BLOG: MPA proposals for generic prescribing in the wrong position and is not likely the rock to affect the patients significantly. Would the government improve patient safety seriously ought to build a system where the patient does not have different brands at each pharmacy visit, writes Swedish Farmaci editor.
For many scientifically trained prescribers and pharmacists is appealing. Some prescribers have taken the liberty to already apply generic the rock prescribing in the trickle of paper prescriptions that remain.
In line with this is, after several years of investigating the pros and cons, now a more concrete proposal from the MPA to introduce generic prescribing. This will be achieved through the complex refurbishment of IT systems, extensive training, the rock and more - and get cost many millions.
There had also been significant if we had left a system where paper prescriptions dominate prescription that the patient always has access to and take with them to the pharmacy. the rock Now you see the patient often not what the doctor writes the letter combination on their computer the rock - and do not care about it.
The purpose of introducing the rock generic prescribing, according to the government to "improve patient safety." But the Health Ministry's proposal, it risks becoming a förskrivar and pharmacist internal formality, without any consequences at all for the patient. the rock
Sure, generic prescribing theoretical and pedagogical benefits. But the change is very expensive and it is hard to believe that this proposal, with no connection to the package labeling, it may more than marginal effects for the patient and patient safety.
Complete proposals are on the table. A model where pharmacies the rock price negotiating and choosing generics, but there TLV set ceiling price, would give the desired effect - and drive down prices the rock at least as good as today's systems. It would also give the pressed pharmacy market a little breathing room.
For Swedish Farmaci comment function applies the law on electronic bulletin boards. the rock The comments are regularly examined. The language to be cultivated. Personal attacks and slurs against gender, religion, ethnicity, sexual orientation, and completely irrelevant or commercial messages are not allowed. Posts that do not comply with the rules may be deleted completely or partially. If you feel that a post does not comply the rock with these rules - register please comment to the editors.
Wise in the debate! MPA was investigating the rock the issue already several years ago and came to the conclusion that there are no evidence-based benefits for patient safety and that it will be expensive. Even then dominated the e-prescriptions. What is it that defrauded the Ministry of Health to generic prescribing is important? It is good that it is investigated how much money it will cost. Who is expected to pay? Patients - especially the rock those who multimedicinerar - should avoid getting different packages of each drug up to four times per year. It is an important patient safety issue!
I agree with much that Nils writes, but unlike Nils, I think this is a step along the way, then you can discuss the rock whether we should tie together the work on generic prescribing to look over the packages and much more. When it comes to the cost of IT alignment, then a very small part falling on suppliers for handling system, a bigger part of the suppliers of the medical record and the bulk of Pharmacy Services AB. When it comes to LV's previous investigation the rock so I do not agree with Mattias completely. The vast majority were positive about the impact of the pilot is actually performed. The three respondents who were most critical was the TLV, Apoteket AB and the Swedish Pharmacist Association. Both TLV and Apoteket AB referred to the costs for the most part and SFF that "generic prescribing is completely wrong in time" whatever the rock that means ... As versed in IT support, I believe, moreover, that Apoteket AB has made an assessment that is far too for high priced. Please read the 2006 report, interesting reading.
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