Recent data indicate that the pharmaceutical market for herbal medicines continues to grow steadily, and this enables pharmacists to improve their professional skills in managing the treatment of the elderly with herbal medicines and identify potential problems associated with their use. Aim. To study the practice of using herbal medicines among elderly patients from the pharmacist’s point of view and identify specific recommendations of pharmacists in managing the use of herbal medicines. Materials and methods. A descriptive design study was conducted; the main research tool was a questionnaire for pharmacists. Results. Pharmacists’ responses indicate that the use of herbal medicines in the elderly is common, herbal preparations are used mainly for treating chronic diseases, and in most cases elderly patients associate the quality of treatment with the co-use of traditional medicines with herbal ones; often older patients also have false information about the requested herbal medicines. This means the need for pharmacists to monitor and supervise the use of herbal medicines by the elderly, special attention should be paid to the results of drug-herbal interactions and to regular updating of knowledge in the field of geriatric pharmaceutical care oriented to herbal therapy. Conclusions. Based on the results of the study, the problems associated with the use of herbal medicines in the elderly have been described, and some specific recommendations for pharmacists related to the treatment with herbal medicines in the elderly have been proposed.
постановка проблемы. Социальная эко-номика -это экономика, ориентированная на развитие личности и достижение соци-ального прогресса. Она охватывает широ-кий круг общественных, добровольных и не-коммерческих видов деятельности и построе-на на основе таких учреждений и институ-тов, как кооперативы, объединения, ассо-циации, а также другие организации подоб-ного типа. Социальная экономика состоит из ряда общественных проектов экономи-ческого плана, целью которых является предоставление услуг группе людей [3]. К таким проектам могут быть отнесены социальные аптеки -аптеки, оказывающие фармацевтические услуги различным ка-тегориям населения, в первую очередь, уяз-вимым. Однако на практике существуют различные трактовки понятия «социаль-ная аптека».анализ последних исследований и пуб-ликаций. Так, по мнению В. Корнюшина (2010), существуют как минимум три ва-рианта трактовки этого понятия: 1) соци-альная аптека -та, которая осуществляет отпуск лекарств по льготным рецептам граж-данам, имеющим право на государственную социальную помощь в виде набора социаль-ных услуг; 2) любая коммерческая аптека, но с ценами на 15-20% ниже средних по рын-ку; 3) любая аптека, которая установила Тестемицану (г. Кишинев)
Introduction. In the pharmaceutical field, the quality management is a priority and the risk management is a valuable component of an effective quality system. It involves anticipating hazards and controlling risk through a process of risk awareness, reduction, and review. The aim of this paper was to reveal the usefulness of modern risk management strategies and to assess the impact of risk management in the provision of quality services by community pharmacies. Material and methods. The causes that can lead to medication errors in community pharmacies were identified by applying the CNAM Method combined with the Delphi Technique, later the risks were categorized by the Ishikawa diagram, analyzed and evaluated by applying the expert analysis method (MAE) in risk assessment, graphically represented by the Matrix risks and ranked, highlighting pharmacy activities during which medication errors may occur. Results. The risk factor was calculated for 56 potential risks that can cause medication errors, of which 8 for the activity of ordering medicines, 8 potential risks for the activity of receiving products, 6 risks for the activity of storing products, 17 risks for the preparation of drugs and 17 risks for drug dispensing activity. Applying the MAE method in risk assessment, risk occurrence probability and outcome impact values were obtained for each risk. The potential risks of error were graphically represented using the Risk Matrix. Thus, the following activities with a major level of risk were highlighted, for which urgent measures to minimize the impact are required: illegible writing in prescriptions (15.5), fatigue of pharmaceutical staff (15.48), overwork/ multitasking (14.99), prescriptions containing errors (14.26), insufficient staff knowledge (13.81), ordering inappropriate quantities of products in pharmacies (13.59), incomplete prescriptions (12.86) and similar packaging of medicines (12.63). Conclusions. The results of this paper provide the basis for further research in order to develop a Risk Management Plan in community pharmacy. The causes that can lead to errors in the pharmacy have been identified, by highlighting pharmaceutical activities, during which risks of errors may occur. The work has practical use, and the research results can be applied by pharmacies, contributing to the improvement of their performance.
постановка проблемы. В условиях все более интенсивного «наступления коммер-ции» на деятельность аптек открытого ти-па с новой силой актуализировались воп-росы фармацевтической этики и деонтоло-гии. Анализ конфликтных ситуаций являет-ся надежным механизмом выявления сте-пени нарушения этико-деонтологических принципов в работе фармацевтов и лабо-рантов-фармацевтов, особенно работающих в аптеках открытого типа за первым сто-лом. С этой точки зрения определенный ин-терес представляют также и результаты ана-лиза жалоб и предложений, поступающих от граждан в адрес Агентства лекарств и медицинских изделий (АЛМИ). Результаты такого анализа могут быть использованы в создании учебных программ как для уни-верситетского, так и постуниверситетско-го фармацевтического образования, а так-же в планах и программах работы профес-сиональных фармацевтических ассоциаций. Тестемицану (г. Кишинев)
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