The assessment of the state of prescription dispensing by pharmacists in the context of the electronic prescription introduction in Ukraine
DOI:
https://doi.org/10.24959/sphhcj.24.319Keywords:
: prescription dispensing; regulatory legal act; medicinal product; pharmacist; electronic prescription; sociological research.Abstract
Aim. To assess the current state of prescription dispensing of medicines and the effectiveness of introducing electronic prescriptions (EP) based on the results of a survey of pharmacists.
Materials and methods. The study materials included regulatory legal acts, scientific publications, data from the State Register of Medicines of Ukraine, and the results of a sociological survey. The general scientific (analysis, generalization, synthesis), theoretical (structural, systemic analysis) and practical (sociological analysis) methods of analysis were used in the study.
Results. It has been determined that in accordance with the provisions of the current regulatory legal acts, currently there is a list of OTC medicines in Ukraine. In 2023, it included 3191 medicines. And it is only 21.6 % of all medicines registered in Ukraine as of 18.11.2023. The results of the survey of 262 pharmaceutical employees of pharmacies in different regions have shown that among the main advantages of the introduction of the drug dispensing by EP, 77.5 % of respondents point out a significant reduction in the number of errors due to doctor’s unclear handwriting, 59.9 % note reliable control over dispensing of medicines. It has been determined that 231 pharmacists (89.2 % of respondents) believe that the functioning of EP will enable pharmacies to comply with the requirements of the legislation on prescription medicines. It has been found that more than half – 201 respondents (76.7 %) believe that the introduction of EP in the national healthcare system will prevent the irrational use of antibacterial drugs. The main difficulties that pharmacists most often encounter when dispensing medicines by EP have been identified, in particular technical failures (54 %), the patient’s misunderstanding of how EP works (40.5 %), and the lack of Internet access (30.5 %). It has been found that 94.7 % of pharmacists are familiar with the latest changes in the legislation on dispensing of medicines from pharmacies.
Conclusions. Based on the analysis, the main directions of solving current problems related to dispensing of prescription medicines in Ukraine have been identified. It has been determined that the introduction of EP for all finished medicines will contribute to the protection of the patient’s health, the rational use of prescription medicines and reliable control over their dispensing.
References
Pro skhvalennia Kontseptsii rozvytku elektronnoi okhorony zdorovia : Rozporiadzhennia Kabinetu Ministriv Ukrainy vid 28 hrud. 2020 r. No. 1671-r. Available at: https://zakon.rada.gov.ua/laws/show/1671-2020-%D1%80#Text.
Rezoliutsiia WHA58.28. Elektronna okhorona zdorovia. U dokumenti: Piatdesiat vosma sesiia Vsesvitnoi asamblei okhorony zdorovia, Zheneva, 16-25 travnia 2005 r. Rezoliutsii i rishennia, dodatky. Zheneva. Available at: http://apps.who.int/gb/or/r/r_wha58r1.html.
Nemchenko, A. S., Tsarova, K. O., Padetska, L. V. (2019). Doslidzhennia suchasnykh problem retsepturnoho vidpusku likarskykh zasobiv v Ukraini. Formuvannia natsionalnoi likárskoi polityky za umov vprovadzhennia medychnoho strakhuvannia: pytannia osvity, teorii ta praktyky : materialy V Vseukr. nauk.-osvitnoi internet konf., m. Kharkiv, 12‒13 berez. 2019 r. Kharkiv.
Hala, L. O., Chubai, A. O. (2022). Analiz vitchyznianoho pereliku bezretsepturnykh likarskykh zasobiv ta rozroblennia pidkhodiv do yoho vdoskonalennia. Farmatsevtychnyi zhurnal,77, 4, 12-19.
Zaremba, N. I., Zimenkovskyi, A. B. (2018). Stavlennia do protsesu samolikuvannia zdobuvachiv vyshchoi medychnoi osvity na do- ta pisliadyplomnomu etapi (zghidno z rezultatamy sotsiolohichnoho doslidzhennia). Farmatsevtychnyi chasopys, 3, 94–99. doi: 10.11603/2312-0967.2018.3.9323.
