QUOTE(hypermax @ Dec 4 2008, 12:19 PM)
First of all, i apologise for using the word "prescribing" wrongly. What i meant was "dispensing". Was multi-tasking when replying the post last night.
1. No evidence, but a mere observation. I might be wrong, hence i apologise in advance.
2. Refer to above.
3. Error caught by pharmacists? Evidence pls. My head of department for medicine once told me that pharmacists in private practice tend to change the prescription to newer medications without giving prior notice to the treating doctors. As i have mentioned before, certain diseases require conventional medications. For those pharmacists here, i am sure you guys tend to recommend newer medications belonging to the same group as the conventional ones. However in medical field, newer not necessarily means better.
In a hospital setting, doctors tend to consult pharmacists before prescribing, due to the fact that both doctors and pharmacists are on the same team. In hospital, medications are indeed dispensed by the pharmacists. Therefore, the issue of inconvenience for the patients does not arise.
However in private practice, for example you get prescription from a clinic, and then again have to rush to the nearest pharmacy to get the medication. Isn't it troublesome? Imagine if there's no pharmacy near by. Mind you, our system is totally different than that of UK. So we have the change to whole health care system before making it convenient for the patients if the dispensing right lies with the pharmacists.
In addition, as i have mentioned before, the biggest hindrance for such change is the lack of pharmacists in Malaysia. You can google and see. The number of pharmacists in Msia is much less than that of doctors. When we do not have enough pharmacists in our country, how can we give them the dispensing right?
Following is taken from an article which you have provided:
Link
Even in the US, a country which awards dispensing right to the pharmacists, the problems of wrong prescriptions and medications are rampant. So what's the point of giving the pharmacists such right?
LOL, i guess i have stayed quiet for far too long. So if u wan evidence of docs' prescribing error, i am one. I am a hospital pharmacist (based in outpatient pharmacy). Goodness gracious, if u wan to know the number of errors in a day...i can tell u...i lose count everyday! Even specialists make mistakes bro. Im not exaggerating..they maybe the expert in their specialised area but believe me....out of this scope...some of them are very prone to making mistakes. And yes, its a standard procedure to ring them up to inform them about it and make suggestions. Some MO's (see here...im saying MO's not specialists becos specialists are generally very receptive to ideas) are really a pain in the back. They have real sore pride and can scream at you even if its their fault. When i told them about it, they just answered "whatever and change as you like!!@ and hung up before i even made any recommendation. Guess what next? i had to call them up again to tell them my recommendation (we cant simply change the prescription without informing so pls dun make baseless accusation) before i make any alteration. Oh ya, you mentioned something about pharmacists only selling expensive medicines outside, well...i find that totally baseless. WHy do i say so? Patients normally go to retail pharmacy to get a medication with a tradename for a particular medication (some dun even know what the active ingredient is) and if unless u can offer them what they wan, they will normally walk off. Private doctors especially specialists tends to prescribe n dispense the most expensive drugs (my grandma n dad are constantly on follow up and i always look at what they are being prescribed with) becos they r given perks by drug agents. Ask the public if this is true cos 9 out of 10 will say yes to this. Also my fren, stop belittling pharmacists cos we r constantly updating ourselves. We r also trained for disease management (thats what clinical pharmacists are for). Ya, we do make mistakes but working together with docs, we minimize errors. I bet you r just another malaysian doctor who is so full of yourself. Im really surprised with how you put your words in this forum. A man with ur level of education should hav known better that belittling other health professionals is uncalled for and indeed unethical. TQ1. No evidence, but a mere observation. I might be wrong, hence i apologise in advance.
2. Refer to above.
3. Error caught by pharmacists? Evidence pls. My head of department for medicine once told me that pharmacists in private practice tend to change the prescription to newer medications without giving prior notice to the treating doctors. As i have mentioned before, certain diseases require conventional medications. For those pharmacists here, i am sure you guys tend to recommend newer medications belonging to the same group as the conventional ones. However in medical field, newer not necessarily means better.
In a hospital setting, doctors tend to consult pharmacists before prescribing, due to the fact that both doctors and pharmacists are on the same team. In hospital, medications are indeed dispensed by the pharmacists. Therefore, the issue of inconvenience for the patients does not arise.
However in private practice, for example you get prescription from a clinic, and then again have to rush to the nearest pharmacy to get the medication. Isn't it troublesome? Imagine if there's no pharmacy near by. Mind you, our system is totally different than that of UK. So we have the change to whole health care system before making it convenient for the patients if the dispensing right lies with the pharmacists.
In addition, as i have mentioned before, the biggest hindrance for such change is the lack of pharmacists in Malaysia. You can google and see. The number of pharmacists in Msia is much less than that of doctors. When we do not have enough pharmacists in our country, how can we give them the dispensing right?
Following is taken from an article which you have provided:
Link
Even in the US, a country which awards dispensing right to the pharmacists, the problems of wrong prescriptions and medications are rampant. So what's the point of giving the pharmacists such right?
This post has been edited by giovanni: Feb 16 2009, 10:14 PM
Feb 16 2009, 10:09 PM

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