ABSTRACT
UNLABELLED: This article is designed for ambulatory pharmacy specialists, pharmacy administrators, and managed care pharmacy and/or medical directors interested in developing systems for improved drug therapy outcomes. GOAL: To describe an alternative method for the effective delivery of pharmaceutical care. OBJECTIVES: 1. Identify the barriers to delivery of pharmaceutical care in current systems. 2. Describe the steps to take to implement a referral-based pharmaceutical care service. 3. Describe the financial and patient satisfaction outcomes of a referral-based pharmacy. 4. Describe the services that can be offered by a referral-based pharmacy.
Subject(s)
Pharmacy Service, Hospital/organization & administration , Academic Medical Centers/organization & administration , Drug Utilization Review , Education, Pharmacy, Continuing , Evaluation Studies as Topic , Marketing of Health Services , Personnel Staffing and Scheduling , Pharmacists , Pharmacy Service, Hospital/economics , Pharmacy Service, Hospital/standards , Professional-Patient Relations , Program Development , TennesseeABSTRACT
The contact hypothesis predicts that cooperative interaction with members of a disliked group results in increased liking for those members and generalizes to more positive attitudes toward the group. The authors sought to provide evidence consistent with the hypothesis that contact affects attitude in part by eliciting a more positive portrait of the typical group member. Undergraduates participated in a 1-hr dyadic learning session (scripted cooperative learning, jigsaw cooperative learning, or individual study) with a confederate portrayed as a former mental patient. Students initially expected the confederate to display traits similar to those of a typical former mental patient. After the sessions, initially prejudiced students in the 2 cooperative conditions described the typical mental patient more positively and adopted more positive attitudes and wider latitudes of acceptance toward the group. Connections between intergroup attitudes and impression formation are discussed.
Subject(s)
Attitude , Cooperative Behavior , Group Processes , Interpersonal Relations , Prejudice , Attitude to Health , Female , Generalization, Psychological , Humans , Male , Mental Disorders/psychologyABSTRACT
A study was conducted to evaluate the feasibility of reducing or eliminating airborne lead concentrations at a covered, outdoor firing range by using totally copper-jacketed ammunition. Used in the study were 38-caliber-special police revolvers, and firings were conducted with 38-caliber, totally copper-jacketed bullets. The mean lead levels in general area air samples and personal breathing zone samples were 9.53 micrograms/m3 and 5.88 micrograms/m3, respectively, calculated as an 8-hr, time-weighted average (TWA). The mean copper levels in general area samples and personal breathing zone samples were 0.8 micrograms/m3 and 1.43 micrograms/m3, respectively. These concentrations in general area air samples and personal breathing zone samples were well below the current Occupational Safety and Health Administration (OSHA) permissible exposure limit (PEL) for occupational exposure to inorganic lead (50 micrograms/m3) and for copper (100 micrograms/m3). No significant difference was found between blood lead levels before and after firing totally copper-jacketed bullets. Based on comparison with results from a comparable study using nonjacketed lead ammunition, it was concluded that the use of totally copper-jacketed bullets significantly reduced airborne lead levels by a factor of 21 in the personal breathing zone samples and by a factor of 7.5 in the general area air samples.
