The cost-effectiveness of managed care regarding chronic medicine prescriptions in a selected medical scheme by K. Day, S. Booyens

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Access to chronic medicines: patients’ preferences for a last kilometre medicine delivery service in Cape Town, South Africa by Siraaj Adams, Mwila Mulubwa, Mea van Huyssteen, Angeni Bheekie

Subjects: “…Chronic medicine…”
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Tracking adverse drug reactions and medication errors in the Central Chronic Medicine Dispensing and Distribution (CCMDD) programme in South Africa by Kennedy Otwombe, Maggie Munsamy, Mukesh Dheda, Nishana Ramdas, Corlee Herbst, Merlin Pillay, Tanya van Tonder, Celicia Serenata, Samanta Lalla-Edward

“…Background: The South African Central Chronic Medicine Dispensing and Distribution (CCMDD) programme is a National Health Insurance (NHI) initiative that improves access to medicine for patients. …”
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Process evaluation of the central chronic medicines dispensing and distribution programme in Namakwa district, Northern Cape province protocol: a multimethod approach by Edward Nicol, Kim Grace Smith

“…In an attempt to address these challenges, the Central Chronic Medicines Dispensing and Distribution (CCMDD) programme, which aimed to provide public sector patients with alternative access to vital antiretroviral and other chronic medication, was implemented. …”
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Analysis of Pharmaceutical Demand in the Region for Chronic Medicine Users Using National Health Insurance Data: Examination for Disaster Preparedness in Hakui City, Ishikawa Prefecture by Yuta Moriwaki, Yuma Morisaki, Shigehiro Karashima, Makoto Fujiu

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Barriers and facilitators to medicine collection through the CCMDD programme at a Durban Hospital by Simangele I. Hlongwana, Andrew L. Gray

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An elderly, urban population: Their experiences and expectations of pharmaceutical services in community pharmacies by Alta Janse van Rensburg, Irma Kotze, Martie S. Lubbe, Marike Cockeran

“…There was an association between questions, regarding the use of chronic medicines at pharmacies and at other healthcare professionals (d =0.26), as well as the supply of written information at pharmacies and other healthcare professionals (d = 0.42). …”
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‘If you are found taking medicine, you will be called names and considered less of a man’: young men’s engagement with HIV treatment and care during ulwaluko (traditional initiatio... by L. Gittings, R. Hodes, C. Colvin, S. Mbula, P. Kom

“…Findings demonstrate that ulwaluko rules of not engaging with biomedical care and treatment pose a challenge for initiates who are taking chronic medicine. Fears of inadvertent disclosure of their HIV-positive status collide with the pressure to successfully complete ulwaluko in order to be legitimised as men. …”
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Measuring Organizational Readiness for Implementing Change in Primary Care Facilities in Rural Bushbuckridge, South Africa by Hannah H. Leslie, Rebecca West, Rhian Twine, Nkosinathi Masilela, Wayne T. Steward, Kathleen Kahn, Sheri A. Lippman

“…We administered the 10-item ORIC to 54 nurses and lay counsellors in 9 facilities to gauge readiness to implement the national Central Chronic Medicine Dispensing and Distribution (CCMDD) programme intended to declutter busy health facilities. …”
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Integrating Palliative Care by Virtue of Diplomacy; A Cross-sectional Group Interview Study of the Roles and Attitudes of Palliative Care Professionals to Further Integrate Palliat... by Jelle van Gurp, Jeroen van Wijngaarden, Sheila Payne, Lukas Radbruch, Karen van Beek, Ágnes Csikós, Marlieke Herder-Van der Eerden, Jeroen Hasselaar, InSup-C (FP7) Research Consortium

“…ConclusionDiplomacy appears to be essential to palliative care providers for realizing trust and what can be defined as normative integration between palliative and curative and/or chronic medicine. It requires a practical wisdom about the culture and goals of regular care, as well as keeping a middle road between assimilating with values in regular medicine and standing up for the basic values central to palliative care.…”
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The effect of a medication reconciliation program in two intensive care units in the Netherlands: a prospective intervention study with a before and after design by Liesbeth B. E. Bosma, Nicole G. M. Hunfeld, Rogier A. M. Quax, Edmé Meuwese, Piet H. G. J. Melief, Jasper van Bommel, SiokSwan Tan, Maaike J. van Kranenburg, Patricia M. L. A. van den Bemt

