The Italian Society of Hospital Pharmacy and Pharmaceutical Services of the Hospitals (SIFO) and the National Union of Hospital Pharmacists (Snafu) branded as improper and empirical recent statements about some newspapers about “vast areas of waste” in pharmaceutical expenditure hospital and in particular regarding their non-traceability and the breaking of the roof provided.

“In fact - says Laura Maurizio, President of SIFO - the roof of the hospital pharmaceutical expenditure has not been observed simply because it was empirically lowered without taking into account that the real innovations, and thus higher cost, are almost entirely those of exclusive hospital use. Drugs - Laura Maurizio continues - mainly used for serious illnesses such as cancer, autoimmune and infectious diseases and, as innovative, should be monitored intensively. For this also, their use in a hospital, rather than in territorial guarantees of patient safety. “

“With the aim of ensuring the highest quality possible with the resources actually available - says Peter Finocchiaro - National Secretary SIFO - the pharmaceutical expenditure in hospitals is always carefully controlled and monitored by the pharmacist of the Hospitals, which actively supports clinical and administrators in appropriateness and cost rationalization.”

“There are vast areas of the supposed waste - reaffirms Giangiuseppe Console, National Secretary of Snafu - because the local health authorities, hospital pharmacies implement ongoing monitoring of drug therapy, especially if costly and innovative, through treatment plans, justified requests, application guidelines and treatment protocols, analysis of the Health Technology Assessment (HTA), construction of centralized catatonic chemotherapy etc … Who is aware of areas of waste - continues Console - especially if held posts of responsibility at the national level, rather than issuing general statements would have a duty to make specific complaints because the same are removed.

Market dynamics

Michael Brand-new: If you watched long-term markets, we came across two patterns of development, namely, evolution (in the strict meaning of development) and divergence, i.e. deviation.These are exactly the same forces that Charles Darwin discovered in the nature.

Evolution in the market ensures that products and services are getting better. Divergence ensures that one type of product or service, more new species arise from. Formerly the No. 1 was the grocer in the grocery. And the grocer has, over evolutionary time getting better.

At the same time appeared but also - due to creativity of the people - new species on the food through. That is divergence. So we now have supermarkets, discount stores, superstores, convenience stores, and will come again as long as people are creative. We call the dynamics of the markets.

Focus
M. Brand-new: The result of these dynamics is that markets are thus not only better but also more complex and confusing. At the same time so the risk is growing that the own brand this more of products, services, brands and channels of communication simply goes down.

What to do? The answer to this development is focus “. You must now set clear quite what their brand stands. Anyone who wants to make every customer fairly in this environment is bound to fail.

Pharmacy: Position and profile
M. Brand-new: see the focus must be on two levels. On one hand, the pharmacist must clear position in total. On the other hand, each pharmacist must also be under the umbrella brand pharmacy profile clear.

The umbrella brand pharmacy
M. Brand-new: The pharmacy is already in the minds of customers clearly positioned. So you have certainly one of the most famous brand in general. It’s about the fact that reinforces the strengths and this makes it even more important for the customers. And what is the central strength of the pharmacists? It is the consulting skills. One should therefore focus on the idea “advice basket.” Only it is not enough to say now that the pharmacy advice is for. You have this issue then in all facets make important.

Take Dr. Best - Dr. Best has the focus “giving in” to toothbrushes. That makes this brand unique. But that alone is not enough. Dr. Best is also struggling in the advertising of this idea by them for the customers in an important benefit, that is better for gums and teeth “translated”. This must also be done with the subject of consultation. On the other hand, it is important that the chosen theme is active every day lives, so it perfectly day to day business of the individual pharmacy to public relations and advertising, in implementing.

The benefits behind
M. Brand-new: Today, if you just say that you can refer to consulting, the customer quickly give the impression that this is indeed quite nice if the pharmacists do well. Just that alone brings little benefit if the customers do not realize the behind. This means: The client must also explain why important advice is so. One way is to ensure that you the customer to the complexity of the market indicates the. There are, in Austria alone about 170 vitamins, and there is not any suitable for everyone safe.

You have the customer that is selected examples to explain why he should be sure to consult before buying somewhere random. This could be in a slogan like “More advice, more health, greater well-being” still point to attract and enhance the.

One idea every day to live active
M. Brand-new: Many people confuse brand management and marketing still with advertising. “Let’s do a quick new advertising line and everything will be fine”, then the first thought. How lack of marketing and brand management. Before you communicate something, you must create the conditions first. If one one on the market, in the minds of the customers will occupy idea today, one must first ensure that each contact point with the customer reflects this positioning. This must be the following questions arise: Does my business, my pharmacy for desired positioning? Fits my delivery to that? Fits my staff, my person to that? Do the products to which I lead? Fits my service, my service to this? Adjust my prices to my position? And only if it fits everything, we can consider how to position in the public communicates.

