New Concept of Pharmacy Practice
New Concept of Pharmacy Practice
New Concept of Pharmacy Practice
The number of medicines on the market has increased dramatically over the last few decades (quality & rational use?) Efforts to provide health care, including pharmaceutical care, are facing new challenges:
Rising costs of health care Limited financial resources A shortage of human resources in the health care sector Inefficient health systems The huge burden of disease The changing social Technological, economic & political environment Globalization has led to new complexities due to increased travel & migration
Access to medicines of assured quality is a major concern One third of the worlds population do not yet have regular access to essential medicines
More than half of all prescriptions are incorrect More than half of the patients fail to take their medications correctly There is growing concern at the increase in the global spread of antimicrobial resistance These challenges underscore the urgency of the need for global health sector reform
Pharmaceutical care
An accessible, sustainable, affordable & equitable health care system which ensures the efficacy, safety & quality of medicines
Pharmacist
improve therapeutic outcomes & patients quality of life
communicate the correct information to patients are as important as providing the medicine itself
Counselling
Patient-centred care
Pharmaceutical care Evidence-based pharmacy Meeting patients needs Chronic patient care-HIV/AIDS Self-medication Quality assurance of pharmaceutical care services Clinical pharmacy Pharmacovigilance
Pharmaceutical care is a revolutionary concept in the practice of pharmacy It includes emotional commitment to the welfare of patients as individuals who require & deserve pharmacists compassion, concern & trust
However, pharmacists often fail to accept responsibility for this extent of care. As a result, they may not adequately document, monitor & review the care given
Accepting such responsibility is essential to the practice of pharmaceutical care
Pharmaceutical care
reaching concordance
In an increasingly complex health care environment, it has become difficult to compare the effectiveness of different treatments Health care interventions can no longer be based on opinion or individual experience alone Scientific evidence, built up from good quality research, is used as a guide, & adapted to each individual patients circumstances
Pharmacist
Informed patients Counseling
Reduce DRPs
Reduce wastage
Improve adherence
Advise both on the choice of medicines and their safe and effective use
Structure
individual patient care in a practice setting
Process
provision of drug therapy
Outcome
improved or maintained quality of life
counselling
monitoring of treatment provision of drug information or education
Describe the work of pharmacists whose primary job is to interact with the health care team, interview & assess patients, make specific therapeutic recommendations, monitor patient responses to drug therapy & provide medicines information Clinical pharmacists work primarily in inpatient settings & hospitals
Pharmacovigilance is a structured process for the monitoring & detection of ADRs in a given context Pharmacists have an important contribution to make to post-marketing surveillance & pharmacovigilance