Hudzenko, O. P., Barnatovych, S. V. (2016). Ekspertna otsinka stanu retsepturnoho vidpusku likarskykh zasobiv na rehiohalnomu farmatsevtychnomu rynku ta napriamy yoho udoskonalennia. Farmatsevtychnyi zhurnal, 3‒4, 5–11.
Horodetska, I. Ya., Chukhrai, I. L. (2021). Stan orhanizatsii vidpusku likiv z apteky: pohliad farmatsevtychnykh pratsivnykiv. Farmatsevtychnyi chasopys. No. 3. S. 50–56. doi: 10.11603/2312-0967.2021.3.12433.
Dyrektyva 2001/83/IeS Yevropeiskoho parlamentu vid 6.11.2001 r. Available at: https://zakon.rada.gov.ua/laws/show/984_013-01#Text.
Elektronnyi retsept: dosvid ta uroky yevropeiskykh krain. Apteka online. 2023. No. 18/19 (1389/1390) 15 travnia 2023 r. Available at: https://www.apteka.ua/article/665465.
Pro poriadok vypysuvannia retseptiv ta vidpusku likarskykh zasobiv i vyrobiv medychnoho pryznachennia z aptek. No. 117. (1994). Available at: https://zakon.rada.gov.ua/laws/show/z0171-94#Text.
Pro likarski zasoby. No. 123/96-VR. (1996). Available at:https://zakon.rada.gov.ua/laws/show/123/96-%D0%B2%D1%80#Text.
Pro zatverdzhennia Pereliku likarskykh zasobiv, dozvolenykh do zastosuvannia v Ukraini, yaki vidpuskaiutsia bez retseptiv z aptek ta yikh strukturnykh pidrozdiliv. No. 848. (2023). Available at: https://zakon.rada.gov.ua/laws/show/z0854-23#Text.
Derzhavnyi reiestr likarskykh zasobiv Ukrainy. Available at: http://www.drlz.com.ua/ibp/ddsite.nsf/all/shlist?opendocument.
Priorytetni zavdannia v haluzi zmitsnennia system okhorony zdorovia v Yevropeiskomu rehioni VOOZ na 2015- 2020 rr. Oriientatsiia na potreby liudei: vid sliv do spravy. Available at: http://www.euro.who.int/ru/about-us/governance/regional-committee-for-europe/65th-session/documentation/working-documents/eurrc6513-r.
Pro vnesennia zmin do deiakykh zakonodavchykh aktiv Ukrainy shchodo posylennia kontroliu za vidpuskom likarskykh zasobiv. No. 2679-IX. (2023). Available at: https://zakon.rada.gov.ua/laws/show/2679-20#Text.
Pro vnesennia zmin do Litsenziinykh umov provadzhennia hospodarskoi diialnosti z vyrobnytstva likarskykh zasobiv, optovoi ta rozdribnoi torhivli likarskymy zasobamy, importu likarskykh zasobiv (krim aktyvnykh farmatsevtychnykh inhrediientiv). No. 809. (2023). Available at: https://zakon.rada.gov.ua/laws/show/809-2023-%D0%BF#Text.
Shchodo vidpusku likarskykh zasobiv. Available at: https://www.dls.gov.ua/for_subject/shchodo-vidpusku-likarskykh-zasobiv.
Porady farmatsevtu: pravyla vidpusku likarskykh zasobiv za retseptom likaria – Aptechna profesiina asotsiatsiia Ukrainy. Available at: https://apau.org.ua/2023/08/15/porady-farmatsevtu-pravyla-vidpusku-l.
Elektronnyi retsept na antybiotyky: vse, shcho potribno znaty patsiientu. Available at: https://www.dls.gov.ua/for_subject.
Pro zatverdzhennia Zmin do deiakykh normatyvno-pravovykh aktiv Ministerstva okhorony zdorovia Ukrainy. No. 1284. (2022). Available at: https://zakon.rada.gov.ua/laws/show/z0826-22#Text.
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