Browsing by Subject "farmaseuttiset palvelut"
Now showing items 1-2 of 2
-
(2021)Background and objectives: Pharmaceutical services provided by community pharmacies have the potential to improve medication safety and support the implementation of rational pharmacotherapy. The pharmaceutical services are internationally an underused resource to support functioning of social and health care services. The literature review of this Master’s thesis provides an overview of pharmaceutical services, - their funding and remuneration. The primary objective of the empirical study was to create an overview of the development of the pharmaceutical services in Finnish community pharmacies in 2010-2020. The secondary objective was to study differences in the service provision between Finnish provinces. Materials and methods: The study was carried out as a retrospective descriptive survey study annually conducted by the Association of Finnish Pharmacies. Åland was excluded from the provincial review so that individual pharmacies could not be identified. The data was analyzed using Microsoft Excel. The number of pharmacies providing pharmaceutical services annually and the annual number of customers using these services were counted at the national level. At the provincial level, the corresponding data for the prescribing review, medication review, comprehensive medication review and assessment of inhalation technique were analyzed for the years 2017-2020. Results and conclusions: The most common service with the highest number of customers was automated dose dispensing. The second most common service was prescription review. As a whole, the provision of services and the number of customers had increased during the study period in Finnish community pharmacies. Manual dose dispensing was a diminishing service. Differences were found between provinces in the prevalence of services and in the number of customers. It was possible to identify provinces with lower service provision activity, such as Lapland. The service provision prevalence and number of customers varied widely within provinces. The number of customers for a certain service in an individual pharmacy had a large effect on the provincial average, thus, the average number of customers in the provinces does not reflect the provinces' success in implementation of services. Pharmaceutical services, with the exception of the automated dose dispensing, are not well implemented.
-
(2011)Pharmaceutical services refer to services in community pharmacies which are based on knowledge and skills of the pharmaceutical personnel. Pharmaceutical services can be divided into basic and special services. Pharmaceutical basic services relate to community pharmacy's legislative functions, while pharmaceutical special services try more proactively contribute to consumers' health.. Automated dose dispensing is pharmaceutical special service. Dose dispensing means that the patient's medication are packed in disposable bags corresponding to the dose that he or she needs to take during the course of one day. When a new patient starts to use the automated dose dispensing service, his medication is reviewed to assure there would not be severe interactions or unnecessary drugs The drugs suitability to the service and the timing of the medication is noted when the service is started. Automated dose dispensing service produces a medication list of customer's medication. The survey studied the level of the checks made to patient's medication and how can the medication history be explaned. In the survey were also interested in the level of review that was done to patient's medication. Information of patient's medication was also collected with a questionnaire. Background information showed how well the results of the survey can be generalized to pharmacies offering services and customers using the service. The questionnaire was sent to all pharmacies that ordered automated dose dispensing as contract manufacturing from Espoonlahti Pharmacy in September 2010. In the semi structured questionnaire was multiple choice and open-ended questions. Response rate in this study was 45. Background information showed that questionnaires were returned from pharmacies all around the Finland and all sizes of pharmacies. Mostly the patients starting the automated dose dispensing service are aged, homecare patients, nursing home residents or service home residents. Medication cards are used in collecting the information of patient's medication, but information to the medication card can be updated from other sources too. Medication review to patient's medication is made usually in multi-professional cooperation. Changes made to patient's medication are mainly caused by generic substitutions, selection of the dispensing machine or avoidance to halving. Medications have only few interactions that lead into discontinuing use of some medicine. Checking the medication has only little effect on the amount of drugs used by the patient. New patients starting the automated dose dispensing service have on the average 11 medicines in use, from which 7 medicines are taken to automated dose dispensing. The most widely used ATC groups are cardiovascular and nervous system medicines. Each new patient uses an average of three preparations in both groups before and after the initiation of automated dose dispensing service.
Now showing items 1-2 of 2