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Sightseeing Pharmacy practice - The way forward
 

Sightseeing Pharmacy practice - The way forward

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PharmaCon2007 Congress, Dubrovnik, Croatia "New Technologies and Trends in Pharmacy, Pharmaceutical Industry and Education" http://www.pharmacon2007.com ...

PharmaCon2007 Congress, Dubrovnik, Croatia "New Technologies and Trends in Pharmacy, Pharmaceutical Industry and Education" http://www.pharmacon2007.com
Abstract is available at http://www.pharmaconnectme.com

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Sightseeing Pharmacy practice - The way forward Sightseeing Pharmacy practice - The way forward Presentation Transcript

  • Sightseeing pharmacy practice The way forward Thinking together with you Dr Th(Dick)FJ Tromp Flevowijk Pharmacy, Kampen, NL Quality Institute for Pharmaceutical Care, Kampen, NL
  • EuroPharm Forum October 2007
  • Overview
    • Community pharmacies today
    • Trends
    • Options for future practice
    • Impact on our behaviour
  • Pharmacies today (in community)
    • Shops
      • Please your customer and sell what they ask for
      • First objective: making money
    • Practices
      • Support your patients and advice them to make best use of their medication
      • First objective: provide care
  •  
  •  
  •  
  • Some trends
    • Science
    • Technology
    • Globalisation of economies
    • Patient characteristics
  • Trends in Science
    • New medications
      • Pipeline is rather dry
    • Impacting the human genome
    • Pharmacogenetics
      • Tailored use of the “old” medicines
      • The use of biomarkers
      • Personalised medicines
    • New delivery systems
      • Nanotechnology
    • Disconnection between the intrinsic quality of medication and the quality of usage
      • Quality chasm between science and practice
  • Outcomes of the Pharmacy System as a consequence of bad usage
    • To err is human
      • -> 90.000 †††††† in USA (per annum)
      • (Crossing the quality chasm. A new health system for the 21st century)
    • Hospitalization by Medication Use
      • 41.000 per year in NL
      • Older people more chance
      • 56% is preventable
      • Dutch HARM study 2006
    • Billons and billions $$$ or €€€ costs as a consequence of drug use
  • Trends in Technology
    • Robots in pharmacy practice
    • Databases for patient care
    • Medication-safety-cards
    • Networking in health care system (including the reimbursement system)
    • World wide web
    • Collaborative practice
  • Trends in Globalisation of Economies
    • Complex Quality Chain
      • Substandard medication
      • Counterfeit
    • Internet pharmacy
    • Reimbursement systems crossing borders
    • Workforce migration; brain drain and brain gain
  • Trends in Patient Characteristics
    • Consumerism
    • Obsession about safety
      • Overreacting political systems and media
    • Alarming increase in antimicrobial resistance
    • Longer life expectancy
  • The future
    • “ We cannot make the future!”
    • “ We cannot predict!”
    • “ We will be a victim of what will happen”
  • But
    • We can prepare ourselves to the future; we are part of history, the basis for the future
    • Together we are strong and can influence policy makers
    • We can consider some options to help us thinking and making choices
  • Some options for community practice
    • Shop
    • Commercial chain
    • MacPharmacy or PharmacyKing
    • Professional Practice
    • Clinic with other health professionals
  • To consider
    • What fits best to your professional emotions?
    • What will be realistic and sustainable?
    • If this happens, how will it work out?
    • Are we responsible for the survival of the profession and its value to the people?
  • Characteristics of a shop
    • Many OTC’s
    • No interventions on prescriptions
    • Pharmacy offers no complex professional services
    • Rather small
    • Few technicians
    • Local homepage
    • Owner invests in local network
    • Quickly responding to changes in environment
    • The pharmacist is overqualified
    • The pharmacist bears financial risks
  • Questions to ask yourself
    • How does this option help people?
    • What is impact on education and degree?
    • What is impact on respect by population and our image?
    • What will be the impact on the monopoly of the profession?
  • Characteristics of a commercial chain
    • Many OTC’s
    • No interventions on prescriptions
      • Except in “professional services”
      • Pharmacy offers no complex professional services, but refers to a specialised colleague in the chain
    • Large enterprise
    • Many technicians
    • Central homepage
