STAVOVI FARMACEUTA U PRIMARNOJ ZDRAVSTVENOJ ZAŠTITI PREMA REVIZIJI TERAPIJE KOJU PROPISUJU LEKARI OPŠTE PRAKSE

  • Jasna M Ristić Apoteka Kragujevac
DOI: https://doi.org/10.5937/racter6-3746
Ključne reči: Revision of the therapy||, ||Revizija terapije, Pharmaceutical Services||, ||Farmaceutske usluge, Pharmaceutical Care||, ||Farmaceutska zdravstvena zaštita, Primary Health Care||, ||Primarna zdravstvena zaštita,

Sažetak


Uvod: Unapređenje pružanja usluga u primarnoj zdravstvenoj zaštiti postavlja pred farmaceute neophodnost promena njihove tradicionalne uloge i usmeravanje ka aktivnijem učešću u farmakoterapijskom zbrinjavanju pacijenata.To je moguće ostvariti samo u bliskoj saradnji sa ostalim zdravstvenim stručnjacima

Cilj: Ova studija istražuje prepreke i praktične probleme za implementaciju revizije propisane terapije kao standardne usluge u svakodnevnoj praksi u zdravstvenom sistemu Srbije.

Metod: Osamdeset devet farmaceuta zaposlenih u primarnoj zdravstvenoj zaštiti na teritoriji grada Kragujevca je anketirano, od kojih je pedeset popunilo anketu i učestvovalo u istraživanju. Dobijeni odgovori vezani za prednosti, prepreke i praktične probleme kao i budućnost implementacije ove usluge su analizirani, kao i uticaj demografskih karakteristika ispitanika na  date odgovore.

Rezultati:Farmaceuti su kao glavne prepreke prepoznali neadekvatnu komunikaciju sa lekarima koji propisuju terapiju kao i nedostatak vremena i prostora i informatičke podrške da bi mogli da prošire svoju ulogu, a uvođenje elektronskog zdravstvenog kartona pacijenta, elektronsku povezanost domova zdravlja, apoteka i RZZO, kao neophodne promene u zdravstvenom sistemu.

Zaključak: Da bi se usluga u apotekama proširila i na aktivnu reviziju propisane terapije, neophodno je unapređenje saradnje na relaciji lekar – farmaceut, uključivanje lekara koji propisuju terapiju u slična istraživanja i rešavanje praktičnih problema čime bi se stvorila mogućnost da se stručnim aktivnostima posveti najveći deo radnog vremena u primarnoj zdravstvenoj zaštiti.

 

Reference

Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm 1990; 47: 533-43.

Strand LM, Morley PC, Cipolle RJ, Ramsey R, Lamsam GD. Drug-related problems: their structure and funtion. DICP 1990; 24: 1093-97.

Rovers PR, Currie JD, Hagel HP, Mcdonough RP, Sobotka JL. A practical guide to pharmaceutical care. Washington: The American Pharmaceutical Association. 1998.

Blair K, Leners D. Pharmacists attitudes toward advanced practice nurses prescription authority. Nursing Connections 2000; 13(2): 35-41.

Wagner EH. The role of patient care teams in chronic disease management. Br Med J 2000; 320: 569-72.

Moira S, Belle BJ, Harris SB, Reid GJ. Teamwork, and Team Building: A report to the Ontario Family Health Network (OFHN). Ontario Ministry of Health and Long-term Care: Thames Valley Family Practice Research Unit. 2003.

Hutchison B, Abelson J, Lavis J. Primary care in Canada: so much innovation, so little change.Health Aff 2001; 20(3): 116-31.

Chen TF, Crampton M, Krass I, Shalom BI. Collaboration between community pharmacists and Gps in innovative clinical services-a connceptual model. J Soc Adm Pharm 1999; 16(3-4): 134-44.

Gilbert L. Pharmacist and nurse: a team approach towards primary health care or a convenient "therapeutic alliance"? Int J Nurs Stud 1997; 34(5): 367-74.

Ray MD. Shared borders: achieving the goals of interdisciplinary patient care. Am J Health Syst Pharm 1998; 55: 1369-74.

Dielman SL, Farris KB, Feeny D, Johnson JA, Tsuyuki RT, Brilliant S. Primary health care teams: team members perceptions of the collaborative process. J Interprof Care 2004; 18(1): 75-8.

Bryant L, Coster G, Gamble D, Mc CR. General practitioners' and pharmacists' perceptions of the role of communiti pharmacists in delivering clinical services. Res Social Adm Pharm 2009; 5(4): 347-62.

