Abstract
This article discusses the concept of pharmaceutical care especially from the European perspective. It tries to clarify the current status of pharmaceutical care research and implementation, and if and how it can be part of the practice of pharmacy. Pharmaceutical care basically means improving the medication use process in order to improve outcomes, including the patients’ quality of life, and that involves a focus change for pharmacy from product to patient. This change in focus also implies that the pharmacy curriculum should be adapted, in order for the pharmacist to be able to acquire new knowledge and skills. In most countries this change currently is taking place but not in very deliberate or structured manner. Some basic decisions have to be made, in order to guarantee that every patient receives pharmaceutical care when needed.
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References
RL Mikael TR Brown HL Lazarus MC Vinson (1975) ArticleTitleQuality of pharmaceutical care in hospitals. Am J Hosp Pharm 32 567–74
CD Hepler LM Strand (1990) ArticleTitleOpportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm 47 533–43
InstitutionalAuthorNameAnonymous (1997) ArticleTitleA pharmacy Pioneer Int Pharm J 11 IssueID3 69
RJ Cipolle LM Strand PC Morley (1998) A New Professional Practice. Pharmaceutical Care Practice McGraw-Hill New York
CD Hepler (1996) ArticleTitlePharmaceutical Care Pharm World Sci 18 233–6
CD Hepler (2001) ArticleTitleRegulating for outcomes as a systems response to the problem of drug-related morbidity J Am Pharm Assoc (Wash) 41 108–15
CJ Morris JA Cantrill CD Hepler PR Noyce (2002) ArticleTitlePreventing drug-related morbidity–determining valid indicators. Int J Qual Health Care 14 IssueID3 183–98
InstitutionalAuthorNameAnonymous (1999) ArticleTitlePharmaceutical Care, towards an international understanding? Pharm J 263 IssueID7063 464
CD Hepler D. Angaran (1996) The nature of caring CH Knowlton RP Penna (Eds) Pharmaceutical Care Chapman & Hall New York
JWF Mil ParticleVan JC McElnay LTW Berg Particlede Jong-van den ThFJ Tromp (1999) ArticleTitleThe challenges of defining pharmaceutical care on an international level. Int J Pharm Practice 7 202–8
N Barber (2001) ArticleTitlePharmaceutical care and medicines management-Is there a difference. Pharm World Sci 23 210–1
CD Hepler TJ Grainger-Rousseau (1995) ArticleTitlePharmaceutical care versus traditional drug treatment; is there a difference? Drugs 49 1–10
Hepler CD. The Pharmacist in the medication use process (an Introduction to Pharmaceutical Care). In: Hepler CD, editor. Pharmaceutical Care in Community Practice. Proceedings of the Section of Community Pharmacists. World Congress of Pharmacy and Pharmaceutical Sciences, 1993, Tokyo, Japan. FIP, Hillerod, Denmark, 1995.
Anonymous (1997) ArticleTitleASHP guidelines in pharmacist-conducted patient education and counseling. Am J Health-Syst Pharm 54 431–4
CM Hughes JC McElnay GF Fleming (2001) ArticleTitleBenefits and risks of self medication Drug safety 24 1027–37
FR Ernst AJ Grizzle (2001) ArticleTitleDrug-related morbidity and mortality: updating the cost-of-illness model J Am Pharm Assoc 41 IssueID2 192–9 Occurrence Handle1:STN:280:DC%2BD3M3mvFOhtA%3D%3D
P Patel PJ Zed (2002) ArticleTitleDrug-related visits to the emergency department: how big is the problem Pharmacotherapy 22 915–23
JL Marco B Boscá Martín D San J Borrás Martínez A Díez (2002) ArticleTitleIngresos hospitalarios por problemas relacionados con la medicación en el hospital general de requena (1997–2000) [Drug-related problem hospitalization in the Requena general hospital] Pharm Care Esp 4 286–99
Hallas J. Drug related hospital admissions in subspecialities of internal medicine [Dissertation] Lageforeningens Forlag, Copenhagen, 1995.
