Papers by janine traulsen
Journal of Pharmaceutical Policy and Practice, Dec 1, 2014
Jones & Bartlett Learning eBooks, Mar 25, 2009
International Journal of Pharmacy Practice, Dec 1, 2003
Objective To consider public perspectives on the use of medicines for non-medical purposes, a usa... more Objective To consider public perspectives on the use of medicines for non-medical purposes, a usage called medically-enhanced normality (MEN). Method Examples from the literature were combined with empirical data derived from two Danish research projects: a Delphi internet study and a Telebus (telephone interview) study with a stratified random representative sample. Results The results of these studies indicate an acceptance of medicine usage where ''enhancement'' strategies are part of the rationale for medicine use. These strategies include an overall desire to enhance the quality of life, eg, to optimise economic, working and family conditions. The term ''doping'' does not cover or explain the use of medicines as enhancement among healthy non-athletes. Conclusion We recommend wider use of the term medically-enhanced normality as a conceptual framework for understanding and analysing perceptions of what is considered rational medicine use in contemporary society.
Page 1. TECHNOLOGY A Feminist Perspective Janine Marie Morgall Page 2. TechnologyAssessment Copyr... more Page 1. TECHNOLOGY A Feminist Perspective Janine Marie Morgall Page 2. TechnologyAssessment Copyrighted Material Page 3. ... Page 4. Technology Assessment A Feminist Perspective Janine Marie Morgall Temple University Press Philadelphia Copyrighted Material Page 5 ...
Value in Health, Nov 1, 2014
Objectives: To analyze and classify the Risk-Sharing Schemes (RSSs) proposed in reimbursement app... more Objectives: To analyze and classify the Risk-Sharing Schemes (RSSs) proposed in reimbursement applications received by Agency for Health Technology Assessment in Poland (AHTAPol) in 2013. MethOds: Risk-Sharing Schemes proposed in reimbursement applications received by AHTAPol in 2013 were quantitatively and qualitatively analyzed. The classification of the RSSs was conducted based on both Carlson's approach and the Polish Act on the reimbursement of medicinal products. Results: In the studied period, 80 reimbursement applications for medicines, special purpose dietary supplements or medical devices were received by AHTAPol. Among them, there were 52 RSSs for 51, medical technologies. They were classified into 5 categories according to the Act on the reimbursement. The most common category was making the official sales price dependent on a pay-back of a part of the reimbursement obtained to the entity which is obliged to finance benefits with public funds (48.08%). Further categories were: making the official sales price dependent on the applicant providing supplies at a reduced price as specified in the negotiations on the price of the medicine (15.38%), making the official sales price dependent on the level of turnover of the medicine (11.54%) and making the level of the applicant's revenues dependent on the health effects achieved (1.92%). Other, nonclassified RSSs constituted 23.08% of all. Among 52 proposed RSSs only 17 of them could be classified according to the Carlson's approach. As a results, 10 Price Volume Agreements, 6 Manufacturer funded treatment initiation and 1 Conditional treatment continuation were identified. cOnclusiOns: Most of the propositions are not considered to be RSS according to the Carlson's approach. The most common propositions were related to pay-back of a part of the reimbursement obtained for each reimbursed package and did not included any risk sharing. There is a strong need for further research.
Research in Social & Administrative Pharmacy, Dec 1, 2018
The future of the pharmacy profession and concerns about professional identity have been popular ... more The future of the pharmacy profession and concerns about professional identity have been popular and recurring themes in professional journals and at international pharmacy conferences for more than 30 years. The aim of this paper is to contribute to realistic and viable visions for the future of the pharmacy profession via insights through labor market and work organization theories. These insights provide an understanding of contemporary work patterns and what they mean for the future role of community pharmacists. It appears that the most invasive contemporary trend in work organization today is precarious work, i.e. non-standard employment that promotes and relies on a flexible and fluid work force. Contrary to permanent employment, precarious work is often poorly paid, insecure, unprotected, and in many cases cannot support a household. The growth of precarious work among professionals, including pharmacists has been documented in many countries. In the early 21st century a major concern in the UK was the growth in the number of pharmacists who choose to be self-employed "locums" as opposed to seeking permanent employment. With the spread of precarious work a new, involuntary form of employment appeared a decade later with the spread of "zero-hour contracts" and "exclusivity agreements". Particularly affected by these flexible, precarious work conditions are the highly-educated young health professionals such as pharmacists. The profession must be proactive in order to stay abreast of economic/workforce and organizational trends. The way forward is a commitment to a dynamic, knowledge-based vision that includes an ongoing analysis of the outside world. The core role of pharmacists in the future includes: 1.
