s Countdown to Supermarket pharmacies - Advantages and disadvantages? - Part Three | I2P: Information to Pharmacists - Archive
Publication Date 01/07/2014         Volume. 6 No. 6   
Information to Pharmacists

Editorial

From the desk of the editor

Welcome to the July 2014 homepage edition of i2P (Information to Pharmacists) E-Magazine.
At the commencement of 2014 i2P focused on the need for the entire profession of pharmacy and its associated industry supports to undergo a renewal and regeneration.
We are now half-way through this year and it is quite apparent that pharmacy leaders do not yet have a cohesive and clear sense of direction.
Maybe the new initiative by Woolworths to deliver clinical service through young pharmacists and nurses may sharpen their focus.
If not, community pharmacy can look forward to losing a substantial and profitable market share of the clinical services market.
Who would you blame when that happens?
But I have to admit there is some effort, even though the results are but meagre.
In this edition of i2P we focus on the need for research about community pharmacy, the lack of activity from practicing pharmacists and when some research is delivered, a disconnect appears in its interpretation and implementation.

read more
open full screen

Recent Comments

Click here to read...

News Flash

Newsflash Updates for July 2014

Newsflash Updates

Regular weekly updates that supplement the regular monthly homepage edition of i2P. 
Access and click on the title links that are illustrated

Comments: 1

read more
open full screen

Feature Contribution

Woolworths Pharmacy - Getting One Stage Closer

Neil Johnston

It started with “tablet” computers deployed on shelves inside the retailer Coles, specifically to provide information to consumers relating to pain management and the sale of strong analgesics.
This development was reported in i2P under the title Coles Pharmacy Expansion and the Arid PGA Landscape”
In that article we reported that qualified information was a missing link that had come out of Coles market research as the reason to why it had not succeeded in dominating the pain market.
Of course, Woolworths was working on the same problem at the same time and had come up with a better solution - real people with good information.

Comments: 5

read more
open full screen

Intensive Exposition without crossing over with a supermarket

Fiona Sartoretto Verna AIAPP

Editor's Note: The understanding of a pharmacy's presentation through the research that goes into the design of fixtures and fittings that highlight displays, is a never-ending component of pharmacy marketing.
Over the past decade, Australian pharmacy shop presentations have fallen behind in standards of excellence.
It does not take rocket science - you just have to open your eyes.
Recently, our two major supermarkets, Woolworths and Coles, have entered into the field of drug and condition information provision - right into the heartland of Australian Pharmacy.

read more
open full screen

The sure way to drive business away

Gerald Quigley

I attended the Pregnancy, Baby and Children’s Expo in Brisbane recently.
What an eye and ear opening event that was!
Young Mums, mature Mums, partners of all ages, grandparents and friends……...many asking about health issues and seeking reassurances that they were doing the right thing.

Comments: 1

read more
open full screen

‘Marketing Based Medicine’ – how bad is it?

Baz Bardoe

It should be the scandal of the century.
It potentially affects the health of almost everyone.
Healthcare providers and consumers alike should be up in arms. But apart from coverage in a few credible news sources the problem of ‘Marketing Based Medicine,’ as psychiatrist Dr Peter Parry terms it, hasn’t as yet generated the kind of universal outrage one might expect.

read more
open full screen

Community Pharmacy Research - Are You Involved?

