Abstract:
BACKGROUND:Thyroid hormone replacement is one of the most commonly prescribed and cost effective treatments for a chronic disease. There have been recent changes in community prescribing policies in many areas of the UK that have changed patient access to necessary medications. This study aimed to provide a picture of thyroid hormone usage in the UK and to survey patient opinion about current community prescribing policies for levothyroxine. METHODS:Data on community prescriptions for thyroid hormones in England between 1998 and 2007, provided by the Department of Health, were collated and analysed. A survey of UK members of a patient support organisation (the British Thyroid Foundation) who were taking levothyroxine was carried out. RESULTS:The amount of prescribed thyroid hormones used in England has more than doubled, from 7 to almost 19 million prescriptions, over the last 10 years. The duration of prescriptions has reduced from 60 to 45 days, on average over the same time. Two thousand five hundred and fifty one responses to the patient survey were received. Thirty eight percent of levothyroxine users reported receiving prescriptions of 28 days' duration. 59% of respondents reported being dissatisfied with 28-day prescribing. CONCLUSION:Amongst users of levothyroxine, there is widespread patient dissatisfaction with 28-day prescription duration. Analysis of the full costs of 28-day dispensing balanced against the potential savings of reduced wastage of thyroid medications, suggests that this is unlikely to be an economically effective public health policy.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Mitchell AL,Hickey B,Hickey JL,Pearce SHdoi
10.1186/1471-2458-9-132subject
Has Abstractpub_date
2009-05-11 00:00:00pages
132issn
1471-2458pii
1471-2458-9-132journal_volume
9pub_type
杂志文章abstract:BACKGROUND:The number of medical technologies used in home settings has increased substantially over the last 10-15 years. In order to manage their use and to guarantee quality and safety, data on usage trends and practical experiences are important. This paper presents a literature review on types, trends and experien...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-018-5123-4
更新日期:2018-02-26 00:00:00
abstract:BACKGROUND:Breast cancer (BC) is a major public health problem, with rising incidence in many regions of the globe. Although mortality has recently dropped in developed countries, death rates are still increasing in some developing countries, as seen in Brazil. Among the reasons for this phenomenon are the lack of stru...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-83
更新日期:2009-03-13 00:00:00
abstract:BACKGROUND:Victims exposed to serious traumatic experiences may develop post-traumatic stress disorder (PTSD) and suffer this mental health problem for a long time. Different types of trauma displayed a chronicity rate of PTSD within the range of 6.3-68.9 %. As one of the most common and severe natural disasters, the n...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2009-6
更新日期:2015-07-07 00:00:00
abstract:BACKGROUND:Physical inactivity is deemed to be the fourth leading cause for premature death. Nevertheless, only a minority of children and adolescents in Germany fulfil the guideline of the World Health Organization of at least 60 min of moderate-to-vigorous physical activity per day. Children and adolescents with a lo...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-019-6817-y
更新日期:2019-05-06 00:00:00
abstract:BACKGROUND:Parenting programs have been highlighted as a way of supporting and empowering parents. As programs designed to promote children's health and well-being are scarce, a new health-promotion program, All Children in Focus, has been developed. The purpose of this trial was to evaluate the potential effectiveness...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-2458-14-1083
更新日期:2014-10-18 00:00:00
abstract:BACKGROUND:The 'Physical Activity Care Pathway' (a Pilot for the 'Let's Get Moving' policy) is a systematic approach to integrating physical activity promotion into the primary care setting. It combines several methods reported to support behavioural change, including brief interventions, motivational interviewing, goa...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-370
更新日期:2011-05-23 00:00:00
abstract:BACKGROUND:Major changes in health policy, health service delivery, specific protocols, guidelines and recommendations for the management of common causes of maternal death have been developed in South Africa since the advent of the current democratic government. However, maternal mortality ratio remains high. The scie...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1597-5
更新日期:2015-03-19 00:00:00
abstract:BACKGROUND:Emotional abuse is central to other forms of abuse. The primary objective of this paper was to estimate the prevalence of emotional abuse among pupils in basic education schools and the risk factors associated with it in Aden governorate, Yemen. METHODS:Four districts were randomly selected from across the ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-647
更新日期:2012-08-13 00:00:00
abstract:BACKGROUND:Despite smoking cessation efforts, cigarette smoking remains a serious general and oral health problem. We aimed to investigate the putative benefits of smoking cessation on dentition and to analyse whether the time elapsed since smoking cessation associated positively with the remaining number of teeth. ME...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3556-1
更新日期:2016-08-24 00:00:00
abstract:BACKGROUND:'Pop-up' warning messages have potential as a Responsible Gambling tool, but many warning messages in the literature are generic. The present study simulated digital roulette to compare the effectiveness of expenditure-specific, generic and control messages, during online roulette. METHODS:Forty-five casual...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7191-5
更新日期:2019-06-26 00:00:00
abstract:BACKGROUND:Although medication adherence and health-related quality of life (HRQoL) are two different outcome measures, it is believed that adherence to medication leads to an improvement in overall HRQoL. The study aimed to evaluate the association between medication adherence and HRQoL. METHODS:A questionnaire-based...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-318
更新日期:2012-04-30 00:00:00
abstract:BACKGROUND:The purpose of this study is to highlight the experiences of women who are often hidden in what we know and understand about homelessness, and to make policy and practice recommendations for women-centred services including adaptations to current housing interventions. METHODS:Three hundred survey interview...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-8353-1
更新日期:2020-03-26 00:00:00
abstract:BACKGROUND:Developing effective prevention and intervention programs for the formative preschool years is seen as an essential step in combating the obesity epidemic across the lifespan. The overall goal of the current project is to measure the effectiveness of a healthy eating and childhood obesity prevention interven...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-10-220
