New Concept of Pharmacy Practice

8/3/2019 New Concept of Pharmacy Practice

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Qais Alefan

R.Ph, B.Pharm, M.Pharm, PhD


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The number of medicines on the market has increaseddramatically over the last few decades (quality & rationaluse?)

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


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Access to medicines of assured quality is a majorconcern

One third of the worlds population do not yet haveregular access to essential medicines

The affordability of medicines is a major constraint

The economic burden falls most heavily on the poor

Moreover, in many developing countries 10%-20% ofsampled medicines fail quality control tests


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Patients

receive

medications

Appropriate to

their clinical

needs

In doses that

meet their own

individual

requirements

For an

adequate

period of time

At the lowest

cost


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More than half of all prescriptions areincorrect

More than half of the patients fail to take

their medications correctly

There is growing concern at the increase inthe global spread of antimicrobial resistance

These challenges underscore the urgency ofthe need for global health sector reform


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Public health

interventions

Pharmaceutical

care

Effective

medicines supply

management

Rationalmedicine use

An accessible, sustainable,

affordable & equitable

health care system which

ensures the efficacy, safety

& quality of medicines


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Pharmacist

improvetherapeutic

outcomes &

patients quality

of life

managing drug

therapy &

concurrent non-

prescription or

alternative

therapies

communicate the

correct information

to patients are as

important as

providing the

medicine itself


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Patient-centred

care

Counselling

Providing druginfo

Monitoring drug

therapy

Medicines supply

management


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Pharmaceutical care Evidence-based pharmacy

Meeting patients needs

Chronic patient care-HIV/AIDS Self-medication

Quality assurance of pharmaceutical careservices

Clinical pharmacy Pharmacovigilance


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Pharmaceutical care is a revolutionary concept in thepractice of pharmacy

It includes emotional commitment to the welfare ofpatients as individuals who require & deserve

pharmacists compassion, concern & trust

However, pharmacists often fail to acceptresponsibility for this extent of care. As a result, theymay not adequately document, monitor & review the

care given

Accepting such responsibility is essential to thepractice of pharmaceutical care


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Pharmaceutical

care

Population-based

pharmaceutical

care

Individualpharmaceutical

care


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Population-based pharmaceutical

careestablish formularies

or medicine lists

develop & monitor pharmacy

policies

develop & manage pharmacy

networksprepare & analyse reports of drug

utilization/costs

conduct DURs

educate providers on medicine policies &

procedures


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Individualpharmaceutical

care

manage drug

therapy

monitor

medicine-related

illness effectively

individual drugtherapy decisions

reaching

concordance


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In an increasingly complex health careenvironment, it has become difficult tocompare the effectiveness of differenttreatments

Health care interventions can no longer bebased on opinion or individual experiencealone

Scientific evidence, built up from good qualityresearch, is used as a guide, & adapted toeach individual patients circumstances


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Pharmacist

Informed patientsCounseling

Reduce DRPs

Reduce wastage

Improve adherence


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Pharmacists help in HIV/AIDS prevention

Treatment &

prevention

services

Adherence to

chronic HIV/AIDS

treatment


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Advise both on the choice of medicines andtheir safe and effective use


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Structure

individual patient

care in a practice

setting

institutional

patient care

Process

provision of drug

therapy

counselling

monitoring of

treatment

provision of drug

information or

education

Outcome

improved or

maintained

quality oflife

Donabediandefined the three elements of quality assurance inhealth care as structure process & outcome


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Describe the work of pharmacists whoseprimary job is to interact with the health careteam, interview & assess patients, makespecific therapeutic recommendations,

monitor patient responses to drug therapy &provide medicines information

Clinical pharmacists work primarily ininpatient settings & hospitals


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Pharmacovigilance is a structured process forthe monitoring & detection of ADRs in a givencontext

Pharmacists have an important contributionto make to post-marketing surveillance &pharmacovigilance


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New Concept of Pharmacy Practice

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