Research in Social & Administrative Pharmacy, May 1, 2017
Feminist Review, Nov 1, 1981
PubMed, Feb 1, 1990
The purpose of this article is to give an overview of the Danish family planning services deliver... more The purpose of this article is to give an overview of the Danish family planning services delivery based on a description of the country, the people, and their opinions. All laws and regulations about contraceptive services, including abortion and sterilization, are described in historical perspectives. It is concluded that the system has been developed on the basis of the health care system of the country to such a degree that it broadly covers the prevailing general attitudes of the population and that the expectations of the population to the system are reasonably met. What remains unsatisfactory is a relatively high proportion of induced abortions. Future possibilities for solving this problem could be: to improve the education of physicians, health nurses, midwives, teachers, and social workers with regard to family planning and sexuality; to revise teacher's guidelines on sex education and intensified sex education in the schools; to intensify information to risk groups such as teenagers and single women; and to accomplish general organisation of school class visits to family planning clinics.
Research in Social and Administrative Pharmacy, 2014
73.4%) had experienced nausea during pregnancy. Both the prevalence of nausea and its treatment v... more 73.4%) had experienced nausea during pregnancy. Both the prevalence of nausea and its treatment varied between regions. Of these women, 1,913 (27.6%) had used some form of treatment against nausea. Conventional medicines were used against nausea by 1,274 (18.4%) of the women, and herbal medicines by 568 (8.2%) women. Region of residence and folic acid use are factors that were significantly associated with use of treatment in general, and also with use of both conventional and herbal medicines. However, the factors' influence varied according to type of treatment. Compared to untreated women both users of conventional and herbal medicines showed significant differences according to beliefs about medicines. Women who had nausea did also show a high burden of co-morbidity. Preliminary Conclusions: Regional differences of both the extent of nausea and its treatment were identified. Users of conventional or herbal medicines both differed from untreated women with regard to region of residence, folic acid use and beliefs about medicines. Understanding these factors could form an International basis for treatment strategies.
Social and Behavioral Aspects of …, 2010
Page 91. CHAPTER 4 Health Disparities: International Perspectives Janine Morgall Traulsen, PhD, a... more Page 91. CHAPTER 4 Health Disparities: International Perspectives Janine Morgall Traulsen, PhD, and Paul Bissell, PhD This chapter outlines some of the ways in which sociologists have sought to ... 5. Shaw M, Dorling D, Davey-Smith G. Poverty, social exclusion and minorities. ...
In this article the authors deal with issues of drug utilisation from a clinical and policy persp... more In this article the authors deal with issues of drug utilisation from a clinical and policy perspective. They address the difficulties of managing drug therapy on a population level, which is known among professionals, as the problem of rational use of medicines. Various definitions and interpretations are presented and compared. This is followed by a presentation of the concerns associated with pharmaceutical marketing from a policy perspective, including the fear that the dominance of information produced by industry may lead to irrational drug use. Next, the authors review the tools for policy making including educational, managerial, and regulatory interventions. The (often overlapping) concepts of medicines management, clinical pharmacy and pharmaceutical care are then discussed to show how professionals, sometimes in collaboration with policymakers, have tackled the problem of nonrational use of medicines. The authors address the question as to whether the rational use of medicines a universal concept, whether it can be and whether it should be? They argue that, as with most concepts, the rational use of medicines must always be viewed in context. They conclude that pharmacy needs to adapt its way of thinking to include the issue of context. They point out that clinical pharmacists today already adapt their decisons to each patient and patient group. Policy-makers are encouraged to adopt a similar approach because populations as well as particular market situations vary and therefore policy solutions cannot be considered universal.
Almost every national and supranational health policy document accords high importance to the nee... more Almost every national and supranational health policy document accords high importance to the need to listen to and 'empower' patients. The relationship between pharmaceutical policy and the lay public is not direct but mediated by several actors, including health care workers, patient organisations, industry and, most recently, the media. Although the overall * This article is the fourth in a series of articles on this topic that will appear in Pharmacy World & Science during 2005.
