Impact of ‘Chief-Pharmacist System’ on drug expenditures and rational drug use

Ma, Zhuo; Zhao, Zhixia; Sun, Shusen; Li, Yifan; An, Zhuoling; Yan, Yan

doi:10.1007/s11096-019-00954-9

Cited by 5 publications

(7 citation statements)

References 17 publications

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“…This reflects that the CPS can promote the rational use of drugs and improve the quality of pharmaceutical care services. These findings are in agreement with a previous study ( 38 ). All interviewees had a positive attitude toward the CPS.…”

Section: Discussionsupporting

confidence: 94%

“…However, there is not much literature available on the newly implemented reform of the CPS in Chinese hospitals, which aims at extending the hospital pharmacy services beyond the mere procurement and distribution of drugs. The CPS focuses on the provision of pharmaceutical care and drug utilization evaluation under newly appointed/designated chief pharmacists ( 38 ). To our knowledge, this is the first study to reflect the status and effect of CPS by interviewing pharmacists and government staff.…”

Section: Discussionmentioning

confidence: 99%

“…Expert Consensus on Chief-Pharmacist System in China published in October 2018 described the CPS comprehensively for the first time ( 37 ). Another study evaluated drug expenditures and medical service quality during the pre- and post-implementation periods and found that CPS could significantly reduce drug expenditures and promote rational drug use ( 38 ). However, there is no research literature based on qualitative study design, involving semi structured interviews to inquire deeply into the perspective of pharmacists and government personnel on the CPS.…”

Section: Introductionmentioning

confidence: 99%

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Views of Pharmacists and Government Representatives Toward the Pilot Chief Pharmacist System in Chinese Hospitals: A Multicenter Exploratory Qualitative Study

Yang

Hayat

et al. 2022

Front. Public Health

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BackgroundIn China, the pharmacy departments of most hospitals have changed their main focus from drug procurement and distribution to providing pharmaceutical care services. Various regions of China have successively implemented the pilot Chief Pharmacist System (CPS) to help improve pharmaceutical care services and rational drug use in hospitals. This study was designed to explore the perspectives of pharmacists and government officials on CPS, including the advantages and barriers to the successful implementation of CPS.MethodsA qualitative study, based on semi-structured interviews, was conducted from October 1, 2018 to March 1, 2019. The interview data were gathered from 18 pharmacy staff and government representatives working in five distinct regions of China using purposive sampling. A thematic analysis approach and NVivo version 12 Plus was utilized to code and analysis of all interviews.ResultsFive broad themes were identified: the role of the chief pharmacist; their attitudes toward the CPS; the advantages and results of the CPS; the barriers toward CPS; and their suggestions toward CPS. Most of the participants believed that the chief pharmacist played a vital role in a hospital. Under CPS, the hospital pharmacy department pays more attention to prescription review, medication monitoring, and pharmaceutical consultation. However, an insufficient number of pharmacy personnel, unclear authority, and inadequate salaries were the main barriers to the implementation of the CPS.ConclusionThe attitudes of most of the participants were found to be positive toward CPS in China. The CPS can enhance the prestige of the hospital pharmacy department, improve the quality of hospital pharmaceutical care services, and promote rational drug use. Nevertheless, certain barriers highlighted in this study should be addressed promptly.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Views of Pharmacists and Government Representatives Toward the Pilot Chief Pharmacist System in Chinese Hospitals: A Multicenter Exploratory Qualitative Study

Yang

Hayat

et al. 2022

Front. Public Health

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“…Many previous studies described the responsibilities and roles of clinical pharmacists in various clinical specialties 39‐41 . Under the Chinese chief pharmacist system, a consensus has been reached that clinical pharmacists can use their unique experience in pharmaceutical care and pharmacology to participate in the clinical treatment of patients and facilitate the rational use of drugs 42,43 …”

Section: Discussionmentioning

confidence: 99%

Impact of interventions targeting the inappropriate use of proton‐pump inhibitors by clinical pharmacists in a hepatobiliary surgery department

et al. 2020

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“…Additionally, medicines have an important place among health expenditures, and they also have protective, diagnostic and therapeutic effects, which reveal the importance of RUM (13). Patients have an important personal role in RUM.…”

Section: Introductionmentioning

confidence: 99%

Health Beliefs Regarding Medicine Use of Mothers Whose Children Are Hospitalized in a University Hospital and Knowledge and Practices of Mothers Towards Rational Use of Medicines in Their Children

Kolukisa

Şahin

2020

Euras J Fam Med

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Aim: This study was carried out to determine the health beliefs of mothers with children hospitalized at a university hospital regarding medicine use and their knowledge and practices towards rational use of medicines in the children. Methods: This is a descriptive and cross-sectional study. The study was conducted between 15 July and 15 October 2018 at the Karabük University Research and Training Hospital with 260 mothers. A Participant Information Form and the Drug Use Health Beliefs Scale were used as the data collection tools. Results: It was determined that only 10.8% (n=28) of the mothers had knowledge about rational use of medicines. The mothers’ Drug Use Health Beliefs Scale total mean score was 150.91 ± 15.13. 93.5% (n=243) of the mothers used antipyretics, whereas only 17.7% (n=43) of them used antipyretics recommended by a doctor. The mothers who read the package inserts of medicine had a significantly higher mean scale score than those who did not. Conclusion: The mothers had insufficient knowledge on rational use of medicines, but their health beliefs related to prescription medicine use were high. However, the mothers used antipyretic, analgesic, antibiotic and cough medicines in their children without consulting a doctor, whereas the majority of them used particularly antipyretics without a doctor’s recommendation. Keywords: rational use of medicines, Drug Use Health Beliefs Scale, children, mothers

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Impact of ‘Chief-Pharmacist System’ on drug expenditures and rational drug use

Cited by 5 publications

References 17 publications

Views of Pharmacists and Government Representatives Toward the Pilot Chief Pharmacist System in Chinese Hospitals: A Multicenter Exploratory Qualitative Study

Views of Pharmacists and Government Representatives Toward the Pilot Chief Pharmacist System in Chinese Hospitals: A Multicenter Exploratory Qualitative Study

Impact of interventions targeting the inappropriate use of proton‐pump inhibitors by clinical pharmacists in a hepatobiliary surgery department

Health Beliefs Regarding Medicine Use of Mothers Whose Children Are Hospitalized in a University Hospital and Knowledge and Practices of Mothers Towards Rational Use of Medicines in Their Children

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