HJ Beijer CJ Blaey Particlede (2002) ArticleTitleHospitalisations caused by adverse drug reactions (ADR): a meta- analysis of observational studies Pharm World Sci 24 46–54 Occurrence Handle10.1023/A:1015570104121 Occurrence Handle1:STN:280:DC%2BD38zhvV2nsQ%3D%3D Occurrence Handle12061133
JA Johnson JL Bootman (1997) ArticleTitleDrug-related morbidity and mortality and the economic impact of pharmaceutical care Am J Health-Syst Pharm 54 554–8
Haugbølle L Stig Sørensen E Westh Henriksen H Herborg (2002) ArticleTitleMedication- and illness-related factual knowledge, perceptions and behaviour in angina pectoris patients Pat Educ Couns 47 282–9
J, Krska JA. Cromarty F Arris D Jamieson D Hansford PRS Duffus G Downie DG Seymour (2001) ArticleTitlePharmacist-led medication review in patients over 65: a randomized controlled trial in primary care Age Ageing 30 205–11
H Kansanaho N Isonen-Sjolund K Pietila M Airaksinen T Isonen (2002) ArticleTitlePatient counselling profile in a Finnish pharmacy. Patient Educ Couns 47 77–82
HM Bell JC McElnay CM Hughes (2000) ArticleTitleSocietal perspectives on the role of the community pharmacist and community-based pharmaceutical services J Soc Admin Pharm 17 119–28
GM Hawksworth AJ Corlett DJ Wright H Chrystyn (1999) ArticleTitleClinical pharmacy interventions by community pharmacists during the dispensing process Br J Clin Pharmacol 47 695–700 Occurrence Handle10.1046/j.1365-2125.1999.00964.x
JWF Mil Particlevan MC Heel ParticleDudok van M Boersma TFJ Tromp (2001) ArticleTitleInterventions and documentation for drug-related problems in Dutch community pharmacies Am J Health-Syst Pharm 58 1428–31
H Buurma PAGM Smet Particlede OP Hoff Particlevan den ACG Egberts (2001) ArticleTitleNature, frequency and determinants of prescription modifications in Dutch community pharmacies Br J Clin Pharmacol 52 85–91 Occurrence Handle10.1046/j.0306-5251.2001.01406.x
NM Kleir JWF Mil ParticleVan JP Shaw JL Sheridan (2004) ArticleTitleHealth-related quality of life measurement in pharamceutical care Pharm World Sci 26 125–8
Roughead L, Semple S, Vitry A. The value proposition of pharmacist professional services in the community setting. A systematic review of the literature 1990–2002 at: www.guild.org/public/researchdocs/reportvalueservices.pdf. (6 February 2004).
Anderson C, Blenkinsopp A, Armstrong M. The contribution of pharmacy to improving the public’s health. Report 1, Evidence from the peer-reviewed literature. Pharmacy Health Link and Royal Pharmaceutical Society of Great Britain, 2003. ISBN 0-9538505-1-X. Downloadable through www.pharmacyhealthlink.org.uk.
Anderson C, Blenkinsopp A, Armstrong M. The contribution of pharmacy to improving the public’s health. Report 2, Evidence from the UK non peer-reviewed literature. Pharmacy Health Link and Royal Pharmaceutical Society of Great Britain, 2003. ISBN ISBN 0 9538505 5 2. Downloadable through www.pharmacyhealthlink.org.uk.
Søndergaard B, Herborg H, Knudsen MS, Nielsen HP, Tomsen DV. The Danish community pharmacy database. in Proceedings Workshop Programs and Abstracts, social pharmacy workshop, Malta, 19-23 july 2004 , p. 4.02. Malta: college of pahramacy practice, 2004. ISBN 9993268100.
NR Kennie BG Schuster TR Einarson (1998) ArticleTitleCritical analysis of the pharmaceutical care research literature. Ann Pharmacother 32 IssueID1 17–26
RJ Plumridge RE Wojnar-Horton (1998) ArticleTitleA Review of the pharmacoeconomics of pharmaceutical care PharmacoEconomics 14 IssueID2 175–89
W McLean (1998) ArticleTitlePharmaceutical care evaluated: the value of your services Can Pharm J 131 34–40
Beney J, Bero LA, Bond C. Expanding the roles of outpatient pharmacists: effects on health services utilisation, costs, and patient outcomes. Cochrane Library. Cochrane Collaboration. Cochrane Effective Practice and Organisation of Care Group. 2001.
