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Thursday, September 27, 2012

The Right Medicine: A Strategy for Pharmaceutical Care in Scotland

just done reading a book regarding pharmaceutical care in Scotland.
here's the gist of the book


  1. Improving Health
    • pharmacies are essential part of life in that area (they employ technicians and counter assistants who are locals trained to deliver high quality of services; contribute to wider public health agenda; patient's first point of contact with a healthcare professional)
    • pharmaceutical public health (use of prescribed medicines; day-to-day activities; smoking cessation; drug misuse; travel advice; safe sexual health; family planning) health promotion and disease prevention
    • Optimising the use of medicines (have access to medicines when required; medication review)
    • Protecting the public (maximise that benefits and minimise the harm; Yellow Card scheme)
    • Reducing Accidental Deaths (poisoning in children; unintentional injury; falls in older people; returning of unneeded medication for disposal)
    • Using medicines safely (misadventures with medicines)
    • Antimicrobial Resistance (drug dosage and duration)
    • Delivering Seamless Care (ensure equity of access to current and future services)
    • Working with the Pharmaceutical Industry (has expertise on how and why medicines are used)
  2. Improving Access
    • Pharmacist prescribing (independent and supplementary prescriber)
    • Prescribing partnerships (GP provides diagnosis and pharmacist selects most appropriate medicine for that patient - Lothian)
    • Ensuring Good Access to Pharmaceutical Services (Office of Fair Trading)
    • Being Valued as Part of the NHS Family 
    • Improving Premises
    • Working with others (nurses, physiotherapists, chiropodists, social work staff, practitioners in complementary therapies, other local authority staff)
    • Helping People at Home (failure to use medicines properly leads to hospital admissions; pharmacists need to be able to get out and visit people who cannot access a pharmacy)
    • Out of Hour Access
    • Working with NHS24
    • Working with other Stakeholders
    • Electronic Transmission of Prescription Information (hospital pharmacy - community pharmacy)
  3. Helping Patients Make Better Use of their Medicines
    • Empowering patients (ensure that medicine are treated with respect)
    • Helping Patients take their Medicines (patient's understanding and agreement with their treatment; involvement in drug therapy and most convenient way to take it)
  4. Service Re-design
    • providing therapeutic drug monitoring service to tailor the dose of patients' medicines where the dosing is critical
    • become more patient-focused
    • pre-admission clinics and admission wards
    • ensure that patient fully understand about their medicines and how to use them
    • medicines information
    • evolution of tomorrow's medicines
    • Primary Care Trusts (supervised methadone consumption; needle exchange; oxygen services; the disposal of unwanted medicines; advice to nursing and residential homes; collection and delivery services and rota services)
    • In-Pharmacy Testing (screening for risk factors, diagnosing disease and monitoring disease or therapy)
    • Monitoring therapy
    • Pharmacist prescribing for common illness
    • meeting specific needs (cancer; coronary heart disease and cardiovascular disease; mental health; diabetes; epilepsy; model schemes for pharmaceutical care; drug misuse; sexual health)
    • A Lifetime of Pharmaceutical Care (parents and children; young people; older people; carers; homeless, ethnic minorities; refugees and asylum seekers)
  5. Partnership with Staff
    • education and training (4 years of Master degree and 1 year practical training in community pharmacy or hospital pharmacy)
    • manpower and skill mix
    • clinical governance (ensure the delivery of high quality pharmaceutical services to patients)
    • Research and development (University of Strathclyde and Robert Gordon University)
book published in 2002
5 pounds per book

=)

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