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Healthy Skepticism Library item: 7617

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Moffitt CM, MacLean EA, Noris-sullivan V.
Helping seniors understand the healthcare system: A pharmacist directed educational series
ASHP Midyear Clinical Meeting 2003;


Abstract:

Americans over age 65 comprise 13% of the U.S. population. Many older Americans have chronic health conditions that require prescription drug therapy. Since 50% of the 1.8 billion prescriptions dispensed annually are taken incorrectly, older Americans may be at risk for drug misadventures. To educate older Americans about the healthcare system and safe medication use, Pfizer launched Informed Choices for Seniors, a series of lectures and “brown bag” sessions at 5 senior centers in Boston. Each program included a pharmacists delivered lecture, to address: understanding one’s health plan; communication with health care providers; understanding prescription labels; OTC/herbal products; and, the importance of adherence. Following the lecture, pharmacists provided individual counseling. The Vulnerable Elders Survey (VES) was modified to include questions to understand actions participants may take based on program content. The series reached 162 seniors. Of the 88 surveys completed, 98% of participants found the program helpful/somewhat helpful and 81% learned something new. As a result of the program, 80% of respondents will speak to a pharmacist, 91% will speak to a physician, 16% will change how they take medication, 46% will change how they store medication and 85% will maintain a medication list. Of the 48 attendees who completed the VES, 65% scored > 3 indicating they may be at risk for health decline over the next 2 years. Individual consults revealed drug-drug interactions, drug-disease interactions and inappropriate dosing. Program participants became more knowledgeable healthcare consumers. A senior center is an ideal setting for delivery of pharmacist directed education.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909