Mark Coleman

Government funding is always scarce and restricted.
If you are ever going to be a recipient of government funds you will need to fortify any application with evidence.
From a government perspective, this minimises risk.
I must admit that while I see evidence of research projects being managed by the PGA, I rarely see community pharmacists individually and actively engaged in the type of research that would further their own aims and objectives (and survival).

read more
open full screen

Organisational Amnesia and the Lack of a Curator Inhibits Cultural Progress

Neil Johnston

Most of us leave a tremendous impact on pharmacies we work for (as proprietors, managers, contractors or employees)—in ways we’re not even aware of.
But organisational memories are often all too short, and without a central way to record that impact and capture the knowledge and individual contributions, they become lost to time.
It is ironic that technology has provided us with phenomenal tools for communication and connection, but much of it has also sped up our work lives and made knowledge and memory at work much more ephemeral.

read more
open full screen

Academics on the payroll: the advertising you don't see

Staff Writer

This article was first published in The Conversation and was written by Wendy Lipworth, University of Sydney and Ian Kerridge, University of Sydney
In the endless drive to get people’s attention, advertising is going ‘native’, creeping in to places formerly reserved for editorial content. In this Native Advertising series we find out what it looks like, if readers can tell the difference, and more importantly, whether they care.
i2P has republished the article as it supports our own independent and ongoing investigations on how drug companies are involved in marketing-based medicine rather than evidence-based medicine.

read more
open full screen

I’ve been thinking about admitting wrong.

Mark Neuenschwander

Editor's Note: This is an early article by Mark Neuenschwander we have republished after the soul-searching surrounding a recent Australian dispensing error involving methotrexate.
Hmm. There’s more than one way you could take that, huh? Like Someday when I get around to it (I’m not sure) I may admit that I was wrong about something. Actually, I’ve been thinking about the concept of admitting wrong. So don’t get your hopes up. No juicy confessions this month except that I wish it were easier for me to admit when I have been wrong or made a mistake.
Brian Goldman, an ER physician from Toronto, is host of the award-winning White Coat, Black Art on CBC Radio and slated to deliver the keynote at The unSUMMIT for Bedside Barcoding in Anaheim this May. His TED lecture, entitled, “Doctors make mistakes. Can we talk about it?” had already been viewed by 386,072 others before I watched it last week.

read more
open full screen

Dispensing errors – a ripple effect of damage

Kay Dunkley - BPharm, Grad Dip Hosp Pharm, Grad Dip Health Admin, MPS, MSHPA

Most readers will be aware of recent publicity relating to dispensing errors and in particular to deaths caused by methotrexate being incorrectly packed in dose administration aids.
The Pharmacy Board of Australia (PBA), in its Communique of 13 June 2014, described a methotrexate packing error leading to the death of a patient and noted “extra vigilance is required to be exercised by pharmacists with these drugs”.
This same case was reported by A Current Affair (ACA) in its program on Friday 20 June
http://aca.ninemsn.com.au/article/8863098/prescription-drug-warning

read more
open full screen

Take a vacation from your vocation

Harvey Mackay

Have you ever had one of those days when all you could think was, “Gosh, do I need a vacation.”
Of course you have – because all work and no play aren’t good for anyone.
A vacation doesn’t have to be two weeks on a tropical island, or even a long weekend at the beach. 
A vacation just means taking a break from your everyday activities. 
A change of pace. 
It doesn’t matter where.
Everyone needs a vacation to rejuvenate mentally and physically. 
But did you also know that you can help boost our economy by taking some days off? 
Call it your personal stimulus package.

read more
open full screen

Explainer: what is peer review?

Staff Writer

This article was first published in the Conversation. It caught our eye because "peer review" it is one of the standards for evidence-based medicines that has also been corrupted by global pharma.
The article is republished by i2P as part of its ongoing investigation into scientific fraud and was writtenby Andre Spicer, City University London and Thomas Roulet, University of Oxford
We’ve all heard the phrase “peer review” as giving credence to research and scholarly papers, but what does it actually mean?
How does it work?
Peer review is one of the gold standards of science. It’s a process where scientists (“peers”) evaluate the quality of other scientists' work. By doing this, they aim to ensure the work is rigorous, coherent, uses past research and adds to what we already knew.
Most scientific journals, conferences and grant applications have some sort of peer review system. In most cases it is “double blind” peer review. This means evaluators do not know the author(s), and the author(s) do not know the identity of the evaluators.
The intention behind this system is to ensure evaluation is not biased.
The more prestigious the journal, conference, or grant, the more demanding will be the review process, and the more likely the rejection. This prestige is why these papers tend to be more read and more cited.

read more
open full screen

Dentists from the dark side?

