[Substitution of inhalation devices in the pharmacy according to a frame contract (dated 1st April, 2008) and individual discount regulations].
The prescription of an inhalative therapy by the physician is not only based on pharmacological aspects, but also on the physical characteristics of the inhalation device, the special and dose-relevant galenics as well as on the patient's individual situation, e. g. disease severity, the intellectual and manual skills. The correct use of the various devices has to be trained and controlled. This approach is also fixed in the Disease Management Programmes (DMP) for asthma and COPD. The substitution of inhalation devices without consideration of the above-mentioned criteria and without retraining is contradictory to all recommendations of national and international respiratory societies and may put the patients at risk.
CA Med. Klinik III, Schwerpunkt Pneumologie, Allergologie, Zentrum für Schlaf- und Beatmungsmedizin, Interdisziplinäres Lungenzentrum, Krankenhaus Bethanien, Moers. th.voshaar@t-online.de
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D032982:Contracts / Q000191:economics* / Q000331:legislation & jurisprudence*; D005858:Germany; D033161:Government Regulation; D009330:Nebulizers and Vaporizers / Q000191:economics*; D010594:Pharmacies / Q000191:economics* / Q000331:legislation & jurisprudence*; D055656:Prescriptions / Q000191:economics* / Q000592:standards*
Austausch von Inhalatoren in der Apotheke aufgrund des Rahmenvertrages vom 1. 4. 2008 und individueller Rabattverträge.