Provision of pharmaceutical care by community pharmacists across Europe: Is it developing and spreading?
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COSTA, Filipa A.; SCULLIN, Claire; AL-TAANI, Ghaith; HAWWA, Ahmed F.; ANDERSON, Claire W.; BEZVERHNI, Zinaida; BINAKAJ, Zahida; CORDINA, Maria A.; FOULON, Veerle; GARCIA DE BIKUIA, Borja; DE GIER, Han J.J.; GRANAS, Anne Gerd Erd; GRINSTOVA, Olga; GRIESE-MAMMEN, Nina; GRINCEVICIUS, Jonas; GRINCEVICIENE, Svitrigaile; KAAE, Susanne; KUBILIENĖ, Loreta; MARINO, Eduardo L.; MARTINS, Sílvia Filipa; MODAMIO, Pilar; NADIN, Giancarlo; NØRGAARD, Lotte Stig; OBARCANIN, Emina; TADIC, Ivana; MCELNAY, J.; HERSBERGER, Kurt Eduard; WESTERLUND, Tommy. Provision of pharmaceutical care by community pharmacists across Europe: Is it developing and spreading? In: Journal of Evaluation in Clinical Practice. 2017, nr. 6(23), pp. 1336-1347. ISSN 1356-1294.
10.1111/jep.12783
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Journal of Evaluation in Clinical Practice
Numărul 6(23) / 2017 / ISSN 1356-1294

Provision of pharmaceutical care by community pharmacists across Europe: Is it developing and spreading?


DOI: 10.1111/jep.12783
Pag. 1336-1347

Costa Filipa A.1, Scullin Claire2, Al-Taani Ghaith3, Hawwa Ahmed F.2, Anderson Claire W.4, Bezverhni Zinaida5, Binakaj Zahida6, Cordina Maria A.7, Foulon Veerle8, Garcia De Bikuia Borja9, De Gier Han J.J.10, Granas Anne Gerd Erd11, Grinstova Olga12, Griese-Mammen Nina13, Grincevicius Jonas14, Grinceviciene Svitrigaile14, Kaae Susanne15, Kubilienė Loreta16, Marino Eduardo L.17, Martins Sílvia Filipa18, Modamio Pilar17, Nadin Giancarlo19, Nørgaard Lotte Stig15, Obarcanin Emina20, Tadic Ivana21, McElnay J.2, Hersberger Kurt Eduard22, Westerlund Tommy2324
 
1 Portuguese Pharmaceutical Society (PPS), Instituto Superior de Ciências da Saúde (ISCSEM), Lisbon,
2 Universitatea Reginei din Belfast,
3 Yarmouk University,
4 University of Nottingham,
5 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
6 University of Tuzla,
7 Universita ta Malta,
8 Farmacotherapie, O&N II, KU Leuven,
9 Consejo General de Colegios Oficiales de Farmacéuticos, Madrid,
10 University of Groningen,
11 University of Oslo,
12 Национальный фармацевтический университет, Харьков,
13 ABDA-Federal Union of German Associations of Pharmacists, Berlin,
14 Vilnius University,
15 Universitatea din Copenhaga,
16 Lithuanian University of Health Sciences, Kaunas,
17 Universitat de Barcelona, Barcelona,
18 Hospital CUF-Descobertas, Lisbon,
19 Università Cattolica del Sacro Cuore,
20 Heinrich-Heine Universität Düsseldorf ,
21 University of Belgrade,
22 University of Basel,
23 University of Gothenburg,
24 Malmo University
 
Disponibil în IBN: 2 februarie 2018


Rezumat

Rationale, Aims, and Objectives: Pharmaceutical care involves patient-centred pharmacist activity to improve medicines management by patients. The implementation of this service in a comprehensive manner, however, requires considerable organisation and effort, and indeed, it is often not fully implemented in care settings. The main objective was to assess how pharmaceutical care provision within community pharmacy has evolved over time in Europe. Method: A cross-sectional questionnaire-based survey of community pharmacies, using a modified version of the Behavioural Pharmaceutical Care Scale (BPCS) was conducted in late 2012/early 2013 within 16 European countries and compared with an earlier assessment conducted in 2006. Results: The provision of comprehensive pharmaceutical care has slightly improved in all European countries that participated in both editions of this survey (n = 8) with progress being made particularly in Denmark and Switzerland. Moreover, there was a wider country uptake, indicating spread of the concept. However, due to a number of limitations, the results should be interpreted with caution. Using combined data from participating countries, the provision of pharmaceutical care was positively correlated with the participation of the community pharmacists in patient-centred activities, routine use of pharmacy software with access to clinical data, participation in multidisciplinary team meetings, and having specialized education. Conclusions: The present study demonstrated a slight evolution in self-reported provision of pharmaceutical care by community pharmacists across Europe, as measured by the BPCS. The slow progress suggests a range of barriers, which are preventing pharmacists moving beyond traditional roles. Support from professional bodies and more patient-centred community pharmacy contracts, including remuneration for pharmaceutical care services, are likely to be required if quicker progress is to be made in the future.   

Cuvinte-cheie
Europe, Implementation,

medication review, medicines use, pharmaceutical care, pharmacy services