International Journal of Pharmacy Practice, Mar 1, 2002
Background-The study reported here was part of a multi-study evaluation of new drug distribution ... more Background-The study reported here was part of a multi-study evaluation of new drug distribution legislation in Iceland. Objectiue-The objective of this sub-study was to compare the satisfaction of community pharmacists and pharmacists in other settings with regard to their job in general, importance of the job, work hours, contact with patients, and responsibility. Method-A questionnaire survey was constructed, pilot tested, and mailed to all pharmacists belonging to professional societies in Iceland in March 1999. Key findings-The results show an inconsistency in whether general job satisfaction was correlated with respondents' perception of the job's importance and responsibility, more so for community pharmacists than others. Overall job satisfaction was quite high and community pharmacists felt that their contact with customers was satisfactory. However, they were more dissatisfied with their work hours, importance of their work, and responsibility than other pharmacists. Conclusion-Community pharmacists have been affected more adversely by the legislative change than their colleagues in other work settings.
Pharmaceutical Press eBooks, Apr 1, 2005
... can and do con-tribute to theoretical understanding in PPR - psychology, anthropology,managem... more ... can and do con-tribute to theoretical understanding in PPR - psychology, anthropology,management, to name ... new healthcare markets in order to engage with wider health policy agendas, are ... We argue for a renewed engagement by pharmacy practice researchers in this ...
Research in Social & Administrative Pharmacy, Jun 1, 2009
Studies of cognitive services implementation in the pharmacy sector traditionally focus on indivi... more Studies of cognitive services implementation in the pharmacy sector traditionally focus on individual and/or organizational factors to explain why some pharmacies are successful and others are not. The social and political context of the origins of these services is rarely part of the analysis. Researchers and practitioners in the field of pharmacy practice research are increasingly being encouraged to take into account the specific political and societal climate which often plays a defining role in the success or failure of cognitive services implementation in community pharmacies. The aim of this article is to argue for the inclusion of political pre-studies as part of the study design for implementation studies on reimbursed services in community pharmacy. A political pre-study of the Inhaler Technique Assessment Service (ITAS) introduced in Denmark in 2004 serves as an example of this approach and is described in detail. Documentary analysis was used in order to gain knowledge of the political background of the ITAS. Political pre-studies provide a more precise understanding of the background of the cognitive services and the way they are being performed, thereby supporting more valid results for subsequent implementation studies. Political pre-studies were shown to be a useful prerequisite when designing implementation studies of cognitive services in community pharmacies and can provide valuable insight into the ultimate success or failure of these services.
Pharmacy World & Science, Oct 1, 2005
In this article, the authors look at the relationship between pharmaceutical policy and the pharm... more In this article, the authors look at the relationship between pharmaceutical policy and the pharmacy profession with focus on pharmacy practice and pharmacists in the health care sector. Pharmaceutical policy encompasses three major policy inputs: public health policy, health care policy and industrial policy. In order to analyse and understand pharmaceutical policy, it is important to know how policymakers view pharmacy and pharmacists. The authors look at the issues that arise when policy regulates pharmacy as a business, and what this means for the profession. The perspective of pharmacy as a health care profession, as well as what it means when we view pharmaceutical policy in the context of the health sector labour market, is discussed. The authors also discuss how factors external to the profession are affecting its purpose and realm of practice, including the current trend in managerialism, and how the division of labour with other health professionals such as physicians and pharmacy assistants is affecting the pharmacy profession's position in the labour market. Next the authors look at ways in which the pharmacy profession has affected policy. Pharmacists have been instrumental in developing new and expanding roles for the profession, sometimes inspired by external events, but often as a result of their own prerogative. The pharmacy profession is encouraged to take a leading role in forming and contributing to policy, in this way making visible its contribution to society in general and public health in particular. If not, the profession will forever be reacting to policy and will remain at the mercy of policymakers and other strong actors in society.
Research in Social & Administrative Pharmacy, 2014
Pharmacy practice and social pharmacy are two important research areas within pharmaceutical and ... more Pharmacy practice and social pharmacy are two important research areas within pharmaceutical and health sciences. As the disciplines have undergone and are still undergoing changes, it is useful to reflect on the current state of their research as the basis for discussing further development. The two areas are currently beset by a lack of consensus and charged all too often with evaluating narrowly focused pharmacy services. With the added challenge of diminished funding for research and the pressures to publish results, these fields have to accommodate a much broader research framework than ever before. In this article, the challenges and opportunities in current research are reviewed, and suggestions provided on how to further research in these areas. A systematic content analysis is important to benchmark trends in the types of studies conducted, and to map the collaboration and funding within these areas.
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Papers by janine traulsen