If you go to the core issue “advice” focused, then this should be reflected in any pharmacy. This starts with clearly visible logo pharmacist, pharmacist goes over the white coat to the design of the pharmacy. These include higher prices as a quality proof, and selected products to fit the image of the pharmacy. Everything should reflect advisory skills.

Logo pharmacist, prices and selected products
M. Brand-new: The pharmacist has the logo from my perspective, a function similar to the Red Cross. If I need a pharmacy, then I would immediately find them. Nothing is as annoying in Vienna, as if one needs a parking ticket, but the Tobacco Shop is not immediately, because this is their logo well hidden. The pharmacist logo is from my point of duty and courtesy to the customer. It is the basis for a successful brand work.

Now the price: The price tells not only what a price. It also signals quality. A low price indicates a lower quality, higher price-higher quality. It’s about finding the optimal pricing policy.

To the products: one product only available in the pharmacy, then if this is in the eyes of customers and automatically effective. Here Image transfers the pharmacy you on the product. But that also means: You should only lead products, which also underline this quality image again.

Perceived and actual price
M. Brand-new: Two examples: Who do you appreciate a cheaper, Media-Market “or” Cosmos “? I dare to bet that most of the population “media market as favorable assesses.” Is that really true? No idea, but we generally appreciate a leader in their field better than in the non-leader. That is: the price perception is more important than the actual price structure. This brings me to the second example: When the Passauer Opticians learned that “Friedman” comes to Passau, we even started making significant price action to “life from the beginning hard to make Friedman.” It was a total flop. »Friedman” celebrated a tremendously successful launch, despite or perhaps because of all measures. Why? The optician had the customers’ price sensitive made “were won by customers significantly more expensive but classified as” Friedman. “Man has destroyed so the margins only.

What does this mean for pharmacy?
M. Brand-new: It’s simple: You should carefully deal with the price much. If one stands for a high price, it also stands for high quality. If you would take excessive price actions now, they would not go this high-price image, one would only destroy the margins.

If we focus, positioning for a brand sets a, one has to first implement this internally before then so the market is on solid. This applies above things to note: You need all three all in the communication to the selected focus tune it. Second, we should try not only to image, but also for frequency ensured. So you should put messages and actions that people bring to the pharmacy. And third, you should use the full potential of pharmacies.

Full potential benefit
M. Brand-new: When many think of communication to the end customer today, they immediately think of advertising and perhaps also to press work. Overlooked while very often the business premises. You now have well over 1200 pharmacies in Austria with more than 5,000 pharmacists and pharmacy channels. This means that you have 1200 windows needs to spread throughout Austria at least. This is the dream of every marketing managers. The crucial factor is that - if actions such as travel or health days Pharmacies advice makes common - all actively participate. This has a tremendous multiplier effect, if PR, advertising and point of sale, a rope pull. I understand that under the full potential.

The liberalization plans of the EU in the field of pharmacy
As a brand strategist M. Brand-new am I an advocate of liberalization and free competition as possible. In the pharmacies have to liberalization but on two points of view consider that: From the view point of free competition once spoke nothing against liberalization, from the viewpoint of security of supply but some. Why? In every industry has trade liberalization through a yet shown, namely that trade in the direction 1A-layer is then. The rural population and the less mobile segments of the population left behind. This is annoying when food can be a fatal drug case. My recommendation, therefore, to all those responsible: Thinking think, reflect and then decide. Here one should not make a rash decision just because liberalization in Brussels “is straight. Here it is, above all, to supply the population.

The European Court of Justice. Standee spoke to the chief of the Discounters Easy Pharmacy, Oliver Blame, about the future of the German market and the chances of foreign suppliers.

Mr. Flower, in the European Court is nothing less than the sharing of almost 40 billion euro German pharmacy market negotiation. Not only pharmacists could then operate a pharmacy, but also corporations. What will happen?

One pharmacy without a profile is in my opinion, the losers to count. Notice will only be trademarks or chains with a clear profile. By advertising their uniform, they will attract the most customers.

Who stands in the wings?

Pharmaceutical wholesalers, which are those that currently own most of the foreign pharmacies. In addition, retail chains and pharmaceutical companies have certainly plans. It comes down to the third-largest pharmaceutical market in the world with 40 billion euros.

How do you assess the German market is currently one of the pharmacies?