Loretta Marron OAM BSc

While dining out with an elderly friend, I noticed that he kept his false tooth plate in his shirt pocket. He had recently had seven amalgam-filled teeth removed, because he believed that their toxins were making him sick; but his new plate was uncomfortable. He had been treated by an 'holistic dentist'. Claiming to offer a "safe and healthier alternative" to conventional dentistry, are they committed to our overall health and wellbeing or are they promoting unjustified fear, unnecessarily extracting teeth and wasting our money?

read more
open full screen

Planning for Profit in 2015 – Your key to Business Success

Chris Foster

We are now entering a new financial year and it’s a great time to reflect on last year and highlight those things that went well and those that may have impacted negatively in the pursuit of your goals.
It's also a great to spend some time re-evaluating your personal and business short, medium and long term goals in the light of events over the last year.
The achievement of your goals will in many cases be dependent on setting and aspiring to specific financial targets. It's important that recognise that many of your personal goals will require you to generate sufficient business profits to fund those aspirations

read more
open full screen

ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

read more
open full screen

Attracting and Retaining Great People

Barry Urquhart

Welcome to the new financial year in Australia.
For many in business the past year has been described as a challenging period.
Adjectives are a key feature of the English language.  In the business lexicon their use can be, and often is evocative and stimulate creative images.  But they can also contribute to inexact, emotional perceptions.
Throughout the financial pages of newspapers and business magazines adjectives abound.
References to “hot” money draw attention and comment.  The recent wave of funds from Chinese investors, keen to remove their wealth from the jurisdiction and control of government regulations is creating a potential property bubble in Australia.

read more
open full screen

Updating Your Values - Extending Your Culture

Neil Johnston

Pharmacy culture is dormant.
Being comprised of values, unless each value is continually addressed, updated or deleted, entire organisations can stagnate (or entire professions such as the pharmacy profession).
Good values offer a strong sense of security, knowing that if you operate within the boundaries of your values, you will succeed in your endeavours.

read more
open full screen

Evidence-based medicine is broken. Why we need data and technology to fix it

Staff Writer

The following article is reprinted from The Conversation and forms up part of our library collection on evidence-based medicines.
At i2P we also believe that the current model of evidence is so fractured it will never be able to be repaired.
All that can happen is that health professionals should independently test and verify through their own investigations what evidence exists to prescribe a medicine of any potency.
Health professionals that have patients (such as pharmacists) are ideally placed to observe and record the efficacy for medicines.
All else should confine their criticisms to their evidence of the actual evidence published.
If there are holes in it then share that evidence with the rest of the world.
Otherwise, do not be in such a hurry to criticise professions that have good experience and judgement to make a good choice on behalf of their patients, simply because good evidence has not caught up with reality.

read more
open full screen

Laropiprant is the Bad One; Niacin is/was/will always be the Good One

Staff Writer

Orthomolecular Medicine News Service, July 25, 2014
Laropiprant is the Bad One; Niacin is/was/will always be the Good One
by W. Todd Penberthy, PhD

(OMNS July 25, 2014) Niacin has been used for over 60 years in tens of thousands of patients with tremendously favorable therapeutic benefit (Carlson 2005).
In the first-person NY Times best seller, "8 Weeks to a Cure for Cholesterol," the author describes his journey from being a walking heart attack time bomb to a becoming a healthy individual.
He hails high-dose niacin as the one treatment that did more to correct his poor lipid profile than any other (Kowalski 2001).

