Well, on the day the US Federal Reserve brings to a close this intriguing chapter in the long and not always distinguished history of central banking, by ceasing its exceptional purchases of bonds, it may be fair to say that QE has all been a bit dull - or 50 shades of grey, without any sex.
"… we had eight applications for drugs last year 20077 )… For exceptional purchase ?
All chief pharmacists agreed that this procedure is overused by doctors, and recognised that medical sub-directors rarely reject an application for exceptional purchases.
Additionally, PTCs in Chile need to develop formulary systems which can effectively cover all the pharmacotherapy needed in hospitals, avoiding the exceptional purchase of medicines.
Some doctors and nurses raised the issue of the limited scope of medicines used in public hospitals, which in their opinion leaves them no alternative but to request the appropriate drug using the exceptional purchase protocol.
"… For me it ' s also easier to buy medicines through the exceptional purchase, they are normally more expensive drugs and if we include them in the TA everybody will start prescribing them … the hospital can ' t afford that …" (Chief pharmacist) It is important to point out that this is the result of the PTC including medicines in the formulary but without any restrictions on their use.
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