更新日期:2010-04-28 00:00:00
abstract:OBJECTIVES:The aim of this study is to 1) investigate the pain situation among working adults in China; 2) explore the self-initiate pain reliving strategies applied by working adults; and 3) collect people's interests and suggestions to the topics of the online pain education program. METHODS:This is an exploratory s...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7503-9
更新日期:2019-08-22 00:00:00
abstract:BACKGROUND:Diarrhoea is one of the leading causes of morbidity and mortality in South African children, accounting for approximately 20% of under-five deaths. Though progress has been made in scaling up multiple interventions to reduce diarrhoea in the last decade, challenges still remain. In this paper, we model the c...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1689-2
更新日期:2015-04-17 00:00:00
abstract:BACKGROUND:Non-communicable diseases (NCDs), malaria and tuberculosis dominate the disease pattern in Myanmar. Due to urbanization, westernized lifestyle and economic development, it is likely that NCDs such as cerebrovascular disease and ischemic heart disease are on a rise. The leading behavioral- and metabolic NCDs ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3275-7
更新日期:2016-07-18 00:00:00
abstract:BACKGROUND:Population ageing presents considerable challenges for the attainment of universal health coverage (UHC), especially in countries where such coverage is still in its infancy. Ghana presents an important case study on the effectiveness of policies aimed at achieving UHC in the context of population ageing in ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5534-2
更新日期:2018-05-24 00:00:00
abstract:BACKGROUND:Symptoms of depression and musculoskeletal pain have both been found to be associated with increased risk of long term sickness absence (LTSA). The comorbidity between depression and pain i.e. simultaneous presence of both symptoms, is well established in the literature. The aim for the current investigation...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5740-y
更新日期:2018-08-06 00:00:00
abstract:BACKGROUND:Poor maternal and child health indicators have been reported in Nigeria since the 1990s. Many interventions have been instituted to reverse the trend and ensure that Nigeria is on track to achieve the Millennium Development Goals. This systematic review aims at describing and indirectly measuring the effect ...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-015-1688-3
更新日期:2015-04-09 00:00:00
abstract:BACKGROUND:The prevalence of childhood asthma and allergies in Cyprus was significantly higher in urban compared to rural areas back in the year 2000, against a background of an overall low prevalence (e.g. current wheeze 6.9%) by comparison to northern European countries. In this study we aimed to assess temporal chan...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-858
更新日期:2011-11-11 00:00:00
abstract:BACKGROUND:In Brazil, like many countries, there has been a failure to identify mental health problems (MHP) in young people and refer them to appropriate care and support. The school environment provides an ideal setting to do this. Therefore, effective programs need to be developed to train teachers to identify and a...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-210
更新日期:2014-02-28 00:00:00
abstract:BACKGROUND:It is unclear if objective selection of employees, for an intervention to prevent sickness absence, is more effective than subjective 'personal enlistment'. We hypothesize that objectively selected employees are 'at risk' for sickness absence and eligible to participate in the intervention program. METHODS:...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-7-67
更新日期:2007-05-02 00:00:00
abstract:BACKGROUND:Radon is the second risk factor for lung cancer after tobacco consumption and therefore it is necessary to know the burden of disease due to its exposure. The objective of this study is to estimate radon-attributable lung cancer mortality in Galicia, a high emission area located at the Northwest Spain. METH...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-256
更新日期:2010-05-18 00:00:00
abstract:BACKGROUND:Smoking is a leading cause of numerous human disorders including lung cancer, chronic obstructive pulmonary disease, and atherosclerotic cardiovascular disease. The development of modified risk tobacco products (MRTPs) has been suggested as a possible way to reduce the risks of tobacco smoking by reducing ex...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12889-017-4678-9
更新日期:2017-08-22 00:00:00
abstract:BACKGROUND:There is increasing evidence linking environmental tobacco smoke (ETS) exposure at homes to the development of asthma among adolescents. Few studies have addressed this issue in the Middle Eastern countries including Kuwait. Therefore, this cross-sectional study assessed the prevalence of ETS exposure at hom...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09245-9
更新日期:2020-08-08 00:00:00
abstract:BACKGROUND:Mobility limitations in older adults are associated with poor clinical outcomes including higher mortality and disability rates. A decline in mobility (including physical function and life-space) is detectable and should be discovered as early as possible, as it can still be stabilized or even reversed in ea...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-8069-2
更新日期:2019-12-19 00:00:00
abstract:BACKGROUND:The Moti-4 intervention was developed to prevent addiction and other health problems among vulnerable adolescent cannabis users. The aims of Moti-4 are to reduce the use of cannabis among adolescents and to encourage their motivation to change their behavior. METHODS:Intervention Mapping, a systematic appro...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1826-y
更新日期:2015-05-21 00:00:00
abstract:BACKGROUND:Recent terrorist attacks and natural disasters have led to an increased awareness of the importance of emergency planning. However, the extent to which emergency planners can access or use evidence remains unclear. The aim of this study was to identify, analyse and assess the location, source and quality of ...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-12-542
更新日期:2012-07-23 00:00:00
abstract:BACKGROUND:Pesticide poisoning is an important health problem among Chinese farm workers, but there is a paucity of pesticide poisoning data from China. Using the WHO standard case definition of a possible acute pesticide poisoning, we investigated the prevalence and risk factors of acute work-related pesticide poisoni...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-429
更新日期:2011-06-03 00:00:00
abstract:BACKGROUND:Approximately one billion children experience violence every year. Violence against children is an urgent global public health concern and violation of children's rights. It is also a risk factor for serious negative health and social outcomes and is therefore addressed within the Sustainable Development Goa...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7456-z
更新日期:2019-08-17 00:00:00