Current state assessment of pharmaceutical care implementation in Ukraine

Authors

DOI:

https://doi.org/10.15587/2519-4852.2018.127621

Keywords:

pharmaceutical care, medicines, over the counter medicines, continuous professional development, pharmaceutical service

Abstract

At the modern stage of the pharmacy development, there were significant changes in the positioning of the pharmacist’s role in the health care system. It has contributed to the development of pharmaceutical care (PC) and its implementation in Ukrainian pharmaceutical practice.

The aim of the work is to investigate and evaluate the current state of implementation of PC in common pharmacy of Ukraine, as well as identify the key issues in its practical implementation and possible ways to improve the national PC system.

Materials and methods: for the estimation of PC quality a survey of pharmacists in 280 chemist shops in 10 regions of Ukraine was conducted. The evaluation of the survey results was carried out using statistical methods.

Research results. It was established that most of the pharmacies serves 100 – 500 people per day, and 43 % of pharmacies keep track of regular visitors. The overall quality of PC in most cases (71 %) was unsatisfactory. The highest quality of PC was during the OTC-drugs selling (51 % - high, medium and low, 49 % - unsatisfactory), and the quality of the PC of prescription drugs and diagnostic services in most pharmacies was unsatisfactory. The assessment of the success of quality assurance factors implementation has shown that it is low or unsatisfactory. The continuous education assessment showed that in 71 % of pharmacies more than 50 % of pharmacists studied PC during graduation in the universities, but the proportion of cadres who studied PC in postgraduate education, is less than 50 %.

Conclusions. The focus of the domestic PC system on the prevalence of care during the OTC-drugs selling and its practical absence in prescription drugs selling and the provision of diagnostic services is a significant obstacle to ensuring the overall PC quality. It has shown the need to develop new theoretical models and methodological approaches for the PC quality implementation

Author Biographies

Olena Shуlkina, State Enterprise "State Expert Center of the Ministry of Health of Ukraine" Vasylkivska str., 14, Kyiv, Ukraine, 03040

Head of Department

Department of Quality of Medical Care and Information Technologies

Viktoriia Dobrova, National University of Pharmacy Pushkinska str., 27, Kharkiv, Ukraine, 61002