Gilbert L. The pharmacist's traditional and new roles- a study of community pharmacists in Johannesburg, South Africa. J Soc Adm Pharm 1995;12(3):125-31.

Ford S, Jones K.Integrating pharmacy fully into the primary care team. Br Med J 1995; 310(6995): 1620-21.

Cook G, Gerrish K, Clarke C. Decision-making in teams: issues arising from two UK evalutions. J Interprof Care 2001; 15(1): 141-51.

Bryant L, Coster G, Mc CR. Community pharmacist perceptions of clinical medication reviews. J Primary Health Care 2010; 2(3): 234-42.

Amsler MR, Murray MD, Tierney WM, Brewer N, Harris LE, Marrero DG, et al. Pharmaceuticalcare in chainpharmacies: beliefs and attitudes of pharmacists and patients. J Am Pharm Assoc 2001; 41(6): 850-55.

Dunlop JA, Shaw J. Community pharmacists perspectives on pharmaceutical care implementation in New Zealand. Pharm World Sci 2002; 24: 224-30.

Rutter PR, Hunt AJ, Jones IF. Exploring the gap: Community pharmacists perceptions of their current role compared with aspirations. Int J Pharm Pract 2000; 8(3): 204-8.

Krska J, Veitch GBA. Perceived factors influencing the development of primary care-based pharamceutical care in Scotland. Int J Pharm Pract 2001; 9(4): 243-52.

Lounsbery J, Green CF, Bennett MS, Pedeersen CA. Evaluation of pharmacists barriers to the implementation of medication therapy management services. J Am Pharm Assoc 2003; 43(1): 75-9.

Bradley F, Wagner A, Elvey R, Noyce P, Ashcroft DM. Determinants of the uptake of medicines use reviews(MURs) by communiti pharmacies in England: A mult-method study. Health Policy 2008; 88: 258-68.

Muijrers PE, Knottnerus JA, Sijbrandij J, Jankgnet R, Grol RP. Pharmacists in primary care. Determinants of the care-providing function of Dutch communiti pharmacists in primary care. Pharm World Sci 2004; 26(5): 256-62.

Rossing CH, E. Traulsen, J. Krass, I. Actual and perceived provision of pharmaceutical care in Danish community pharmacies: the pharmacists' opinion. Pharm World Sci 2005; 27: 175-81.

Wilcock M, Harding G. General practitioner's perceptions of medicines use reviews by pharmacists. Pharm J 2007; 279: 501-3.

Rossing CH, Hansen E, Krass I, Traulsen J. Pharmaceutical Care in Denmark: perceived importance of medicine-related problems and participation in postgraduate training. Pharm World Sci 2003; 25(2): 73-8.

Benson A, Cribb A, Barber N. Understanding pharmacists values: A qualitative study of ideals and dilemmas in UK pharmacy practice. Soc Sci Med 2009; 68(12): 2223-30.

Odedina FT, Segal R, Hepler CD. Providing pharmaceutical care in community practice: differences between providers and non-providers of pharmaceutical care. J Soc Admin Pharm 1995; 12(4): 170-80.

Hepler CD. Clinical pharmacy, pharmaceutical care, and the quality of drug therapy. Pharmacotherapy 2004; 24(11): 1491-8.

Objavljeno
2014/03/27
Broj časopisa
Vol. 6 Br. 1 (2014): Racionalna terapija
Rubrika
Originalni naučni članak
Autori koji objavljuju u ovom časopisu pristaju na sledeće uslove:

Autori zadržavaju autorska prava i pružaju časopisu pravo prvog objavljivanja rada i licenciraju ga Creative Commons licencom koja omogućava drugima da dele rad uz uslov navođenja autorstva i izvornog objavljivanja u ovom časopisu.

Autori mogu izraditi zasebne, ugovorne aranžmane za neekskluzivnu distribuciju rada objavljenog u časopisu (npr. postavljanje u institucionalni repozitorijum ili objavljivanje u knjizi), uz navođenje da je rad izvorno objavljen u ovom časopisu.

Autorima je dozvoljeno i podstiču se da postave objavljeni rad onlajn (npr. u institucionalnom repozitorijumu ili na svojim internet stranicama) pre i tokom postupka prijave priloga, s obzirom da takav postupak može voditi produktivnoj razmeni ideja i ranijoj i većoj citiranosti objavljenog rada (up. Efekat otvorenog pristupa).