read more
open full screen

Culture Drive & Pharmacy Renewal

Neil Johnston

Deep within all of us we have a core set of values and beliefs that create the standards of behaviour that we align with when we set a particular direction in life.
Directions may change many times over a lifetime, but with life experiences and maturity values may increase in number or gain greater depth.
All of this is embraced under one word – “culture”.
When a business is born it will only develop if it has a sound culture, and the values that comprise that culture are initially inherent in the business founder.
A sound business culture equates to a successful business and that success is often expressed in the term “goodwill” which can be eventually translated to a dollar value.

read more
open full screen

ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

read more
open full screen

Pharmacy 2014 - Pharmacy Management Conference

Neil Johnston

The brave new world of health and wellness is not the enemy of Pharmacy, it is its champion.
Australian futurist, Morris Miselowski, one of the world's leading business visionaries, will present the Opening Keynote address on Pharmacy's Future in the new Health and Wellness Landscape at 2.00pm on Wednesday July 30.
Morris believes the key to better health care could already be in your pocket, with doctors soon set to prescribe iPhone apps, instead of pills.
Technology will revolutionise the health industry - a paradigm shift from healthcare to personal wellness.
Health and wellness applications on smartphones are already big news, and are dramatically changing the way we manage our personal health and everyday wellness.

read more
open full screen

Generation and Application of Community Pharmacy Research

Neil Johnston

Editor’s Note: We have had a number of articles in this issue relating to pharmacy research.
The PGA has conducted a number of research initiatives over the years, including one recently reported in Pharmacy News that resulted from an analysis of the QCPP Patient Questionnaire.
Pharmacy Guild president, George Tambassis, appears to have authored the article following, and there also appears to be a disconnect between the survey report and its target audience illustrated by one of the respondent comments published.
I have asked Mark Coleman to follow through, elaborate and comment:

read more
open full screen

Countdown to Supermarket pharmacies - Advantages and disadvantages? - Part Three

Joseph Conway

articles by this author...

Joe Conway is an Irish born pharmacist who qualified in the UK in 1998.
After completing a residency in a hospital in London, he embarked on a 3 year locum stint that involved working all over the UK, Ireland, and Australia in over 350 pharmacies of all varieties (hospitals large and small, community, even a prison pharmacy).In 2002, Joe emigrated to Australia and worked in the Private Hospital sector gradually moving in to management positions with Slade Pharmacy where he developed a keen interest in Oncology services. In 2006, Joe took up a position setting up a Pharmacy service to a newly built Day Hospital in Frankston, Victoria. The Pharmacy now conducts over 40 clinical trials.
Joe is currently studying for a Master of Biostatistics to help him progress in the area of clinical trials, and think outside the square (or at least be left-field).

Editor's Note:Joe Conway Introduces Part three of his four-part series on the potential impacts of supermarket pharmacies in Australia (if introduced). Part three discusses impacts for patients.

Countdown Pharmacies are at least in part owned by Woolworths. This raises the possibility that Woolworths is using this Kiwi venture to hone its skills in the area of pharmacy before a possible bid to be allowed to provide such services here in Australia.
People aren’t marching the streets in Australia wanting pharmacies in Supermarkets and the Discount model of pharmacy is already providing Australians with access to cheaper medicines that is the catch-cry of the Supermarkets when extolling their virtues as potential custodians of prescription medicines.
An example of this was Chemist Warehouse supplying the Lipitor® generic Atorvastatin Sandoz® for $0 for a limited time on a valid prescription.
You can’t get any cheaper than that? In part 1, I outlined what I thought were the potential advantages of Supermarket pharmacies in Australia.
In part 2, I gave my opinion as to the disadvantages of allowing Supermarkets to run pharmacies in store.
In part 3 I would like to explore potential patient attitudes in this debate.

