Pharmaceutical Service: Comparison
Please note this is a comparison between Version 1 by Urszula Religioni and Version 2 by Nicole Yin.

Pharmaceutical services are activities of pharmacists in the healthcare system to obtain a measurable benefit, including providing access to high-quality medicinal products, subsequent rational management, as well as preventive medicine.

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definition

Pharmaceutical service can be defined as the activities of pharmacists in the healthcare system to obtain a measurable benefit. Apart from providing access to high-quality medicinal products and the subsequent rational management, pharmaceutical services also include preventive medicine.

1. Introduction

The provision of pharmaceutical services improves healthcare results and the quality of life of patients, and integrating these services with other healthcare services enables optimum use of the potential of pharmacies and pharmacists[1] [14].

2. The Scope of Pharmaceutical Services

These activities support the healthcare system not only in disease prevention, but also in primary and specialist patient care (Table 1).

Table 1. The scope of pharmaceutical services and pharmaceutical care supporting primary and specialist healthcare.

Pharmacist Role in Healthcare

Support in medical care

Asthma

-           Monitoring the disease and therapy

-           Teaching inhalation techniques

-           Promoting compliance

-           Campaigns to identify non-controlled patients

Chronic obstructive pulmonary disease

Diabetes

-           Monitoring the disease and therapy

-           Promoting compliance

-           Campaigns to identify non-controlled patients

Dyslipidemia

Hypertension

Bleeding disorders

-           Monitoring the disease and therapy

-           Counselling or therapeutic education

-           Monitoring clinical parameters

Obesity

-           Counselling or therapeutic education

-           Monitoring clinical parameters

-           Campaigns to identify obese patients

Support in primary healthcare

-           Early diagnosis

-           Pain treatment

-           Monitoring depression therapy

-           Repeat prescriptions

Support in specialist healthcare

-           Dose adjustment of anticoagulants

-           Community pharmacies dispensing medications dispensed only by hospital pharmacies

-           Supporting patients in transition from hospital to outpatient treatment

-           Directly observed tuberculosis therapy

-           Early HIV detection

Mother and child health

Pregnancy/ Breastfeeding

-           Counselling

-           Techniques of using care products for pregnant women and their babies

-           Pregnancy tests

Children

-           Counselling

-           Techniques of using care products for children

Comprehensive interventions

Prescribing or administering medications

-           Medications (including injections)

-           First aid

-           Vaccinations

Assistance in home/nursing home therapy

-           Counselling, consultations, monitoring

-           Home delivery of medications

Counselling

-           Dermocosmetics/Medical devices

-           OTC medicines

-           Dietary supplements

-           Veterinary medications

Sun protection

-           Counselling and campaigns

Prevention programs

-           Syringe exchange

-           Quitting smoking

-           Vaccinations

Related to medications

-           Education and improvement of health competences

-           Interventions increasing treatment adherence

-           Multiple doses of medications

-           Medication reviews

-           Home medicine cabinet reviews

-           Identifying drug interactions

-           Supervision over pharmacovigilance

-           Drug disposal programs

Source: Felix J, Ferreira D, Afonso-Silva M, Gomes MV, Ferreira C, Vandewalle B, Marques S, Mota M, Costa S, Cary M, Teixeira I, Paulino E, Macedo B, Barbosa CM. Social and economic value of Portuguese community pharmacies in health care. BMC Health Serv Res 2017;17:606; Antczak A, Balcerzak M, Byliniak M, Czech M, Drozd M, Merks P. Szczepienia przeciw grypie w aptekach. Raport opieka farmaceutyczna. Fundacja Nadzieja dla Zdrowia, Warszawa, 2020.

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