Communication,

information, and education in

pharmaceutical care: A
comparison case
Didik Setiawan, PhD., Apt
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 Current status

Long tradition in pharmacy IT > 25 years

16 mio people
Worldwide unique datamodel drugs (G-standard)
100 hospitals (8 academic)
Basis for advanced electronic medication surveillance
1800 community pharmacies
Broad collaboration and exchange in primary care
 Pharmacy education
Universities

Utrecht, Groningen, Leiden (new)

Course duration

3 years of basic pharmaceutical science 3 years

of pharmacy training or research master

Admission

Science (mainly chemistry and physics, but

math, biology or even English is acceptable)
 Pharmacy education
divided into 15 discrete blocks of study in an academic year.
Course
structure But there are no terms and no semesters.

The academic year consists of 42 weeks study with a break of a couple of weeks at
Christmas and, providing students have no examinations to retake, a break of eight weeks in
the summer. Bank holidays are taken in addition to these breaks.

At the end of each study block, which lasts two to three weeks, students take an
examination.

A problem with this approach is that during the study block students focus on one subject
only, and while this makes it easy to learn by rote and pass the examination, integration and
application of learning is very difficult and students often struggle with this
 Pharmacy education
Practical The six months of practical experience in the sixth year must be
divided between three pharmacies two community pharmacies
experience and one hospital pharmacy.
Although the student qualifies as a pharmacist at the end of this
period, few would be in charge of a pharmacy for a another few
years.
Indeed, to run a hospital pharmacy, pharmacists must by law
undergo a further three years of on-the-job training.

Although community pharmacists can legally be in charge after

qualification, this is discouraged and most complete at least a
further two years as an assistant pharmacist.
Pharmacists in primary care
 Manufacturer
Physician prescription

visit

goods
Pharmacy

medication
invoice order
Patient

invoice

Wholesaler
Health insurer
Other business processes pharmacy (in
addition to dispensing)
 Pharmaceutical consultations
Counselling Medicine Use Reviews (MUR) Medication surveillance
PharmacotherapeuticalTreatment
Plans (FTP)

Adherence and Concordance Pharmacotherapy audit

(repeat) prescriptions
programmes meetings (PTAM)

Additional processes within

the pharmacy are:
Financial declaration of
Public Health Prevention Reporting and evaluation of AE
services at the national Reporting and evaluation of ME
programmes
insurers /governments Contribution to scientific research
Contribution to disease management
programmes
Pharmacists in secondary care
Clinical pharmacists
 Hospital Pharmacist

The hospital pharmacist is responsible for safe, effective, efficient,

responsible and customer-focused pharmaceutical care - in the
hospital, the clinic, the clinic in the regional healthcare chain.

Cooperating with other specialists of continuity of care for the

patient. Without walls between secondary and primary care.

Withthe patient at the centre and working from his / her role as a
therapist.
 Hospital Pharmacist
In the Netherlands there is a legally recognised
specialisation which is mandatory to work as a hospital
pharmacist and as a hospital pharmacy manager.

Since 2004 this 4 year postgraduate training program

includes aspects such as clinical pharmacy,
compounding, laboratory techniques, and logistics.

Additionally research is a mandatory part of the

specialisation.
 Exit medication
Prescription that patient brings to pharmacy of choice
Information forgpand pharmacist regarding changes in
Exit medication medication related to intake of patient (home medication) in
includes order to update their EMR

Integration with information system of hospitals pharmacy

Integration with information system of community pharmacists
Relevant Integration with GP information system for receiving
integration
aspects :
acknowledgements
Discussion