Pubdate: Sat, 24 May 2003
Source: Otago Daily Times (New Zealand)
Copyright: Allied Press Limited, 2003
Contact:  http://www2.odt.co.nz
Details: http://www.mapinc.org/media/925
Author: Gail Goodger

REST-HOME HOSPITALS 'COULD BECOME TARGETS'

Drug addicts could start breaking into rest-home hospitals if they have to 
store three months medication for residents, a Mosgiel residential care 
centre managing director fears.

Drug addicts could view rest-homes as "mini-pharmacies" if they had to 
store so much medication instead of getting it delivered weekly, Birchleigh 
Residential Care Centre managing director Peter White, of Mosgiel, said 
when approached.

Government drug funding agency Pharmac is proposing most people get 
prescription medicine in three-monthly lots rather than monthly.

Mr White said Birchleigh had about 70 to 75 people on medication and each 
of them took an average of about eight drugs.

A Mosgiel pharmacy delivered the monthly prescriptions in weekly batches, 
in individual trays which separated medications into days and times they 
should be taken.

Under the proposed change, the pharmacy would have to boost the charge for 
that service by about $19,000 a year, from about $7000. The pharmacy would 
be paid one dispensing fee every three months by the Otago District Health 
Board instead of monthly fees.

Birchleigh would find it difficult to pay the extra cost because even the 
Government acknowledged rest-home hospitals were already underfunded, he said.

But if Birchleigh did not pay, it would get three months' supply of drugs 
for each patient simultaneously in boxes and bottles.

It was best to dispense drugs weekly because older people often got 
infections in winter and had short-term drugs added to their regime, Mr 
White said.

Birchleigh has up to 79 residents in a rest-home, hospital and dementia wing.

Residential Care New Zealand executive director Petrina Turner, of 
Wellington, said pharmacists believed they would have to charge $250-$300 
per resident annually to put drugs in trays under three-monthly prescribing.

Given there were about 21,000 beds in rest-home hospitals around the 
country, that would boost their costs by about $6 million nationwide.

Many rest-home hospitals would have to create secure areas if drugs were 
delivered three-monthly, when they already had a general lack of storage space.

Residential Care New Zealand represented rest-home hospitals with about 
17,000 beds, Ms Turner said.
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MAP posted-by: Terry Liittschwager