公共卫生系统中实施药师信息咨询服务预防方法的概念理论论证与更新

I. Kirshchina, A. Soloninina, V. N. Michailova
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The relevance of the preventive approach in the implementation of information and consultancy activities of a pharmacist has been substantiated, the essence of which is to prevent undesirable events associated with the use of medicinal preparations (MPs) and preventive health care in the society. The proposed methodology is based on the concept of “a pharmaceutical vigilance”, the practical implementation of which is proposed in the publication. The need for pharmacists to perform certain professional functions aimed at preserving and strengthening the health of the population has been updated, the functions have been proposed and the list of possible pharmaceutical services for the practical implementation of the proposed functions in the health care system has been provided.Conclusion. 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引用次数: 0

摘要

公共卫生保护是文明社会发展的最重要法则。作为卫生保健系统的参与者,医药专家必须承担某些旨在加强和保持人口健康的预防任务。这项工作的目的是证实和制定一种方法,以发挥制药专家在保护公众健康方面的专业作用。材料和方法。在Scopus、The Cochrane Library、Pubmed、Library等数据库中采用地址检索、专题检索和事实检索的方法进行信息检索。分析的信息主体包括系统综述、回顾性和随机研究,以及其他关于发表主题的应用发展。科学出版物的书目检索深度约为20年(2000-2019年)。检索关键词为:“药剂师的健康保护”、“药物不良反应的预防”、“药剂师的职能”、“药学服务”、“卫生能力”、“药剂师在疾病预防中的作用”、“药学服务”、“患者依从性”、“卫生保健协作”等。在分析的基础上,健康保护活动中对药剂师的需求得到了证实,在保护公众健康方面使用药学知识的科学和实用方法得到了更新,并提出了实施这些活动所需的药剂师专业能力(PC)。预防方法在实施药剂师的信息和咨询活动中的相关性已经得到证实,其本质是防止与社会中使用药物制剂(MPs)和预防性保健有关的不良事件。拟议的方法是基于“药物警戒”的概念,该出版物建议实际实施。更新了药剂师为维护和加强人口健康而履行某些专业职能的需求,提出了这些职能,并提供了在卫生保健系统中实际履行这些职能可能提供的药学服务清单。已确定下列药学服务是相关的:人口的药学启蒙、以病人为导向的药学咨询和病人的赞助、医学专家关于药物的药学知识和影响公共卫生问题的社会预防。已经明确了医药服务的定义,证实了提供服务的方法,更新了提供服务的效率,并形成了药剂师在实际医疗保健中实施这些服务的专业能力。
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CONCEPTUALLY-THEORETICAL JUSTIFICATION AND UPDATING OF THE PREVENTIVE APPROACH IN THE IMPLEMENTATION OF A PHARMACIST’S INFORMATION CONSULTANCY SERVICES IN THE PUBLIC HEALTH SYSTEM
Public health protection is the most important law of the development of a civilized society. As participants in the health care system, pharmaceutical specialists must take upon themselves certain preventive tasks aimed at strengthening and maintaining the health of the population.The aim of the work was to substantiate and develop a methodology for implementing the professional role of pharmaceutical specialists in public health protection.Materials and methods. The search for information was carried out using the methods of address, thematic and factual search in the Scopus, The Cochrane Library, Pubmed, eLibrary databases. The analyzed body of information included systematic reviews, retrospective and randomized studies, and other applied developments on the topic of publication. The depth of the bibliographic search for scientific publications is about 20 years (2000-2019). The following keywords were used for the search: “a pharmacist in health protection”, “prevention of adverse drug reactions”, “functions of a pharmacist”, “pharmaceutical care”, “sanitary competence”, “a pharmacist’s role in the prevention of diseases”, “pharmacy services”, “patient compliance”, “collaboration in health care”, etc.Results. On the basis of the analysis, the demand for pharmacists in the health protection activities has been substantiated, the scientific and applied methodology of using pharmaceutical knowledge in the protection of public health has been updated and the necessary professional competencies (PC) of a pharmacist have been proposed for their implementation. The relevance of the preventive approach in the implementation of information and consultancy activities of a pharmacist has been substantiated, the essence of which is to prevent undesirable events associated with the use of medicinal preparations (MPs) and preventive health care in the society. The proposed methodology is based on the concept of “a pharmaceutical vigilance”, the practical implementation of which is proposed in the publication. The need for pharmacists to perform certain professional functions aimed at preserving and strengthening the health of the population has been updated, the functions have been proposed and the list of possible pharmaceutical services for the practical implementation of the proposed functions in the health care system has been provided.Conclusion. The following pharmaceutical services have been identified as relevant: pharmaceutical enlightenment of the population, patient-oriented pharmaceutical counseling and patronage of patients, pharmaceutical informing of medical specialists about drugs and social prevention of the problems affecting the public health. The definitions of pharmaceutical services have been specified, the methodology for providing the services has been substantiated, the efficiency of their provision has been updated and the professional competencies of pharmacists for their implementation in practical healthcare have been formed.
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