CLINICAL PHARMACY ESSENCE, PROGRESS AND CHALLENGES IN PRACTICE
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1 30, 49, 2013, 3,. ¹,. ²,. ¹. ¹ ¹,, ², CLINICAL PHARMACY ESSENCE, PROGRESS AND CHALLENGES IN PRACTICE I. Getov¹, E. Kostov², Hr. Lebanova¹ and E. Grigorov¹ ¹Department Organization and Economics of Pharmacy, Faculty of Pharmacy, Medical University Sofia ²Medical College, Medical University Pleven : : : Summary: Key words: Address for correspondence:,, -.,,. -, -, -., , - -.,,,.,, -,,. 2, 1000, , ilko.getov@gmail.com Clinical pharmacy is a concept for dividing the activities performed by pharmacists in hospitals into two groups. The first group includes the traditional functions of procurement, storage and dispensing of medicines for the needs of bedridden patients, and the second large group are the activities associated with consulting and expertise in the wards in relation to drug therapy for each individual patient. Specially trained pharmacists are carrying out activities aimed at optimizing drug therapy and promoting a healthy lifestyle, wellbeing and disease prevention. The practice of clinical pharmacists includes philosophy of care, combined with a specific orientation towards the patients to ensure optimal results from the ongoing pharmacotherapy. As a scientific discipline, clinical pharmacy contributes to the achieving of new knowledge, leading to a higher quality of life and lower costs for effective treatment. clinical pharmacy, drug therapy, pharmacists, hospital pharmacy I. Getov, Department Organization and Economics of Pharmacy, Faculty of Pharmacy, Medical University, 2, Dunav St., Bg 1000 Sofia, tel , ilko.getov@gmail.com
2 [1]., [2]. - -, ( Evidence-based Pharmacy), () [3]. Cochrane Collaboration , [4] [5] prof. Wait Rising [6]., -,., [7]. -,, - - [8]. -, ,,, [9]. : 1. / ; 2. - ; , ; 4. ; 5. ; 6. ; 7. ; 8. - ; 9. - ; 10. -, - GMP; 11. ; 12. ; ; 14. ; , -, -, -, -, -. - (-,,,.),, -
3 32, 49, 2013, 3,,, -, - [10]. -, -,,, -, [11]., / 2009 (European society of clinical pharmacy) (American college of clinical pharmacy) (French society of clinical pharmacy, SFPC) (German pharmaceutical society, DPhG, ABDA) (Norwegian association of hospital pharmacists, NFS) (UK Clinical pharmacy association) (Roberto Frontini), - (EAHP) (Frank Jorgensen), - (ESCP) B. D. Franklin and J. M. F. van Mil. Defining clinical pharmacy and pharmaceutical care. Pharm World Sci 2005, 27: J. M. F. van Mil. Concise history of community pharmacy and pharmaceutical care in the Netherlands, In: Pharmaceutical care, the future of pharmacy [Dissertation] Groningen 1999, 31.. :, -. 6 :,,,,, -, , -. -,.,,, -,,. :, /. - -., -., -, , -. -, -, -, - [12].. -
4 ,. -, -, - - [13]. -,,.,, (Community pharmacy) ,. :, -,,,,, -,,,,, -,. - ESCP, - - [14] ,,. : - (,, ); ( -, ); (, -, -, - ); (-,, ) (, -..)., : 1. ; 2. ; 3., 50% - /.,, , % % -., : - - -, ,, - -.,. - /, -, ,, -.
5 34, 49, 2013, , ,,, ,, -. -, FIP, , - / , , - V,., - -., -,,, , -, -,. - -, : - ;, - - ;, - - (compliance) ; ; ; - - ; ;, -, ;. - -,, ,, -, -. -, -,. - -,,.,, -. -
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7 36, 49, 2013, D o n a b e d i a n, A. Explorations in quality assessment and monitoring: the definition of quality and approaches to its assessment. Ann. Arbour, MI, Health Administration, Correa-de-Araujo, R. General principles of evidence-based pharmacotherapy. The consultant pharmacist, 2001, Suppl. B, B o n d, C. Evidence-based pharmacy. Pharmaceutical press, London, O ' B r i e n, T. et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes.cochrane Database Syst. Rev., 2001, 2, CD M c L e o d, D. C. Contribution of clinical pharmacists to patient care. Am. J. Hosp. Pharm., 33, 1976, 9, Y a d a v, A. V., B. V. Yadav et T. I. Shaikh. Handbook of Clinical Pharmacy. Nirali Publication, H e l p e r, C. D. Clinical pharmacy, pharmaceutical care, and the quality of drug therapy. Pharmacotherapy, 24, 2004, B o s s o, J. A. Clinical pharmacy and pharmaceutical care.pharmacotherapy, 24, 2004, 11, B l a i r, M. M. Clinical skills for pharmacists: a patientfocused approach. 3rd ed. Ann. Pharmacother., W a l k e r, R. et C. R. Edwards. Clinical Pharmacy and Therapeutics. Churchill Livingstone, D i P i r o, J. T. Encyclopedia of Clinical Pharmacy. Taylor & Francis, v a n M i l, J. W., M. Schulz et T. F. Tromp. Pharmaceutical care, European developments in concepts, implementation,teaching, and research: a review. Pharm. World Sci., 26, 2004, 6, H u d m o n, K. S. et al. Advancing public health through continuing education of health care professionals. J. Contin. Educ. Health Prof., 31, 2011, Suppl. 1, S E S C P News, 2010, E A H P Hospital pharmacy survey 2005, [Accessed ] ".. " 1, 1431 (02) , (02) , (02) , (02) , Acta Medica Bulgarica (. ) e
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