Community Pharmacy in Lebanon Prepared by Luna El Bizri
Agenda Facts. Community pharmacist: the present situation. Shift from the traditional role to a new era. Health Insight - Community Pharmacy
Facts The most easily-accessed health care professionals in the community. 6,962 pharmacists total Lebanon. 2,722 community pharmacies. Pharmacists employed in CP:828 Completely controlled by pharmacists. Pharmacies must be owned by pharmacists. Pharmacies are located in high streets, local and rural areas. Most patients seen have :CHD, stroke, hypertension and diabetes.
Community pharmacist: managed care pharmacist Patient services have changed which bring needs to change also the traditional role of the pharmacist and bring it to a higher level, why? Emergency of new diseases. 1. Public Awareness of chronic conditions: osteoporosis, 2. cancer, HIV,.. Lifestyle changes: care about weight management, 3. dermatological conditions,… Personal patient scientific curiosity: media and internet 4. surfing with insufficient knowledge.
The present The Lebanese pharmacist is now playing mostly the role of a prescription dispenser with no distinction from the technician or the assistant. Pharmacists are not allowed, to make any discounts on the sales price ,even though the law is still not entirely abided to. Except for narcotics, most drugs can be purchased in pharmacies without medical prescription, despite the Law that requires a prescription for dispensing any drug (except OTC drugs). Health Insight - Community Pharmacy
The present The pharmacist is not allowed to interfere in physician prescription and only changes can be made after his consent, knowing that prescription in Lebanon suffer from serious deficiencies . Unfortunately ,some pharmacists till now don’t know how to deal with computer and still have written hand made records. Pharmacy premises, respect of medicines storage is not always 100% achieved especially for cold chain products. Health Insight - Community Pharmacy
The future Shift from just reading a prescription to: Integrated as health care provider Pharmacists are able to assume direct patient care roles (especially for patients with disease such as asthma, dyspepsia or IBS): Advise them on medications, lifestyle changes, 1. how to act in acute phases. Must have the right to prescribe OTC products 2. (clear list) in acute conditions.
The future Shift from prescription with deficiencies to: Clear informative assisting pharmacists 1. (using of pictograms, information about drug- drug or drug-food interactions). Educate patient about his condition and 2. empower him to self manage it. Community pharmacy must have at least one 3. “patient care point” to assist patient and respect their privacy, to encourage them to ask about their clinical conditions and highlight how to manage them.
pictograms
The future The application of this MTM (medication therapy management ) requires e.medical record. Provides a secure and private lifetime record of 1. an individual’s health and care history, available electronically to authorized health providers by the patient (code given by the patient to an authorized person for emergency cases). Tool that improves quality, safety and delivery 2. of health care for the citizens wherever is the location of the patient.
The future Effective contribution in national healthcare programs : Diabetes, Smoking cessation, Immunization,alcohol, weight management, cholesterol and TG scanning.
HOW TO ACHIEVE THESE GOALS “Each practice environment should consider what combination of credentials, training, and experience is most appropriate, yet remain flexible to allow for all qualified and competent pharmacists the opportunity to improve outcomes.” Giberson S, Yoder S, Lee MP. Improving Patient and Health System Outcomes through Advanced Pharmacy Practice. A Report to the U.S. Surgeon General. Office of the Chief Pharmacist. U.S. Public Health Service. Dec 2011.
HOW TO ACHIEVE THESE GOALS OPL 2020 plan: This plan will lead the community pharmacists to evolve in their pharmacy on different levels: The relationship : internal, with patients, with other 1. healthcares. The pharmacy standards. 2. The pharmacist performance. 3.
references Ghina Raad, Amal Al-Hajje, Sanaa Awada, Samar Rachidi, Pascale Salameh ,09/2013; In 1. proceeding of: Journal of Population Therapeutics and Clinical Pharmacology Evaluation of the prescriptions at community pharmacies in Lebanon, At Montreal, Quebec, Canada, Volume: 20(3) Giberson S, Yoder S, Lee MP. Improving Patient and Health System Outcomes through 2. Advanced Pharmacy Practice. A Report to the U.S. Surgeon General. Office of the Chief Pharmacist. U.S. Public Health Service. Dec 2011. Strategy for National Health Care Reform in Lebanon ,Roger Sfeir- MD, MBAIP 3. Medication therapy management in pharmacy practise: Core Elements of an MTM Service Model 4. Version 2.0 March 2008. A joint initiative of the American Pharmacists Association and the National Association of Chain Drug Stores Foundation. Health Insight - Community Pharmacy
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