    • Owner has no local network
    • Following directives of the top
    • The pharmacist is overqualified
    • The pharmacists is employed
  • Questions to ask yourself
    • How does this option help people?
    • What is impact on education and degree?
    • What is impact on respect by population and our image?
    • What will be the impact on the monopoly of the profession?
  • Characteristics of MacPharmacy or PharmacyKing
    • Many OTC’s
    • Fast movers only (Rx)
    • Central (international) homepage or internet pharmacy
    • No interventions on prescriptions
    • Pharmacy offers no complex professional services at all
    • Many technicians
    • No local network
    • Following directives of the (international) top
    • The pharmacist is overqualified
    • The pharmacists is employed
  • Questions to ask yourself
    • How does this option help people?
    • What is impact on education and degree?
    • What is impact on respect by population and our image?
    • What will be the impact on the monopoly of the profession?
  • Characteristics of a professional practice
    • Small number of OTC’s
      • No cosmetics, toys, etc
    • Interventions on prescriptions
        • (Medication Therapy Management and Pharmaceutical Care)
      • Patient oriented
      • Physician oriented
    • Moderate size of practice with >1 pharmacist
    • Moderate number of technicians (qualified)
    • Pharmacy offers complex professional services or refers to colleagues
    • Local network with other health care providers
    • Professional interactions with hospital pharmacists
    • The pharmacist is sufficiently qualified
    • The pharmacist bears financial risks
  • Questions to ask yourself
    • How does this option help people?
    • What is impact on education and degree?
    • What is impact on respect by population and our image?
    • What will be the impact on the monopoly of the profession?
  • Characteristics of a Clinic (with other health professionals)
    • Very small number of OTC’s, if any
    • Many interactions with physicians and patients
    • (Medication Therapy Management and Pharmaceutical Care)
    • Pharmacy offers complex professional services
    • Moderate size of practice with >>1 pharmacist
    • Moderate number of qualified technicians
    • Clinic placed in network with other health care providers and clinics and hospital (pharmacy)
    • The pharmacists needs to become more specialised
    • The pharmacists is employed by the clinic
  • Questions to ask yourself
    • How does this option help people?
    • What is impact on education and degree?
    • What is impact on respect by population and our image?
    • What will be the impact on the monopoly of the profession?
  • More considerations
    • Should all community pharmacies have the same characteristics?
    • …… .
    • …… .
  • What to do?
    • Scan the horizon
    • Make choices
    • Do not victimise yourself
    • Show leadership
    • Manage yourself, consistently and wise
  • EuroPharm Forum … a CD-ROM toolbox for professional management World Health Organization Regional Office for Europe Scherfigsvej 8 DK-2100 Copenhagen Ø Denmark Tel.: +45 39 17 17 17. Fax: +45 39 17 18 18. E-mail: postmaster@euro.who.int Web site: www.euro.who.int The WHO Regional Office for Europe The World Health Organization (WHO) is a specialized agency of the United Nations created in 1948 with the primary responsibility for international health matters and public health. The WHO Regional Office for Europe is one of six regional offices throughout the world, each with its own programme geared to the particular health conditions of the countries it serves. Member States Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Georgia Germany Greece Hungary Iceland Ireland Israel Italy Kazakhstan Kyrgyzstan Latvia Lithuania Luxembourg Malta Monaco Netherlands Norway Poland Portugal Republic of Moldova Romania Russian Federation San Marino Serbia and Montenegro Slovakia Slovenia Spain Sweden Switzerland Tajikistan The former Yugoslav Republic of Macedonia Turkey Turkmenistan Ukraine United Kingdom Uzbekistan EUR/04/5049476 WHOLIS number:E84689 Original: English
  • Change management in an approach to new practice models
    • Implementing a project means changing behaviour!
    • Implementing a project needs small steps and celebration of small successes!
  •  
  • Training to better using the toolbox
    • Characteristics of a project
    • Why do projects fail
    • Project management, stepwise
    • Get support from the leadership
    • Form a broad taskforce
    • Managing a broad taskforce
    • Define the project goals
    • Define implementation barriers
    • Risk analysis
    • Risk management
    • Activity plan
  • Thank you