The aim of this study was to evaluate the prevalence of self-reported underuse of medications due to procurement costs amongst older persons from seven European urban communities.
Offline, we built a technology platform that set standards for outside clinics -- 65,000 of them now -- to standardize customer records, set pharmacy and medication and procurement standards, with links to social security.
At the public health level, several states are considering legislation to allow better monitoring of prescriptions of controlled substances, such as state-wide registries, that may reduce some types of misuse, particularly the procurement of medication from multiple sources.
We contacted a patient's pharmacy to verify procurement of medications, and, if substance misuse was suspected, we contacted additional pharmacies to ascertain whether or not a patient was receiving opioids from multiple sources.
We have witnessed similar debates in relation to national contribution to antiretroviral medication requirements and to supporting procurement of the water treatment chemicals that ensure safe water in urban centres.
These included the establishment of a supervision system and the policy for procurement of psychotropic medications.
Pharmacies were contacted to verify procurement of O/CS medications, and, if misuse was suspected, additional pharmacies were contacted to ascertain whether or not a patient was receiving opioids from multiple sources.
Consistent ART supply requires procurement, storage and delivery of medications [13].
The length of time in which immunosuppressive medication was taken by the patients before sample procurement is unknown to the authors, which is a limitation for our longitudinal model.
The assessment included value stream mapping of existing processes for medication supply chain management, identifying obstacles surrounding drug procurement and distribution within the facility, and identifying characteristics of a sustainable drug supply chain management system.
