scholarly journals Pediatric Pharmacy Services: Current Models and Justification for Expansion

2019 ◽  
Vol 24 (5) ◽  
pp. 438-444
Author(s):  
Stephen Webster ◽  
Christine Kane ◽  
Carly Brown ◽  
Heather Warhurst ◽  
Sandy Sedgley ◽  
...  

Despite recommendations from numerous health care bodies, some hospitals that care for children have struggled to establish or expand pediatric pharmacy services. The current state of dedicated pediatric operational and clinical pharmacy services was characterized by results from a survey of hospitals that provide care to pediatric patients. The discussion of quality of care, safety, and financial impact is meant to provide concepts for justification of pediatric pharmacy service expansion.

1986 ◽  
Vol 20 (12) ◽  
pp. 989-992 ◽  
Author(s):  
Richard A. Hutchinson ◽  
David P. Vogel ◽  
Kenneth W. Witte

The development and expansion of clinical pharmacy over the past 15 years have resulted in several debates. One debate that was very lively in the late 1970s concerned proper reimbursement for clinical pharmacy services. Although this debate is less heated now, its importance is even more significant with today's major changes in health care reimbursement. This article reviews the key reasons for the original debate and discusses how recent changes have increased and added direction to the debate. A model is presented that the authors believe represents the key to the increasing acceptance of the pharmacist's clinical role.


Author(s):  
Ginenus Fekadu ◽  
Busha Gamachu ◽  
Teklie Mengie ◽  
Mudasir Maqbool

<p class="abstract"><strong>Background:</strong> Clinical pharmacy service (CPS) is an expanding patient-oriented, hospital role with the potential for encroachment on the physician's role. In large part, the success of CPS will depend on the degree to which other health professionals accept the concept and are willing to cooperate with its disciples. Unfortunately, our information about the degree of knowledge regarding acceptance and reaction toward clinical pharmacy by other health workers is meager.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study design was carried out by using self–administered questionnaires on 110 health care professionals (HCP) in Nedjo General Hospital 10th March to 10th April, 2018.</p><p class="abstract"><strong>Results:</strong> From the total respondents 91 (82.7%) were males and majority of them were nurses 46 (41.8%) followed by midwifes 23 (20.9%). This study showed that 67 (60.9%) of the HCPs had a good knowledge and 67.3% of the HCPs had a positive attitude about CPS. There was no significant difference between the HCPs knowledge of clinical pharmacy services in relation to their sex (p=0.744), age (p=0.313), profession (p=0.997), level of education (p=0.509), and experience (p=0.553). Regarding HCPs’ attitude of CPs role, there was no significant difference in relation to their sex (p=0.588), age (p=0.144), profession (p=0.059) and experience (p=0.394). However, the study revealed that there was a significant difference (p=0.009) between HCPs attitude and level education of HCPs.</p><p><strong>Conclusions:</strong> Majority of the HCPs had a good knowledge and a positive attitude towards CPS. Attention should focus to hospitals to implement ward based CPS and increasing inter-professional relationships between HCPs and pharmacists. </p>


2020 ◽  
Vol 30 (1) ◽  
pp. 65-74
Author(s):  
Andi Leny Susyanty ◽  
Yuyun Yuniar ◽  
Max J. Herman ◽  
Nita Prihartini

