STANDARDIZATION OF CLINICAL PHARMACIST FUNCTIONAL RESPONSIBILITIES IN HOSPITAL SETTING IN UKRAINE AND ABROAD
Aim. Collection, analysis, and standardization of practical functions of a clinical pharmacist in national and foreign inpatient health care facilities, as well as identification of barriers during the integration of clinical pharmacy services in Ukraine. Materials and Methods. The applied method...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Danylo Halytsky Lviv National Medical University
2023-12-01
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| Series: | Acta Medica Leopoliensia |
| Subjects: | |
| Online Access: | https://amljournal.com/index.php/journal/article/view/373 |
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| Summary: | Aim. Collection, analysis, and standardization of practical functions of a clinical pharmacist in national and foreign inpatient health care facilities, as well as identification of barriers during the integration of clinical pharmacy services in Ukraine.
Materials and Methods. The applied methods include a systematic approach, bibliographic, standardization, group method of expert evaluations, structural-logical, analytical-comparative, computer data processing, and modeling. The object of research: survey protocols of national clinical pharmacists (n=22); international standards of professional activity for clinical pharmacists (n=7); experience of implementing clinical pharmacy services abroad (n=7). Research subject: functional responsibilities of clinical pharmacists.
Results and Discussion. The results of the survey revealed that the practical functions of clinical pharmacists in national healthcare facilities extend far beyond the administration of antimicrobial agents as defined by legislation. They also encompass the practical implementation of 26 additional functions. An original standardization model was developed, which enabled the identification of 13 groups of professional functional responsibilities of national clinical pharmacists within the provision of clinical pharmacy services. It was established that the most common are 2 groups of functional responsibilities: managerial/strategic (20.2%) and related to control and monitoring (15.5%). Based on the analysis and evaluation of international professional standards and practices, 20 groups of functional responsibilities were identified, which are implemented through the realization of 160 different functions, ensuring a comprehensive range of clinical pharmacy services in hospital settings. The expansion of clinical pharmacy services in Ukraine is currently limited by several factors: the absence of appropriate legislative and regulatory acts that would facilitate the provision of full clinical and pharmaceutical care to patients; available resources; the level of professional training of specialists; the absence of national association and the lack of collaboration with international professional associations or societies in clinical pharmacy.
Conclusions. The developed model for standardizing the functions of clinical pharmacists in healthcare facilities has allowed systematic categorization of the main groups of functional responsibilities, enabling the provision of a full spectrum of clinical pharmacy services in hospital settings. Further integration of the clinical pharmacist into national health care, as an equal and integral member of a multidisciplinary team of specialists, is possible under the conditions of the creation of relevant legislative\regulatory acts and the development or optimization of national clinical pharmaceutical education at all levels. |
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| ISSN: | 1029-4244 2415-3303 |