20.500.12556/RUL-143353 Uvajanje sistema farmacevtov predpisovalcev: izkušnje iz tujine in pogledi splošne populacije, farmacevtov in zdravnikov v Sloveniji Introducing pharmacist prescribing system: experiences from abroad and perspectives from the general population, pharmacists and medical doctors in Slovenia Ozadje: Sistem farmacevtov predpisovalcev na primarni ravni zdravstvene dejavnosti farmacevtom omogoča predpisovanje nekaterih zdravil na odvisen (v sodelovanju z zdravnikom) ali neodvisen način. V tujini so farmacevti predpisovalci dodatno usposobljeni zdravstveni strokovnjaki, ki so pridobili uradno potrdilo pristojnega organa za predpisovanje zdravil za določeno terapevtsko področje. V Sloveniji je ta sistem še nepoznan, najbolj razširjen je v Združenem kraljestvu, v mnogih državah pa je v uvajanju. Namen: Namen magistrske naloge je opraviti pregled literature o sistemu farmacevtov predpisovalcev ter raziskati in opredeliti koristi in ovire, ki jih ta sistem prinaša. Prav tako je namen dela raziskati in ovrednotiti mnenja splošne populacije, farmacevtov in zdravnikov o možnostih uvedbe takšnega sistema v Sloveniji. Metode: V podatkovni zbirki MEDLINE smo s pomočjo izdelanega iskalnega profila izvedli pregled literature ter predstavili podatke. V spletnem orodju 1KA smo na podlagi vsebin iz pregleda literature izdelali anketni vprašalnik za vsako populacijo posebej – splošno populacijo, farmacevte in zdravnike ter analizirali mnenja in odzive. Rezultati: V pregled literature smo vključili 27 člankov, največ jih je bilo iz Združenega kraljestva, najpogosteje uporabljeni metodologiji pa vprašalnik in sistematični pregled. Izstopajoče koristi so bile: izboljšan dostop do zdravil in zdravstvene oskrbe, prihranek časa, zmanjšanje delovne obremenitve zdravnikov ter povečano koriščenje strokovnega znanja farmacevtov. Ovire so predstavljale: slaba ozaveščenost o sistemu, nezadostna podpora, potencialno navzkrižje interesov in poseganje v strokovnost zdravnikov ter nezadostno financiranje, infrastruktura in tehnološki viri ter kompetence predpisovalcev. Anketo je v celoti rešilo 71 predstavnikov splošne populacije, 86 farmacevtov ter 73 zdravnikov. Za obravnavan sistem je že slišalo 47,3 % farmacevtov, 22,2 % predstavnikov splošne populacije ter 15,0 % zdravnikov. 32,5 % zdravnikov je menilo, da sistem farmacevtov predpisovalcev ne bi bil enako varen, kot če bi zdravila predpisoval zgolj zdravnik; 71,4 % farmacevtov je bilo mnenja, da v lekarnah ni zaposlenega dovolj kadra za dodatno dejavnost predpisovanja zdravil. 48,8 % zdravnikov bi s farmacevtom predpisovalcem želelo sodelovati. Sklepi: Pogledi splošne populacije, farmacevtov in zdravnikov v Sloveniji glede uvajanja sistema farmacevtov predpisovalcev značilno ne odstopajo od mnenj, pridobljenih v pregledu literature iz tujine. Največje razlike v strinjanju med populacijami predstavljajo vprašanja dodatnega financiranja, varnosti, kompetentnosti, zadostnosti kadra ter podpore. Background: The pharmacist prescribing system allows pharmacists at the primary care level to prescribe certain medicines dependently (in collaboration with a doctor) or independently. Abroad, pharmacist prescribers are additionally qualified health professionals who have obtained official certification from the competent authority to prescribe medicines for a specific therapeutic area. This system is still unknown in Slovenia, but it is most common in the UK and is being introduced in many countries. Aim: The aim of this master thesis is to review the literature on the pharmacist prescribing system and to explore and identify the facilitators and barriers of this system. The aim is also to investigate and evaluate the opinions of the general population, pharmacists and medical doctors on the possibility of introducing such a system in Slovenia. Methods: We performed a literature review in the MEDLINE database using a defined search profile and presented the data. Based on the content of the literature review, a questionnaire was developed in the 1KA web tool for each population - general population, pharmacists and medical doctors - and the opinions and responses were analysed. Results: We included 27 articles in our literature review, most of them from the UK, and the most commonly used methodologies were questionnaire and systematic review. The identified benefits were: improved access to medicines and healthcare, time saving, reduced doctors’ workload and increased use of pharmacists’ skills. Barriers included: poor awareness of the system, inadequate support, potential conflicts of interest, professional encroachment on the domain of medical doctors and insufficient funding, infrastructure support and technological resources, and prescriber competences. The questionnaire was completed by 71 members of the general population, 86 pharmacists and 73 medical doctors. 47,3 % of pharmacists, 22,2 % of the general population and 15,0 % of doctors have already heard about the system. 32,5 % of medical doctors felt that pharmacist prescribing system would not be as safe as if prescribing by medical doctors only; 71,4 % of pharmacists thought that pharmacies do not have enough staff to carry out additional prescribing activities. 48,8 % of medical doctors would like to work with a pharmacist prescriber. Conclusions: The perspectives of the general population, pharmacists and medical doctors in Slovenia on the pharmacist prescribing system, do not typically differ from the perspectives introduced in the literature review from abroad. The biggest differences in levels of agreement between the populations refer to: additional funding, safety, competence, staffing and support. Farmacevt predpisovalec farmacevt splošna populacija zdravnik predpisovanje korist ovira anketa. Pharmacist prescriber pharmacist general population medical doctor prescribing facilitator barrier questionnaire. true false false Slovenski jezik Angleški jezik Magistrsko delo/naloga 2022-12-16 08:45:13 2022-12-16 08:45:26 2022-12-17 03:34:52 0000-00-00 00:00:00 2022 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1970-01-01 94814 13912.pdf 13912.pdf 1 FB168077880EFADA3277A3EFD68E8E66 86a24a2bdd6c88b635c0a3a5a480582410163c4a9b85174d2de985690ed9cade 6dd28036-7d15-11ed-9c94-00155dcfd717 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=164998 Fakulteta za farmacijo 0 0 0