The market will change completely. The pharmacy will merge to form larger, joint either ventures or franchises with a consistent brand image - or they will certainly be purchased. Will dominate the market very quickly foreign chains.

However, what is wrong in your view of the normal German pharmacist?

Up to now had no competition, possibly with regional colleagues - but who have not offered the same service completely. He had noticed only by better service. Today, other forms of trade marketing and brand appearances destroy his business completely. Suddenly he has to act like a big brand - which he has not learned.

You want with your pharmacies in the outskirts of cities. How will that look?

We want to strip malls with lots of activity. Where discounters, drug stores and organic markets are.

Why? In inner cities is much more casual customer.

In these locations, there were but so far no pharmacies. We have found that people there have the highest customer count and sales.

How is the offer from that of a traditional pharmacy?

In a normal hospital pharmacy, the proportion of the turnover achieved with prescription drugs, at around 70-80 percent. We are only 20 percent.

How much is a pharmacy for you?

Between 1.5 and 3 million euros a year. But we are only beginning. Now we try and expand with the opening of the punch from drugstores like Ross Mann and DM to come: about 100 new pharmacies per year. On average, get between 300-800 customers a day in a store. The average pharmacy are on average 150 customers.

As the state is currently in her company?

Now we have 21 pharmacies, the year between 40 and 50 Only nine expansion directors currently looking for rental space.

Pharmacy Technical Assistance (PTA) is a trade growing constantly recruiting new people on the island of Montreal.In exercising this profession for very different tasks, the vocational diploma (DEP) is highly recommended, even mandatory, particularly for employment in hospital or a better hourly rate when hiring.

“There was a big shortage of pharmacists. Today is also the case for ATP, “said Patrick Bose, director of the Department of Health Hertzing college. “Nearly 99% of our graduates get jobs at the end of their studies,” he adds.

The goal of this ambitious and exciting project is to offer the pharmacist a wide range of specialized information, with health issues and health, medicine, pharmacy, interviews, current affairs, documentaries produced by the institution itself pharmaceutical and even can watch the sessions of the Royal Academy of Pharmacy, all from a scientific perspective has absolutely initial budget of 40,000 euros.

As indicated Antonio Doadrio, secretary of the RANF:

“With this new distribution channel in broadband, RANF is positioned as the first institution of its kind to create an own WebTV. We offer specialized information and interesting for the pharmaceutical sector, for it will have great professionals and a wide variety of programs to support us. “

And is that Spain has a market share lower than other EU countries, and lower incidence in the field of generic dispensing, the greater the cost of the O ffice of Pharmacy whose annual contribution stood at 2009 in the 483 million euros, which represents three times the pharmaceutical industry itself.

We will launch the Prescribing Observatory

For that, a group of doctors will develop the foundations of this observatory

“The medical profession must assume a” leadership and responsibility “regarding the appropriate use of medication and patient safety measures aimed at promoting an improvement in the prescription.”

This is the clear objective COFs presidents who support the creation of an Observatory for Prescription whose plan is to establish parameters of quality and efficiency in medical action while promoting the efficient use of drugs in nursing.

“Reason? The problems resulting from an improper use of drugs in medicated patients increasingly increasing day by day.

The item on the agenda was approved unanimously by all members of the WTO in the last General Assembly held recently and where they wished to prioritize and address these objectives.

Australian Doctors prescribe a medication nursing

The level of our nurses is very high, as for other countries in the European Union requested the services of our dedicated professionals in this area of healthcare.
And this despite the fact that Spain needs a greater number of these health professionals to be on a par with our European partners.

But now, in addition, countries like Australia want the nurses to “everyone” can also prescribe medication.

This was stated by the president of the International Council of Nurses, Brilliant Rose Marie, who said that in this sense, the Spanish system of nursing is a reference that must follow all health systems in the world, some of whom are developing foundations of what will be a system of nursing to the “Spanish” and work to implement a process similar to our nurses. And others like the Australian system of health, have applied for a decade.

One of the short-term beneficial effects is that it improves health care and the nurse who is the caretaker of the diagnosis and care that is offered to a patient.

Not a good idea to self-medicate

Not even the prospect of understanding guarantees a correct use of a particular medication

Indeed, and they say that the kits of the houses in Spain seem to pharmacies in miniature. It’s like a tradition, what happens in this case is a tradition of self-medication, which entails certain risks for the patient.

Drugs that can be found in the pharmacies have been authorized by the Spanish Agency for Medicines and Health Products and responds to a process of analysis and comprehensive study that includes other concepts in addition to the purely medical, that is, the drug’s effectiveness.