Supermarket Pharmacy – a theoretical patient’s perspective: - Where it goes well:

My local pharmacy was recently bought by a Supermarket group.
I was a bit dubious about taking my scripts there as I’ve had my medications from the same pharmacy for 20 years.
As I wondered in, I saw a photo of Greg (the owner of the local pharmacy that had been bought out) on the wall of the pharmacy.
Below the photo was a biography explaining Greg’s interests in Pharmacy.
I didn’t know that he had a special interest in Prostate problems and was running a Prostate clinic every Thursday for $20 per 20 minutes.
I have had prostate symptoms for years now and maybe I’ll ask Greg about that if I see him.
I was surprised to see Greg at the counter.
He always seemed to be doing paperwork and was increasingly looking stressed in the last few years. He looked like a huge weight had been lifted off his shoulders.
He took my script and passed it back to one of his staff to dispense. He told me that he had had enough of paperwork and red tape trying to be a pharmacist and running his own business. Greg said that he didn’t do pharmacy to become a bureaucrat.
He felt as if he was doing all the hard work and everybody else seemed to benefit leaving him to deal with it all once everyone else was paid. It all fell back on him and it was high pressure.
He had tried some Guild programs a few years back, but in a one pharmacist pharmacy, it was impossible unless he was prepared to get a locum in or do the form filling at night after the shop shut – way too expensive. It was just too hard for a small business to be everything to everybody.

Greg said that he was reluctant to sell to a Supermarket, but, with a fully deregulated market in pharmacy in 3 years’ time, the decision was made to sell.
As well as getting a very good price for his pharmacy, Greg was offered a deal to stay on.
The people at the Supermarket wanted to learn from his expertise as the service given in traditional pharmacies was something that the Supermarket wanted to emulate in a more formal way as retail without service was dying in Australia and people now expected service or they could just get the same items that they want for cheaper off the internet without the personal service anyway. Greg said that his days of paperwork were over. He worked in the Pharmacy and was working on doing some consulting work on Thursday afternoon for men who have prostate problems.
It takes months to get an appointment with an Urologist and it would be nice to get some pointers as to the different options for coping with this.

As well as Greg’s consulting, I noticed that they had a Dietician lecture on Diabetes management for Diabetics on Wednesday evening.
There would also be a demonstration on using various blood glucose machines by a Diabetes educator pharmacist specializing in Diabetes.
My wife who got diagnosed with Diabetes earlier this year might be interested in that.
On Monday night, there was a talk for people about to try for a baby by a Midwife and a pharmacist who specializes in drugs and pregnancy.
My daughter takes some tablet and is about to try and get pregnant – I think that this might be of interest to her.
On Saturday afternoon, there was a talk on Sport’s nutrition.
My son could be right into that.
There was a fee for personal sessions but it was a fraction of the cost of a personal trainer.
There seemed to be an abundance of information sessions on a wide range of topics. Outside of the information sessions, there were appointments that could be made to talk to the specialists directly in one of the Consulting rooms.

Greg checked the dispensed medication.
He knew my medications as he seemed to have an uncanny ability to remember the tablets that I am on and labelled them with an explanation as to the Original brand names for each of the medications as he used to do in the old pharmacy.
It was a bit like old times.
I paid for the scripts at the tills with a few other things that I had bought. I was pleasantly surprised that my Panamax® generic 100 pack was 50 cents (ongoing price) and my Coloxy & Senna® 90’s was $4.95 – way cheaper than even the Discount Warehouse was.
The pharmacy had a website and apparently it was easy to use.
They claim that they tested it on technophobes and they could use it.
It all seemed exciting in the Supermarket Pharmacy.
The most important thing was that I got the personal service that I have come to expect from my local pharmacy and I know that the people who looked after me for years are ensuring that that great service will continue.