Abstract Pharmaceutical services have been gradually applied in primary health services both in terms of pharmaceutical management and clinical pharmacy services. In order to support the implementation, the standard has been amended several times, resulting Permenkes Number 74 of 2016 Concerning the Pharmaceutical Services Standard in Public Health Centre (puskesmas) as the most updated one. This study aimed to determine the suitability of the implementation of pharmaceutical service standards in the management of medicine and clinical pharmacy at the puskesmas. The cross-sectional research design was conducted in February-November 2017. The selection of provincial locations was carried out purposively. Data collection tools were questionnaires and a list of standard pharmacy services at the puskesmas. Data were analyzed descriptively. The results showed that 54.5% of the puskesmas did not have pharmacists as the responsible person and only 18.2% of the puskesmas had sufficient pharmacist and pharmaceutical technical staff for both drug management activities and clinical pharmacy services. Comprehensive drug management activities in accordance with pharmaceutical service standards at the puskesmas have been implemented in 96.7% of puskesmas with pharmacists. Comprehensive clinical pharmacy service activities according to pharmacy service standards at puskesmas are only applied in 23.3% of puskesmas with pharmacists. The availability and ability of pharmacists in providing clinical pharmacy services in puskesmas need to be a concern. Abstrak Pelayanan kefarmasian secara bertahap telah mulai diterapkan di pelayanan kesehatan dasar, baik dalam kewajiban pengelolaan farmasi maupun pelayanan farmasi klinis. Untuk mendukung hal tersebut, standar pelayanan kefarmasian di puskesmas telah beberapa kali mengalami perubahan dan terakhir diperbaharui dengan Permenkes Nomor 74 Tahun 2016 Tentang Standar Pelayanan Kefarmasian di puskesmas. Studi ini bertujuan mengetahui kesesuaian pelaksanaan standar pelayanan kefarmasian dalam pengelolaan obat dan farmasi klinik di puskesmas. Desain penelitian potong lintang dilakukan pada bulan Februari-November 2017. Pemilihan lokasi provinsi dilakukan secara purposif. Alat pengumpul data berupa kuesioner dan daftar tilik standar pelayanan kefarmasian di puskesmas. Analisis data dilakukan secara deskriptif. Hasil studi menunjukkan bahwa sebanyak 54,5% puskesmas belum mempunyai tenaga apoteker sebagai penanggung jawabnya dan hanya 18,2% puskesmas yang jumlah apoteker dan tenaga teknis kefarmasiannya mencukupi untuk kegiatan pengelolaan obat dan pelayanan farmasi klinik. Kegiatan pengelolaan obat yang komprehensif sesuai dengan standar pelayanan kefarmasian di puskesmas sudah diterapkan di 96,7% puskesmas yang memiliki apoteker. Kegiatan pelayanan farmasi klinis yang komprehensif sesuai standar pelayanan kefarmasian di puskesmas hanya diterapkan di 23,3% puskesmas yang memiliki apoteker. Ketersediaan dan kemampuan apoteker dalam memberikan pelayanan farmasi klinik di puskesmas perlu menjadi perhatian.


Author(s):  
Hafizh Amrullah ◽  
Satibi Satibi ◽  
Achmad Fudholi

The increasing number of patients admited to primary healthcare (PHC) in the JKN era demands the readiness of PHC’s staff, especially pharmaceutical staff, to serve the community. Knowledge is a major necessity in collaborating with other health profesional to improve the quality of health services. Pharmaceutical staff who lack knowledge needs special training to improve their competences in drug management and clinical pharmacy services. This study aims to determine the effect of pharmacy service training on the knowledge of drug manager in PHC’s of Ogan Komering Ilir district. This research is a quasi-experimental design research with pre and post analysis approach in the intervention group and using the control group as a comparison. Subjects in the study were drug managers in the PHC’s of Ogan Komering Ilir district that met the criteria. The intervention was carried out by providing training to drug manager and providing pharmacy service manuals. The training material provided was based on the Pharmaceutical Services Training Curriculum compiled by Ministry of Health. Another instrument used was a validated questionnaire to measure the knowledge score of drug managers before and after training. A total of 13 drug managers participated in this study. After the training, the knowledge score of drug manager in the intervention group increased from 9.83 ± 2.401 to 12.67 ± 2.333 with value of p = 0.013. The majority of intervention group drug managers experienced an increase in knowledge both from the aspect of drug management and clinical pharmacy service aspects. This study concludes that training of drug managers has an effect on increasing knowledge of aspects of drug management and clinical pharmacy services.


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