| Term | Definition |
|---|
| what are all the factors influencing DUP? | Demographics,Epidemiology, tehonology, social factors, economic, political factors |
| Two things that make up demographics? | aging of population, diverse fultural and thnic compostions of populations, physicological issues,social and economic issues |
| what does age fall under? | demogrphics |
| what does cultur and ethinic compotion fal under? | demographics |
| life expectancy? | 77.8 years? |
| what does physicological issues fall under? | demographics |
| what does social and economic issues fall under? | deographics |
| what two things fall under "diverse cultural and ethinic compostion of population" | pharmacological response may differ( enzymes unique to different cultures), and access and use of healt care serices (language barrier) |
| why do medications for elderly need to be adjusted? | becase doses are est on healthy active adults |
| epidemiology | nature of illness from acute to chronic |
| what type of illness is our health care system better sutied for? | to be reactive and treat illnesses rather than be proactive and prevent illnesses |
| what are three forms of techonology that infulence DUP | biotechnology, information tech, robotics |
| howis biotehniology used | special drug delivery systes |
| how is infomation technology used? | centralized databases except clinical data isn't steam lined- other wise an acces use of information |
| How are robotics used in DUP | distribution in mail order pharmacies, enhance opportunity for pateitn care |
| what enchances opportunity for patient care? | robotics |
| Era of Exapnsion | (Under socail factors) 1940-60 all areas of healt care system (hospticals, MEs insurance)=fee for service (charge what you want) |
| name of the era when they could charge what they want? | ear of expansion |
| ear of cost contanments | (under social factors) payers said no to spiraling health cost- Managed care to managed cost |
| what are was the swtich from just managed care to manage cost? | era of cost containment |
| era of assessment and accountablilty | what to know what services they are getting (outcomes) for their money |
| when did ppl want to know what services they are getting (outcomes) for their money | era of assesment and accountabilty (1990) |
| Pharmacoeconomics | assesment and accountabilty assocaited with paharmeuticlas and services= value of rx products and services |
| amount for mobidity and mortality? | 177.4 billion |
| how do patients see pharmaceutical care? | MD controlled |
| what are the policitacl factors of DUP? | ppl think it MD controlled, Heatlthy ppl 2000 2010 are making Rph more visibe and reimbursment issues |
| healthy ppl 2000 and 2010 | gov document that sets goals every decade to decrease dieases state |
| what are consume and professional groups | APhA ASHP NCPA |
| three problems with drug use? | Adverse drug reactions, inappropriate prescribing, lack of adequate patient screening and monitoring for drug related morbidity and mortality |
| wat is ranked number 4 for cause of death | ADR adverse drug reaction |
| ADR | adverse drug reaction- leads to preventable morbidity and mortality |
| what is partly responisble for paradigm shift to pharamceutical care? | lack of adequate patient screening and monitoring for drug related morbidity and mortality |
| pharmaceutical care | pharmacits taking responsibilty for drug thearpy outcomesof their patients |
| what is the uninsured statistic | in 2006- 47 million ppl (les than 65) or 16% |
| uninsured rate in Texas? | 24% (highest in that nation) |
| effects of not having insurane | no usual source of care (increase omrbidity or mortalitiy) difficulty or delay in obtaining care, fair or poor healt |
| what are predictors of ppl who are uninsured? | small firm, self employed, low income, language barrieres |
| who make up the majority of uninsured? | dependents of full time workers (not poor enough for medicaid not enough to pain in surance) then low income |
| out of the sexs who tends to be more uninsured? | male |
| what is proxy for acces? | ? |
| what help explain variations in health care seeking behaviors | sociodemographics- income, education geographic, cultural factors |
| what describes patterns for who seeks care? | WHO |
| socicodemographics | income, education geographic, cultural factors |
| about how many ppl in 2005 bisted the MD? | 964 million or 3.3 per person |
| who is more likely to use more services and more likey to hae usual soucre of care? | elderly and younger ppl |
| why do elderly tend to to use more services and more likey to hae usual soucre of care? | high number of chronic illness and high use of meds |
| why do younger ppl to use more services and more likey to hae usual soucre of care? | high rate of childhood illness |
| what percent of all MD visits are for elderly | 24% |
| elderly make up what percent of population? | 13% |
| which sex tends to have more MD visits? and have susual source of care | women (3/yr) vs men (2/yr) |
| why do women tend to go to the dr more? | reproductive fxn- precieved symptoms- prevent non life threating |
| what percentage of men and women had no visits to Dr in last 12 monts | 29% male and 14% of women |
Combine with other sets
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