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E-DRUG: Re: Rural clinical pharmacy in the US


I am currently working on a number of projects to try and support the
provision of pahrmacy services in rural and remote areas of Australia.  The
area is currently served by a mixture of private practice pharmacies, remote
pharmacy suppliers and outreach service from hospital pharmacy depts.
However there are real concerns about the quality of pharmacy services in
these areas, the quality of medication use and even the sustainability of
existing services.  The health information availabe from these remote areas
indicate very significant health problems.  Information on your program
would be very helpful.


Andy Gilbert

At 05:14 AM 19/12/96 -0500, you wrote:
>Dear E-druggers,
>Joel Lexchin posted an abstract of the following reference, as part of his
>response to a call for references on pricing policy:
>Author:   Kurtzman, M.  Heltzer, N.  Counts, R.
>Institution :School of Pharmacy, Univ. of New Mexico, Taos, New Mexico
>87571. (NOTE: This should be PMS Central Pharmacy, not UNM)
>Title:  Model for the development of rural pharmaceutical services.
>Source: American Journal of Hospital Pharmacy.  34(Feb): p 163-166. 
>This citation brought back many memories, since I was director of the
>program discussed in the abstract - PMS Central Pharmacy - for nearly
>ten years prior to joining Management Sciences for Health.  Before
>becoming PMS CP director, I was "Special Projects Coordinator", and in
>fact editing (and ghostwriting) of the article cited was my very first
>assignment when I joined the program in 1976.  
>I do believe the model that was developed in the US southwest,  for
>financing and providing health care and pharmaceutical services to rural
>community health centers and small hospitals,  continues to have real
>potential for wider application around the world.  
>For those who don't know the US southwest, many of the remote areas
>of New Mexico, Colorado, Arizona, Texas, and peri-urban areas along
>the Mexican border have health problems and service gaps that would
>not be unfamiliar to those working in "developing countries".  The
>solutions and management systems that were developed and refined
>over nearly twenty years are worth considering in countries which have
>problems supporting health services in either rural or urban areas.   .
>When I was working in New Mexico, we hosted a couple of study tours
>financed by USAID (both from Zaire, as I remember); more recently, the
>MSH Drug Management Program has managed a study tour for Russians
>to learn about the community health center programs.  
>If any e-druggers are interested in more information on how the PMS
>Central Pharmacy program and community health centers in general
>evolved and were sustained (and how the principles might be applicable
>to other settings), please contact me by e-mail.
>Jim Rankin
>Director, MSH Drug Management Program
>One of the most useful recent reference I know of on reference pricing
>is the spring 1994 issue of Health Care Financing Review (Volume 15,
>#3), published by the US Department of Health and Human Services,
>Health Care Financing Administration.  The journal is available through the
>US Government Printing Office.  
>If anyone needs copies of the relevant articles, and cannot obtain them
>from the official source, let me know.
>Jim Rankin 
>Send mail for the `E-Drug' conference to `e-drug@usa.healthnet.org'.
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