抗生素的分布（英文PPT）Distribution of AntibioticsPPT.ppt

Distribution of Antibiotics Rachel Mckay Distribution of antibiotics PHARMAC wants to support and enable this important programme Solutions need to be pragmatic, easy to implement and legal PSO rule: “Practitioner’s Supply Order” means a written order made by a Practitioner on a form supplied by the Ministry of Health, or approved by the Ministry of Health, for the supply of Community Pharmaceuticals to the Practitioner, which the Practitioner requires to ensure medical supplies are: available for emergency use; teaching and demonstration purposes; for provision to certain patient groups where individual prescription is not practicable. Assumptions Want to confirm our assumptions Are they right or wrong? Data collection important Patient level data important. Need to agree dataset requirements. Ideally have this updated in the patient notes if they have a primary provider. If not, then the data should be collected in spreadsheet / manually and provided to programme provider for inclusion in reporting requirements to MoH project team. DHBs or PHOs paying patient $3 prescription co-payment Delivery options Do all providers need to use the same system? Can different systems be used in urban and rural areas? Systems need to be in place ASAP Changing rules needs consultation and Board decision but very tight timeframe. Therefore need to work within the current legal framework Suggestions for discussion only Would value feedback. Urban areas Assumptions: The PHO or DHB is paying for the co-payment. The information normally provided on a prescription is required. There is an agreement with a local pharmacy to be part of the programme. The nurse or provider can write prescriptions under Standing Orders. Suggested process: The nurse/provider swabs children at school and where appropriate writes a prescription for antibiotics under Standing Orders (ideally using remote access log-ins into Medtech or other PMS). Prescription faxed or taken to the agreed pharma