“…Patients were included when they used ≥ 1 chronic medicine and when the ICU stay exceeded 24 h. The intervention consisted of medication reconciliation by pharmacists at the moment of ICU admission and prior to ICU discharge. …”
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People-centered care and patients' beliefs about medicines and adherence: A cross-sectional study by Tinne Dilles, Laura Mortelmans, Elke Loots, Kelly Sabbe, Hilde Feyen, Maarten Wauters, Filip Haegdorens, Elyne De Baetselier

“…Conclusion: Patients with chronic medicine use perceived an average high level of people-centeredness in the pharmaceutical care they received. …”
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Availability of essential, generic medicines before and during COVID-19 at selected public pharmaceutical supply agencies in Ethiopia: a comparative cross-sectional study by Mohammed Mecha, Zeleke Mekonnen, Tsegaye Melaku, Gudina Terefe Tucho, Christine Årdal, Marianne Jahre

“…For example, the unit price of insulin increased by more than 130%.Conclusion The COVID-19 pandemic worsened the availability of essential chronic medicines, including higher rates of stockouts and unit price hikes for some products in the study setting. …”
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Improved adherence with Medicines Use Review service in Slovenia: a randomized controlled trial by Urška Nabergoj Makovec, Igor Locatelli, Mitja Kos

“…Additionally, statistically significant decrease in the proportion of patients with manifested DRPs (p < 0.001) and concerns regarding chronic medicines use (p = 0.029) were revealed. Conclusion MUR service in Slovenia improves low medication adherence and is effective in addressing DRPs and concerns regarding chronic medicines use. …”
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Retail pharmacy prescription medicines’ availability, prices and affordability in Eswatini by Garikai Shambira, Fatima Suleman

“…Patients in Eswatini may be forced to buy medicine from the private sector resulting from chronic medicines’ shortages in public health facilities. …”
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Comparison of patient satisfaction with pharmaceutical services of postal pharmacy and community pharmacy by Nishern Govender, Fatima Suleman

“…Background: The growing drive in South Africa to contain medicine cost has seen the emergence of postal pharmacy as an alternative mechanism to dispense chronic medicines. Patient satisfaction with pharmaceutical services has received limited attention in South Africa. …”
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Cost-effectiveness of tuberculosis infection prevention and control interventions in South African clinics: a model-based economic evaluation informed by complexity science methods by Richard G White, Karina Kielmann, Karin Diaconu, Anna Vassall, Alison D Grant, Fiammetta Maria Bozzani, Nicky McCreesh, Indira Govender

“…Two interventions, building modifications to improve ventilation and maximising use of the existing Central Chronic Medicines Dispensing and Distribution system to reduce the number of clinic attendees, were found to be cost saving over the 10-year model time horizon. …”
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Polypharmacy, potentially serious clinically relevant drug‐drug interactions, and inappropriate medicines in elderly people with type 2 diabetes and their impact on quality of life... by Labib AL‐Musawe, Carla Torre, Jose Pedro Guerreiro, Antonio Teixeira Rodrigues, Joao Filipe Raposo, Helder Mota‐Filipe, Ana Paula Martins

“…Participants on polypharmacy were mostly females (P = .0115); more obese (P = .0131); have more comorbid conditions (P < .0001); more diabetes complications (P < .0001); and use more of glucose lowering drugs (P = .0326); insulin (P < .0001); chronic medicines (P < .0001); and have higher diabetes duration (P = .0088) than those without polypharmacy. 10.59% of the participants were found to have potential serious clinically relevant DDIs. …”
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Determining antenatal medicine exposures in South African women: a comparison of three methods of ascertainment by Jani van der Hoven, Elizabeth Allen, Annibale Cois, Renee de Waal, Gary Maartens, Landon Myer, Thokozile Malaba, Hlengiwe Madlala, Dorothy Nyemba, Florence Phelanyane, Andrew Boulle, Ushma Mehta, Emma Kalk

“…Self-report was the best source for over-the-counter, traditional and complementary medicines; clinician records for vaccines and supplements; and EDR for chronic medicines. Conclusions Medicine use in pregnancy was common and no single data source included all the medicines used. …”
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Healthcare worker perspectives on adaptations to differentiated anti-retroviral therapy delivery during COVID-19 in South Africa: A qualitative inquiry by Tlhaku, K, Msimango, L, Sookrajh, Y, Milford, C, Munatsi, P, Gray, A, Maraj, M, Garrett, N, Dorward, J

“…During the COVID-19 pandemic, the South African Centralized Chronic Medicines Dispensing and Distribution (CCMDD) programme, adapted to include extended 12-month antiretroviral therapy (ART) prescriptions, 3-months ART refills and earlier eligibility criteria at 6-months after ART initiation. …”