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

Current state assessment of pharmaceutical care implementation in Ukraine

Olena Shуlkina, Viktoriia Dobrova

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


Keywords


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

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References


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GOST Style Citations


Pharmaceutical Care. Policies and Practices for a Safer, More Responsible and Cost-effective Health System. Strasbourg: EDQM, 2012. 60 р.

FIP Statement of Professional Standards. Code of ethics for pharmacists. FIP, 2014. URL: http://www.fip.org/www/uploads/database_file.php?id=351&table_id=

Pharmacist Ethics and Professional Autonomy: Imperatives for Keeping Pharmacy Aligned with the Public Interest. FIP, 2014. URL: http://www.fip.org/www/uploads/database_file.php?id=358&table_id=

Pestun I. V., Mnushko Z. M. A review of the current trends of professional activities of pharmacists in Ukraine and abroad // Socialna Farmacia v Ohoroni Zdorov’a. 2017. Vol. 3, Issue 1. P. 52–59. doi: 10.24959/sphhcj.17.66 

Famiyeh I.-M., McCarthy L. Pharmacist prescribing: A scoping review about the views and experiences of patients and the public // Research in Social and Administrative Pharmacy. 2017. Vol. 13, Issue 1. P. 1–16. doi: 10.1016/j.sapharm.2016.01.002 

The Effect of Community Pharmacy–Based Interventions on Patient Health Outcomes / Blalock S. J. et. al. // Medical Care Research and Review. 2013. Vol. 70, Issue 3. P. 235–266. doi: 10.1177/1077558712459215 

Perceptions of pharmacists’ roles in the era of expanding scopes of practice / Schindel Th. J. // Research in Social and Administrative Pharmacy. 2017. Vol. 13. P. 148–161. doi: 10.1016/j.sapharm.2016.02.007 

Koehler T., Brown A. Documenting the evolution of the relationship between the pharmacy support workforce and pharmacists to support patient care // Research in Social and Administrative Pharmacy. 2017. Vol. 13, Issue 2. P. 280–285. doi: 10.1016/j.sapharm.2016.10.012 

Van Eikenhorst L., Salema N.-E., Anderson C. 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. 2017. Vol. 13, Issue 1. P. 17–38. doi: 10.1016/j.sapharm.2016.02.010 

A comparison of patients’ and pharmacists’ satisfaction with medication counseling provided by community pharmacies: a cross-sectional survey / Yang S. et. al. // BMC Health Services Research. 2016. Vol. 16, Issue 1. P. 131–138. doi: 10.1186/s12913-016-1374-x 

Klinicheskaia farmatsia (farmatsevticheskaia opeka): textbook / Zupanets I. A. et. al. Kharkiv: Zolotie stranitsi, 2012. 776 p.

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Poriadok vidpusku likarskykh zasobiv i vyrobiv medychnoho pryznachennia z aptek ta yikh strukturnykh pidrozdiliv (zi zminamy): Nakaz Ministerstva okhorony zdorovia Ukrainy vid 19.07.2005 р. No. 360. URL: http://zakon5.rada.gov.ua/laws/show/z0783-05/print

Pro zatverdzhennia protokoliv provizora: Nakaz Ministerstva okhorony zdorovia Ukrainy vid 11.10.2013 No. 875. URL: https://www.apteka.ua/article/267027

Pro nastanovu VOOZ ta MFF «Nalezhna aptechna praktika: Standarti yakosti aptechnich poslug»: Nakaz Ministerstva okhorony zdorovia Ukrainy vid 30.05.2013 No. 455. URL: http://mozdocs.kiev.ua/view.php?id=14526

Protokoli provizora (farmatsevta). Informatsiinii posibnik MOZ Ukraini. Kharkiv: Zoloti storinki, 2014. 232 p.

The EDQM Pharmaceutical Care Quality Indicators Project. Final report. Strasbourg: EDQM, 2017. 88 р.

Evaluation of Quality Indicators for Dutch Community Pharmacies Using a Comprehensive Assessment Framework / Schoenmakers T. W. A. et. al. // Journal of Managed Care & Specialty Pharmacy. 2015. Vol. 21, Issue 2. P. 144–152. doi: 10.18553/jmcp.2015.21.2.144 

Understanding the Pharmaceutical Care Concept and Applying it in Practice. Vienna: Gesundheit Österreich GmbH, 2010. 44 р.







Copyright (c) 2018 Olena Shуlkina, Viktoriia Dobrova

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ISSN 2519-4852 (Online), ISSN 2519-4844 (Print)