L Leemans L Veroeveren J Buelens C Hendrickx W Keyenberg F Niesten et al. (2003) ArticleTitleFrequency and trends of interventions on prescriptions in Flemish pharmacies. Pharm World Sci 25 65–9
G Chamba G Bauguil J Galiezot (1999) ArticleTitleThe role of the French community pharmacist in drug dispensing Pharm World Sci 21 142–3
M Schaefer J Kresser (1998) ArticleTitlePharmazeutische Betreuung vermeidet Schäden [Pharmaceutical care prevents damage] Pharm Ztg 143 4446–54
DT Saanum KS Mellbye (1996) ArticleTitleThe prescription as an aid for communication between physicians and pharmacists. A study of errors and insufficient information on prescriptions. Tidsskr Nor Laegeforen 116 2325–9
MP Tully EM Seston (2000) ArticleTitleThe impact of pharmacists providing prescription review and monitoring service in ambulatory care or community practice Ann Pharmacother 34 1320–31
T Westerlund AB Almarsdóttir A Melander (1999) ArticleTitleDrug-related problems and pharmacy interventions in community practice. Int J Pharm Practice 7 40–50
F Fernández-Llimós MJ Faus (2002) ArticleTitleResultados del Programa Dáder de Seguimiento Farmacoterapéutico del paciente en España El Farmacéutico 290 83–8
DW Bates DL Boyle MB Vliet ParticleVander J Schneider L Leape (1995) ArticleTitleRelationship between medication errors and adverse drug events. J Gen Intern Med 10 IssueID4 199–205
GA Kocken (1999) ArticleTitleMedication discussion groups in the Netherlands: five years of experience Med Educ 33 390–3 Occurrence Handle10.1046/j.1365-2923.1999.00365.x Occurrence Handle1:STN:280:DyaK1M3mvFamtQ%3D%3D Occurrence Handle10336776
J Corbett (1995) ArticleTitleProvision of prescribing advice by community pharmacists Pharm J 255 555–7
de Vries CS. Collaboration in healthcare [Dissertation] University of Groningen, 1998. ISBN 90-367-0978-4.
van Eijk MEC. Effects of outreach strategies on quality of pharmacotherapy [Dissertation] University of Utrecht, 2000. ISBN 90-5054-155-0.
P. Denig R. Wahlstrom MC Saintonge ParticleDe F. Haaijer-Ruskamp (2002) ArticleTitleThe value of clinical judgement analysis for improving the quality of doctors’ prescribing decisions Med Educ 36 IssueID8 770–80
B Sondergaard S Thorleifsson H Herborg B Frøkjaer CD Hepler BK Ersboll (2000) ArticleTitleKvalitetssikring af astmapatienters laegemiddelbehandling, Sundhedsøkonomisk analyse [Quality assurance of drug therapy for patients with asthma. Health economic analysis] Ugeskr Laeger 162 IssueID4 480–6
H Herborg B Soendergaard B Froekjaer L Fonnesbaek T Jorgensen CD Hepler et al. (2001) ArticleTitleImproving drug therapy for patients with asthma–part 1: Patient outcomes. J Am Pharm Assoc (Wash.) 4 IssueID4 539–50
H Herborg B Soendergaard T Jorgensen L Fonnesbaek CD Hepler H Holst et al. (2001) ArticleTitleImproving drug therapy for patients with asthma-part 2: Use of antiasthma medications. J Am Pharm Assoc (Wash.) 41 IssueID4 551–9
Närhi U. Implementing the philosophy of pharmaceutical care into community pharmacy services-experiences with asthma patients in Finland [Dissertation] Kuopion Yliopisto, Kuopio 2001. ISBN 951-781-152-7.
M Schulz F Verheyen S Mühlig JM Müller K Mühlbauer E Knop-Schneikert et al. (2001) ArticleTitlePharmaceutical care services for asthma patients: a controlled intervention study J Clin Pharmacol 41 IssueID6 668–76
M Cordina JC McElnay CM Hughes (2001) ArticleTitleAssessment of a community pharmacy-based program for patients with asthma. Pharmacotherapy 21 1196–203
van Mil JWF. Results of pharmaceutical care in asthma, the TOM study. In: pharmaceutical care, the future of pharmacy [Dissertation] Groningen 1999. ISBN 90-9013367-4.