In these studies the follow-up is done is very complex and concludes only when they reach the level of quality and safety set by the Competent Authority, who will be responsible for formulating the terms of use and dispensing the correct balance between benefits and the risks of a drug or for a given disease.

The conditions refer to those found in the prospectuses of information contained in the drugs, and are the indications, contraindications, dosage, prescription and other information of interest to the doctor to the pharmacist and, of course, for patient. The end user, the patient is ultimately responsible for correct use of the drug.

We are not talking only of errors in reading the prescription medication, or understanding of diagnoses, we also speak of a significant reduction in all areas of Health, in the prevention, efficiency and effectiveness.

We can say that a more computerized, modern and in line with new applications of computer technology sector and much benefit to the pharmacy, which we can safely say, goodbye, to the administrative bureaucracy.

For example, to cite only one, electronic prescriptions and a 30% reduced visits to health centers, the consequences are positive in all respects, free doctor, free the patient from the agonizing wait, comings and goings, and Nursing releases unnecessary administrative tasks.

And although its implementation is slow, it is also inevitable, last year (2009) 18% of pharmacy dispensations were electronic, today (2010), pharmacies that use electronic prescriptions now account for 40% and a not so good news as to the health, experts estimate that by 2020 60% of disease will be chronic, so that this system will greatly ease the lives of all these patients.

Because the experience can not be more favorable for the patient. Say a user with a chronic disease for which previously required their presence, almost daily, looking for her medication, now with the electronic prescription system, the patient may go directly to the pharmacy and pick up your medication without having to go “over the counter” without a doubt a real breakthrough.

Philippe Gaertner, According to him, promises to change the law that bore Hospital, Patients, Health and Territory are threatened: the relevant decrees which are dotted regularly, and according to him would not meet the “letter” of text … According To Him, promised to change the law That boron Hospital, Patients, Health and Territory are Threatened: under the Decrees Which are regularly dotted, and LUKAS To Him would not Meet the “letter” of Text …

Thus the principle of cooperation between health care stakeholders liberals around the patient, “a logic of efficiency and economic medico-efficient relay between the hospital and the City” seemed to lose its initial strength, the principle “Thusi Cooperation Between health care stakeholders of liberals around the patient, “logic of efficiency and Economic medico-efficient relay Between the hospital and the City” seemed to Lose ITS initial strength.

“When we analyze the implementation decrees that we now offer the services of the State, we note with stupefaction that ambition medico economic has disintegrated in favor of pure economic factor.

“When we Analyze the implementation Decrees That We now offer the services of the State, we note with amazement That Has ambition medico economic disintegrated in Favor of pure economic factor.

Exit cooperation! Exit cooperation! The government does take away from his law strand transfer tasks “, understood as the possibility of transferring to other, cheaper, acts previously performed by some.” The government retain the law That Will ITS share transfer functions, “Understood as The Possibility of Transferring to Other, cheaper, acts calculated previously Performed by some. “

The words are hard to measure it seems to disappointment .. The words are hard to measure it Seems to disappointment ..

For him it is the State which bear full responsibility for these blocks, “as the silence between the proposals made unitarily by health professionals” and especially in dividing and conquer it … For Him Which Is The State bear full responsibility “argument for blocks,” as the silence Between the Propositions unitarily made by health professionals “and Especially In dividing and conquer …

Also according to him, to Him LUKAS Also,”It does not amount professions against each other, threatening to give the EMAT financial tasks previously performed by his neighbor, that they will get better care for patients. “” It Does not Amount occupations Against Each Other, Threatening to “give the EMAT financier tasks calculated previously Loved Performed by neighbor, That They Will get Better care for patients.”

And therefore to conclude that “The new tasks that pharmacists might be persuaded to assume the prerogatives n’amputent nothing of the prescribe. Therefore And to Conclude That “The new tasks pharmacists That Might Be persuaded to assume the prerogatives of the prescribe n’amputent nothing.

By acting to maximize the effect of medication prescribed, on such important diseases as diabetes, asthma or hypertension, pharmacists do not replace anyone. By intervening to optimize the effect of drug treatments prescribed, we SUCH important diseases have diabetes, asthma or hypertension, pharmacists do not replace anyone. Instead, they restore and potentate the authority of the prescription. Instead, They restore and potentate the authority “of the prescription.