Doctor of Pharmaceutical Sciences, Professor

Department of Clinical Pharmacology and Clinical Pharmacy

References

  1. Pharmaceutical Care – Policies and Practices for a Safer, More Responsible and Cost-effective Health System (2012). Strasbourg: EDQM, 60.
  2. FIP Statement of Professional Standards. Code of ethics for pharmacists (2014). FIP. Available at: http://www.fip.org/www/uploads/database_file.php?id=351&table_id=
  3. Pharmacist Ethics and Professional Autonomy: Imperatives for Keeping Pharmacy Aligned with the Public Interest (2014). FIP. Available at: http://www.fip.org/www/uploads/database_file.php?id=358&table_id=
  4. Pestun, I. V., Mnushko, Z. M. (2017). A review of the current trends of professional activities of pharmacists in Ukraine and abroad. Socialna Farmacia v Ohoroni Zdorov’a, 3 (1), 52–59. doi: 10.24959/sphhcj.17.66
  5. Famiyeh, I.-M., McCarthy, L. (2017). Pharmacist prescribing: A scoping review about the views and experiences of patients and the public. Research in Social and Administrative Pharmacy, 13 (1), 1–16. doi: 10.1016/j.sapharm.2016.01.002
  6. Blalock, S. J., Roberts, A. W., Lauffenburger, J. C., Thompson, T., O’Connor, S. K. (2013). The Effect of Community Pharmacy–Based Interventions on Patient Health Outcomes. Medical Care Research and Review, 70 (3), 235–266. doi: 10.1177/1077558712459215
  7. Schindel, Th. J., Yuksel, N., Breault, R., Daniels, J., Varnhagen, S., Hughes, C. A. (2017). Perceptions of pharmacists’ roles in the era of expanding scopes of practice. Research in Social and Administrative Pharmacy, 13, 148–161. doi: 10.1016/j.sapharm.2016.02.007
  8. Koehler, T., Brown, A. (2017). Documenting the evolution of the relationship between the pharmacy support workforce and pharmacists to support patient care. Research in Social and Administrative Pharmacy, 13 (2), 280–285. doi: 10.1016/j.sapharm.2016.10.012
  9. Van Eikenhorst, L., Salema, N.-E., Anderson, C. (2017). A systematic review in select countries of the role of the pharmacist in consultations and sales of non-prescription medicines in community pharmacy. Research in Social and Administrative Pharmacy, 13 (1), 17–38. doi: 10.1016/j.sapharm.2016.02.010
  10. Yang, S., Kim, D., Choi, H. J., Chang, M. J. (2016). A comparison of patients’ and pharmacists’ satisfaction with medication counseling provided by community pharmacies: a cross-sectional survey. BMC Health Services Research, 16 (1), 131–138. doi: 10.1186/s12913-016-1374-x
  11. Zupanets, I. A., Chernikh, V. P, Sakharova, T. S. et. al. (2012). Klinicheskaia farmatsia (farmatsevticheskaia opeka) [Clinical pharmacy (pharmaceutical care)]. Kharkiv: Zolotie stranitsi, 776.
  12. Ungurian, L. М., Gromovik, B. P. (2016). Farmatsevtichna praktika: logistichni, informatsiini, neiroekonomichni ta socialni aspekti [Pharmaceutical practice: logistic, informational, neuroeconomical and social aspects]. Lviv: Prostir-M, 155.
  13. Panfilova, G. L. (2014). Famatsevtichna dopomoga yak ystorichna, normativno-pravova ta sotsialno ekonomichna kategoria v sistemi okhoroni zdorovia i farmatsevtichnomu zabezpechenni naselennia [Pharmaceutical care as a historical, normative-legal and social-economic category in the system of the population health and pharmaceutical care]. Aktualni pitannia farmatsevtichnoi i medichnoi nauki ta praktiki, 2 (15), 89–97.
  14. Poriadok vidpusku likarskykh zasobiv i vyrobiv medychnoho pryznachennia z aptek ta yikh strukturnykh pidrozdiliv (zi zminamy) [Procedure for the Issue of Medicinal Products and Medical Products from Pharmacies and their Departments] (2005). Nakaz Ministerstva okhorony zdorovia Ukrainy [The oder of Ministry of Health of Ukraine] 19.07.2005. No. 360. Available at: http://zakon5.rada.gov.ua/laws/show/z0783-05/print
  15. Pro zatverdzhennia protokoliv provizora [On Approval of the pharmacist’ protocols] (2013). Nakaz Ministerstva okhorony zdorovia Ukrainy [The oder of Ministry of health of Ukraine] 11.10.2013 No. 875. Available at: https://www.apteka.ua/article/267027
  16. Pro nastanovu VOOZ ta MFF «Nalezhna aptechna praktika: Standarti yakosti aptechnich poslug» [About guideline WHO and FIP «Good pharmaceutical practice: Quality standards of pharmaceutical services»] (2013). Nakaz Ministerstva okhorony zdorovia Ukrainy [The order of Ministry of health of Ukraine] 30.05.2013 No. 455. Available at: http://mozdocs.kiev.ua/view.php?id=14526
  17. Protokoli provizora (farmatsevta). Informatsiinii posibnik MOZ Ukraini [Pharmacist’ protocols. Information Guide MOH of Ukraine] (2014). Kharkiv: Zoloti storinki, 232.
  18. The EDQM Pharmaceutical Care Quality Indicators Project. Final report (2017). Strasbourg: EDQM, 88.
  19. Schoenmakers, T. W. A., Teichert, M., Braspenning, J., Vunderink, L., A. G. M., P., Wensing, M. (2015). Evaluation of Quality Indicators for Dutch Community Pharmacies Using a Comprehensive Assessment Framework. Journal of Managed Care & Specialty Pharmacy, 21 (2), 144–152. doi: 10.18553/jmcp.2015.21.2.144
  20. Understanding the Pharmaceutical Care Concept and Applying it in Practice (2010). Vienna: Gesundheit Österreich GmbH, 44.

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Published

2018-04-03

How to Cite

Shуlkina O., & Dobrova, V. (2018). Current state assessment of pharmaceutical care implementation in Ukraine. ScienceRise: Pharmaceutical Science, (2 (12), 17–25. https://doi.org/10.15587/2519-4852.2018.127621

Issue

No. 2 (12) (2018)

Section

Pharmaceutical Science

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Copyright (c) 2018 Olena Shуlkina, Viktoriia Dobrova

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