Consumers get choosy about pharmacies New drugs making headway New drugs in the pipeline may hold promise for the millions of Americans suffering from neurological diseases. A survey conducted by the Pharmaceutical Research and Manufacturers of America (PhRMA) found 176 new medicines in development for these diseases—up from 138 reported in 1999. More than 100 pharmaceutical and biotechnology companies are conducting this research to combat common neurological diseases such as Alzheimer's disease, brain tumors, Parkinson's disease, migraines, stroke, and epilepsy. Other medicines in the works target amyotrophic lateral sclerosis (Lou Gehrig's disease), head injuries, Huntington's disease, neuropathies, sleep disorders, spinal cord injuries, and lupus. All are currently either in human clinical trials or awaiting approval by the U.S. Food ^ i and Drug Administration. Convenience is the biggest draw when consumers choose a pharmacy. That's according to a recent survey of 1,039 people conducted by Opinion Research Corp. internationai on behaif of pliarmaceuticai services company AmerisourceBergen. Thirty-four percent of respondents named convenience as their main concern, foilowed by accepting a person's insurance card (25%), competitive pricing (14%), and staff avaiiability and Itnowledge (13%). The survey aiso indicates a wider acceptance of generic medications, with more tiian three-quarters of respondents saying tiiey're just as effective as their brand-name counterparts. Non-prescription, non-brand name products also are gaining ground. Of those surveyed, 56% said they wouid choose a lower-priced, store-brand medication over a brand-name over-the-counter product. Overail, respondents expressed confidence about the quality of the medications purchased in the United States, but 87% said they wouldn't purchase prescription drugs from another country over the Internet. They also spoke out on screening programs they'd like to see at ttieir local pharmacies. Blood pressure (27%) and cholesterol screenings (22%) led the list, followed by diabetes screenings (16%), vision or glaucoma exams (10%), and bone density screenings (7%). Mentally ill remain undertreated Wumeo find harriers to care Women face a number of hurdtes when seeking gynecologic health care, according to an American Social Health Association (ASHA) national survey of African-American, Hispanic, and Caucasian women. Regardless of ethnicity, 55% of the women surveyed claim that at least one of these barriers has interfered with their care. Cost (24%), language and cultural differences (20%), discomfort with a physician (20%), fear of diagnosis (14%), and embarrassment (10%) were cited as major obstacles. More alarming, 25% of respondents say they haven't visited a physician for even a routine gynecologic annual examination in the past year, and 28% claim they don't go for a routine exam once a year. 4 Spring 2002 A majority of people with serious mental illness in the United States aren't getting the treatment they need, according to a national survey reported in the January issue of the American Journal of Public Health. Only 40% of respondents with serious mental illness had received treatment in the previous year. Of those treated, only 38.9% received care that could be considered at least minimally adequate, which means only 15.3% of all respondents received minimally adequate treatment. The study shows that young adults, African-Americans, and people living in the South are most likely to not receive minimally adequate treatment. Those who have a psychotic disorder or are treated in the general medical sector also are more likely to fall through the cracks. The authors of the study conclude that public policies and cost-effective interventions are needed to combat what is becoming an enormous public health problem.
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