TJ Granger-Rousseau JC McElnay (1997) ArticleTitleA model for community pharmacist involvement with general practitioners in the management of asthma patients J Appl Ther 1 145–61
JA Jácome AI García (2003) ArticleTitleEstudio prospectivo sobre el impacto de un servicio de atencíon farmacéutica comunitaria en personas asmáticos [Prospective study about the impact of a community pharmaceutical care service in patients with asthma]. Rev Esp Salud Pública 77 393–403
JA Garcão J Cabrita (2002) ArticleTitleEvaluation of a pharmaceutical care program for hypertensive patients in rural Portugal J Am Pharm Assoc 42 858–64
S Varma JC McElnay CM Hughes AP Passmore M Varma (1999) ArticleTitlePharmaceutical care of patients with congestive heart failure: interventions and outcomes Pharmacotherapy 19 IssueID7 860–9
C Bernsten I Bjorkman M Caramona G Crealey B Frokjaer E A Grundberger et al. (2001) ArticleTitleImproving the well-being of elderly patients via community pharmacy-based provision of pharmaceutical care: a multicentre study in seven European countries. Drugs Aging 18 IssueID1 63–77
JF. Bonal (2000) ArticleTitleClinical pharmacy in inpatient care Pharmacotherapy 20 IssueID10 Pt 2 264S–72S
Tromp ThFJ (Ed.). Continuing professional development. Improving patient outcomes by pharmacists’ interventions. Outcomes in day-to-day practice. Proceedings of the Community Pharmacy Section. FIP, Barcelona, Spain, September 9–10, 1999.
M Weinberger MD Murray D Marrero N Brewer M Lykens LE Harris et al. (2002) ArticleTitleEffectiveness of pharmacist care for patients with reactive airways disease; a randomized controlled trial JAMA 288 IssueID13 1594–1602 Occurrence Handle10.1001/jama.288.13.1594
JWF Mil Particlevan (2003) ArticleTitleIs Hawthorne bothering pharmaceutical care research? Pharm World Sci 25 37
CM Kozma CE Reeder RM Schulz (1993) ArticleTitleEconomic, clinical and humanistic outcomes: a planning model for Pharmacoeconomic research Clin Ther 15 IssueID6 1121–32
MP Tully JA Cantrill (1999) ArticleTitleSubjective outcome measurement-a primer. Pharm World Sci 21 IssueID3 101–9
JWF Mil Particlevan (Eds) (1999) Proceedings of the International Working Conference on Outcomes Measurement in Pharmaceutical Care PCNE Hillerod, Denmark
Schulz M (Ed.). Proceedings of the 2nd International Working Conference on Quality Issues in Pharmaceutical Care Research. PCNE, Hillerød, Denmark 2001. http://www.pcne.org/proceedings2001.htm. Last accessed 06-02-2004.
R Horne J Weinman M Hankins (1999) ArticleTitleThe beliefs about Medicines Questionnaire: the development and evaluation of a new method for assessing the cognitive representation of medication. Psych Health 14 1–24
MP Mobach (2001) ArticleTitleFrom the laboratory to pharmaceutical care research. Pharm World Sci 23 205–9
Rossing C. The practice of pharmaceutical care in Denmark-a quantatative approach [Dissertation] Dept. Of Social Pharmacy, The Danish University of Pharmaceutical Sciences, 2003. ISBN 87-983302-3-3.
JWF Mil Particlevan WO Boer Particlede ThFJ Tromp (2001) ArticleTitleEuropean barriers to the implementation of pharmaceutical care Int J Pharm Practice 9 163–7
HM Bell JC McElnay CM Hughes A Woods (1998) ArticleTitleProvision of pharmaceutical care by community pharmacists in Northern Ireland Am J Health Syst Pharm 55 2009–13
HM Bell JC McElnay CM Hughes (1998) ArticleTitleA qualitative investigation␣of the attitudes and opinions of community pharmacists to pharmaceutical care J Soc Adm Pharm 15 284–95
C Rossing Hansen E Holme I Krass (2001) ArticleTitleBarriers and facilitators in pharmaceutical care: perceptions and experiences among Danish community pharmacists J Soc Adm Pharm 19 55–64
GE Crealey IK Sturgess JC McElnay CM Hughes (2003) ArticleTitlePharmaceutical care programmes for the elderly: economic issues. Pharmacoeconomics 21 455–65
PEM Muijrers JA Knotnerus J Sijbrandij R Janknegt RPTM Grol (2003) ArticleTitleChanging relationships: attitudes and opinions of general practitioners and pharmacists regarding the role of community pharmacists Pharm World Sci. 25 235–41
RN Reebye AJ Avery P Bissell C Weel ParticleVan (2002) ArticleTitleThe issue of territoriality between pharmacists and physicians in primary care. Int J Pharm Practice 10 IssueID2 69–75
