007

August 22, 2007

12:10: The Health Roundup with Jay, Jamie and Jimmy.

12:35: Let’s talk pain! Sales of painkillers in the US have almost doubled between 1997 and 2005. The massive increase is being attributed to the aging population and aggressive marketing by pharmaceutical companies.
Guest: Dr. Jeff Ennis, founder Hamilton's East End Multidisciplinary Pain Management Program.

12:45: Daynight Pharmacy time!
Guest: Irene

Irene talked about the CMA ruling on Pharmacists prescribing.

Most of the doctors attending a convention of the Canadian Medical Association ( 56% of the 268 delegates ) have voted against allowing pharmacists to prescribe medication when they're part of a team caring for patients.
Doctor's believe that doctor's should lead such teams and prescribe medication because they are adequately trained to take a patient's medical history, do a physical exam, order and interpret test and come up with a diagnosis. The Canadian Pharmacists Association ( CPA) which works closely with the CMA called the vote disappointing, in which it considers the CMA lack a understanding about the role pharmacists play. The vote is not indicative of all views of Canadian doctors. Many collaborative health-care teams, such as Alberta, allow pharmacists to prescribe medications within certain parameters. Manitoba plans similar legislation as does New Brunswick. CPA believes the doctors "don't know what it means, the word"prescribe", the word has different meaning to pharmacists as to doctors. A lot of the issue was centered around independent prescribing, independent of a physician, independent of a diagnosis, independent of the requirement to document and communicate and make it available in a timely way. The pharmacists stressed they are not calling for unbridled prescribing. They only want the right to prescribe drugs in cases where a patient who's taking a medication for a chronic condition needs a refill and has a three-week waiting period before they can see a doctor or when a patient has developed a reaction to a prescribed drug and requires a substitute. In the UK and Australia the governments are increasing pharmacist's roles to deal with access issues to timely health care. It's about improving efficiently and access, in the end everybody wants what's best for the patient.


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