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Communication, information, and education in pharmaceutical care: A comparison case

Didik Setiawan, PhD., Apt

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Current status

Current status 16 mio people 100 hospitals (8 academic) 1800 community pharmacies Long tradition in pharmacy

16 mio people

Current status 16 mio people 100 hospitals (8 academic) 1800 community pharmacies Long tradition in pharmacy

100 hospitals (8 academic)

Current status 16 mio people 100 hospitals (8 academic) 1800 community pharmacies Long tradition in pharmacy

1800 community pharmacies

Current status 16 mio people 100 hospitals (8 academic) 1800 community pharmacies Long tradition in pharmacy
Current status 16 mio people 100 hospitals (8 academic) 1800 community pharmacies Long tradition in pharmacy

Long tradition in pharmacy IT > 25 years

Current status 16 mio people 100 hospitals (8 academic) 1800 community pharmacies Long tradition in pharmacy

Worldwide unique datamodel drugs (G-standard)

Current status 16 mio people 100 hospitals (8 academic) 1800 community pharmacies Long tradition in pharmacy

Basis for advanced electronic medication surveillance

Current status 16 mio people 100 hospitals (8 academic) 1800 community pharmacies Long tradition in pharmacy

Broad collaboration and exchange in primary care

Current status 16 mio people 100 hospitals (8 academic) 1800 community pharmacies Long tradition in pharmacy

Pharmacy education

Universities

Utrecht, Groningen, Leiden (new)
Utrecht, Groningen, Leiden (new)

Course duration

3 years of basic pharmaceutical science 3 years of pharmacy training or research master
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)
Science (mainly chemistry and physics, but
math, biology or even English is acceptable)

Pharmacy education

Course

divided into 15 discrete blocks of study in an academic year.

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

experience

The six months of practical experience in the sixth year must be divided between three pharmacies two community pharmacies 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
Manufacturer
Physician
prescription
visit
goods
Pharmacy
medication
invoice
order
Patient
invoice
Wholesaler
Health insurer

Other business processes pharmacy (in

addition to dispensing)

Counselling

Pharmaceutical consultations

Medicine Use Reviews (MUR) PharmacotherapeuticalTreatment Plans (FTP)

(repeat) prescriptions

Adherence and Concordance programmes

Public Health Prevention programmes

Financial declaration of services at the national insurers /governments

Medication surveillance

Pharmacotherapy audit meetings (PTAM)

Additional processes within the pharmacy are:

Reporting and evaluation of AE Reporting and evaluation of ME 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 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
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.
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
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
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.
Additionally research is a mandatory part of the
specialisation.
Exit medication includes Relevant integration aspects :
Exit medication
includes
Relevant
integration
aspects :

Exit medication

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

• Integration with information system of hospital’s pharmacy • Integration with information system of community pharmacist’s

Integration with GP information system for receiving acknowledgements

Discussion