R Kinget (2000) ArticleTitlePut community pharmacy on a brand new track. Int Pharm J 14 4–7
Th F J Tromp (Eds) (1999) Report of the Task Force for Implementing Pharmaceutical Care. Groningen/Kampen: European Association of Faculties of Pharmacy Quality Institute for Pharmaceutical Care Kampen, The Netherlands
EW Sørensen JK Mount ST Christensen (2003) ArticleTitleThe concept of social pharmacy. Chronic Ill 7 12–5
S Himstedt G Kirchhoff (2004) ArticleTitleHausapotheke. Pharmazeutische dienstleistung für die patienten [Family pharmacy. Pharmaceutical services for patients]. Pharm Ztg 149 IssueID19 1522–31
JWF Mill ParticleVan BF Frøkjaer ThFJ Tromp (2004) ArticleTitleCHanging a profession, influencing community pharmacy Pharm World Sci 26 129–32
LS Haugbolle EW Sorensen HH Henriksen (2002) ArticleTitleMedication- and illness-related factual knowledge, perceptions and behaviour in angina pectoris patients. Patient Educ Couns 47 IssueID4 281–9
EW Sørensen LS Haugbolle H Herborg L Lorenzen (2003) Participatory action research as an implementation strategy [Poster Abstract]. PCNE Working Conferencve: Pharmaceutical Care Research-The Next Generation PCNE Hillerød, Denmark
Neto AC Almeida ParticleDe (2003) ArticleTitleThe pseudo-patron: a real education. Aust J Pharm 84 314–5
F Mil ParticleVan (2003) ArticleTitleHoe doen we het? [How are we doing, Editorial] Pharm Weekbl 138 865
AS Roberts T Hopp EW Sørensen SI Benrimoj TF Chen H Herborg K Williams P Aslani (2003) ArticleTitleUnderstanding practice change in community pharmacy: a qualitative research instrument based on organisational theory Pharm World Sci 25 227–34
RP Dessing J Flameling (2003) ArticleTitleEthics in pharmacy: a new definition of responsibility Pharm World Sci 25 3–10
LD MacKeigan (2001) ArticleTitleAlternative reimbursement systems in community pharmacy: structure, perceptions and performance J Res Pharm Econ 11 IssueID2 53–74
SI Benrimoj JH Langford G Berry D Collins R Lauchlan K Stewart et al. (2000) ArticleTitleImpact of increased clinical intervention rates in community pharmacy. A randomised trial of the effect of education and a professional allowance Pharmacoeconomics 18 IssueID5 459–68
A Vision for Pharmacy in the new NHS. Department of Health, London, United Kingdom, July 2003. Point 3.11, page 12. http://www.doh.gov.uk/pharmacyvision/visionforpharmacy ( 9-February-2004).
H Herborg (1995) ArticleTitleThe pharmaceutical care concept- Personal views with a focus on development projects in Denmark Int Pharm J 9 148–9
Herborg H, Fonnesbaek L, Frøkjaer B, Søndergaard B. The councelling pharmacy [Abstract and poster]. abstract no CPS-P-235. World Congress of Pharmacy and Pharmaceutical Sciences, 62nd Congress of Fip, Nice, France, 2002.
LS Haugbolle EW Sorensen B Gundersen KH Petersen L Lorentzen (2002) ArticleTitleBasing pharmacy counselling on the perspective of the angina pectoris patient Pharm World Sci 24 71–8
T Westerlund P Allenbeck B Marklund IL Andersson JO Brånstad M Sjöblom (2003) ArticleTitleEvaluation of a model for counseling patients with dyspepsia in Swedish community pharmacies Am J Health-Syst Pharm 60 1336–41
J Silcock DK Raynor D Petty (2004) ArticleTitleThe organisation and development of primary care pharmacy in the United Kingdom Health Policy 67 207–14
FIP statement of professional standards: Pharmaceutical Care. At: http://www.fip.org/pdf/pharmcare.pdf. (5 February 2004).
Council of Europe, Committee of Ministers. Resolution ResAP(2001)2 concerning the pharmacist’s role in the framework of health security. Adopted by the Committee of Ministers on 21 March 2001at the 746th meeting of the Ministers’ Deputies. At: http://cm.coe.int/ta/res/resAP/2001/2001xp2.htm. (6 February 2004).
CD Hepler (1993) ArticleTitlePharmaceutical care and specialty practice Pharmacotherapy 13 64S–9S
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van Mil, J.W.F., Schulz, M. & Tromp, T.F.J.D. Pharmaceutical care, European developments in concepts, implementation, teaching, and research: a review. Pharm World Sci 26, 303–311 (2004). https://doi.org/10.1007/s11096-004-2849-0
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DOI: https://doi.org/10.1007/s11096-004-2849-0