I therefore calls for tools to quickly set to the vast majority of pharmacies to capture these new responsibilities.” Therefore I ask That are defined \ tools for the great Quickly majority of pharmacies to capture new thesis Responsibilities. “

Pharmacists Pharmacists are calling for negotiations call for negotiations
on the eve of the opening of the 2010 show PHARMAGORA (March 27) The FSPF has called on the other hand in a statement to the immediate commencement of negotiations on the adjustment of the margin of drug dispensation and the remuneration of the new missions assigned to pharmacists under the law and will HPST even threatened “actions to be implemented in the absence of significant progress fast” ..

On The eve of the opening of the show PHARMAGORA 2010 (March 27) The FSPF Has Called On The Other Hand in a statement to the immediate commencement of negotiations on the margin of the adjustment of drug dispensing and the remuneration of the new missions Assigned to pharmacists “under the law and Will HPST Even threatened” Shares to Be Implemented in the absence of improved significantly fast “..

Recall that a debate was scheduled after the inauguration of the exhibition by Roselyn Bachelor, together including representatives of trade unions, groups, and the Order of Pharmacists. Recall That Was a Debate Scheduled after the inauguration of the exhibition by Roselyn Bachelor, together Including Representatives of trade unions, groups, and the Order of Pharmacists.

What are these actions? What are shares thesis? Difficult to know the state, it is hard to believe it could result in a strike, then what could be the leverage of pharmacists? Difficult to know the STATE, It Is Hard to Believe it “could result in a strike either ‘What Could Be the leverage of pharmacists?

The pharmaceutical distributors, better known as the wholesalers bear the brunt of competition from laboratories, which now sells online pharmacies (about one drug in three), short-circuiting, the amputating a passing significant portion of their sales …

This led to wholesalers by a decrease of 5% of their gross margin for 2008. In addition to the dead weight loss due to new sales practices, dispatchers had to cope with the increase in their contribution to the financing of the sect: + 173% increase between 1996 and 2008 …

After 24 years of existence, non-governmental organization Pharmacists Without Borders has just closed its doors, placed in receivership in October 2009, but the dissolution of the association will not lead to a complete cessation of its activities,

In effect ACTED (Agency for Technical Cooperation and Development), a French NGO active in thirty countries has been authorized to resume the tasks of Pharmacists Without Borders, as its name suggests, it will also retain some sixty al.

The purpose of the use of MNU for humanitarian

The landscape of humanitarian medicine had already been badly shaken since the Law No. 2008-337, OJ of 16 April 2008 which put an end to the “French exception redistribution of MNU for humanitarian or abroad for the Fourth World France “has forced many organizations to reorganize

Themselves, such as IHP (International Humanitarian Pharmaceuticals) who has yet to renounce any action internationally and has survived by becoming the only official supplier of new drugs for accredited care centers such as Medicines due Monde, or the SAME Social and being funded by the National Fund for Health and Social Work (FANS) or the Order of Malta for the loss of the MENU has asked financial assistance of 2 million euros to the government, remained unanswered to this day.

A waste of unused drugs monstrous

The network Cyclamen always ensures its recovery mission and processing of waste from households. Recall that the task of collecting MENU is mandatory for pharmacists (see Decree No. 2009-718 of 17 June 2009 issued under Law No. 2007-248, Section 32), they must collect their free packages the MENU, outdated or not reported by individuals. The MENU are then destroyed by incineration, and are subject to energy recovery, to illuminate and heat homes. The operation is financed by contributions paid by drug companies.

Unfortunately, a huge waste remains and it is thus the equivalent of billions of euros each year who end up in the trash. According to the President of the Union of Pharmacists of pharmacies (USPO), this would be enormous waste caused by poor compliance with prescribed treatment. The packaging seems to be a dominant factor: In France, if pharmacists are required to deliver the most economical packaging according to the order,

The requirement is difficult to achieve. In addition, the pharmaceutical manufacture of increasingly “big boxes model for short term treatment,” says even the president of the USPO, which however does not advocate the principle of selling the unit so that it is practiced in the United Kingdom. In addition to that by a perverse, deductibles on drugs used by the health insurance and certain mutual encourage patients to use large packages …

These are not the labs that will change things …

Also according to it, do not expect the pharmaceutical industry that it promotes reconditioning in view of the high margins generated: thus the price of a drug-refundable, 67.6% returned to the manufacturer, 2 , 5% to the wholesaler, 23.3% and 6.6% to a pharmacist in the state. In 2008, pharmaceutical labs have produced more than 30 billion euros in turnover in France, the largest market in Europe.

According to a report Gas, nearly one in two drug reimbursement would not be consumed. For a cost of two or three billion a year. According to a survey by Cyclamen only 57% of French people would report systematically in pharmacies unused drugs. But in fact, only 6% of MENU are recycled, according to the survey Gas.