Where it goes all wrong:

Greg had sold his pharmacy to the Supermarket so I thought that I’d give it a go.
I had to pick a ticket and wait five minutes to hand my script in.
I was told that it would be a 40 minute wait to get it dispensed.
Why does it take so long? (Hint – they want you to fill your basket with shop goods).
I asked for my usual brands and I was told that there is only the Supermarket preferred brand. Apparently, some bright spark decided that this would be a good idea and I was told that this was also the case at the other pharmacy and virtually told to take it or leave it.
There seemed to be hundreds of people waiting and there was only one pharmacist running around frantically stressed and was probably in nappies 20 years ago.
In the previous pharmacy there were 3 pharmacists and at least one was experienced.
After a long wait, I got a bag of boxes that are all unrecognizable brands.
Which ones are the blood pressure pills and the sleeping tablets?
Maybe, it would be safer to take both at night as you wouldn’t want to take the sleeping tablets by mistake in the morning?
Better buy some Panamax® – the pharmacy that was here before used to sell them for $2 which was less than the $6.20 on script (assuming 3 years’ time).
What $6.20 for 100 Panamax®???
I’ll go to the other pharmacy.
Oh! They saw what this lot had done and decided it would be more profitable to do the same.
Well Coloxyl & Senna® 90’s they used to be $9.95.
What, they’re $14.95 and I guess they will the same price at the other Supermarket pharmacy!!
Forget it, will be getting Panamax® on a script from now on and try to get the one with 3 boxes – that’ll show the Supermarket pharmacy!
Wait! Where is Plavix?
I wait another 5 minutes before being able to talk to someone.
What! There is only a dispensing pharmacist here today and he doesn’t have time to do consultations right now.
I need to make an appointment to see him or someone else next Thursday at 4.30pm – only appointment left.
I live 60km away and I just want to know which box is the Plavix one.
I can’t get transport for that time.
What! There is a $20 patient contribution for a Medschecking® consultation.
I am not confused about my medication only as to what brands are what. If I have the sticker telling me the original name, I’m fine.
I get furious – Which box is the Plavix?
I fling the bag on the ground and walk out.
Guess I will go to the other pharmacy, but they are a Supermarket pharmacy like these guys and I bet they will pull the same tricks.
I liked it better when Suzy, Yin and Matt were there and just seemed to know my special idiosyncrasies. Maybe, just go back and collect my bag of tablets and ring my GP and go around there.
But, the doctor’s rooms are always full of people waiting to be dosed with Methadone by the doctor between consultations since both Supermarket pharmacies refused to do it as it’s not profitable.
Hope I don’t get bashed as there appears to be a problem with addicts attacking easy targets and stealing their money for drugs.
I tried complaining via the Pharmacy complaints line, but after 40 minutes waiting and being told that my call was important, I gave up.
I tried the pharmacist patient advice line and after a protracted conversation, it turns out that I had my Avapro 75mg generic tablets dispensed instead of the Plavix 75mg generic tablets.
I’ve been off the Avapro for 6 months and it looks like the Pharmacist has also dispensed my Micardis® generic and I can’t see why he did that?
Where has the service that I once took for granted gone?

I don’t think that I’ll bother asking these idiots about my tablets again.
They can’t even dispense the ones that I asked for.
My niece is qualified as a Naturopath a few years back.
She is also a Nurse and knows a lot about drugs.
She is always telling me stuff that I don’t know about my health.
I think that I should make an appointment to see her at the “Pharmacy” consulting rooms as she does sessions a few days a week.
I’ll make it after my Chiropractor appointment. I guess that that pharmacy shop is good for something…

Return to home

Post new comment

The content of this field is kept private and will not be shown publicly.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Allowed HTML tags: <a> <em> <strong> <cite> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Lines and paragraphs break automatically.

More information about formatting options

CAPTCHA
This question is for testing whether you are a genuine visitor, to prevent automated spam submissions.
Incorrect please try again
Enter the words above: Enter the numbers you hear:

health news headlines provided courtesy of Medical News Today.

Click here to read more...

If any difficulty is found in subscribing, please use the "Contact Us" panel found in the navigation bar with the message "subscribe" and your email address.

Subscribe to our mailing list

Email Format
 

 

  • Copyright (C) 2000-2017 Computachem Services, All Rights Reserved.

Website by Ablecode