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THE FUTURE OF PHARMACY

VOL 28, NO.1 - JUNE 2012

t i v e b o a r d m e m b e r s a r e v it a l . T h e e v i d e n c e - b a s e d p h a r m a - c e u t i c a l b e n e fi t p a c k a g e sh o w i n g it s v a l u e , ef f e c t i v e n e s s , ef fi c i e n c y a n d cli e nt s ’ s a t i s f a c t i o n sh o u l d b e e x p e d i t e d t o win p o li c y sup p o r t s . Meanw h i l e , o ut s t a n d i n g p h a r m a c i s t co m p e t e n c y in p r o v i d i n g p r of e s s i o n a l s e r v i c e s n ot o nl y sup p l y i n g p r o d u c t s wo u l d b e ke y fo r t h e d e s i r e d p o li t i c a l d e c i s i o n s .

AUTHOR ’ S INFORMATION

Duangtip Hongsamoot The National Health Security Office , Thailand

REFERENCES 1 . P l i a n b a n g c h a n g P, Hong s a m o o t D.

A pha r m a c y ow n e r s sur v e y t o w a r d s t h e Pha r m a c y Coun c il Ac- c r e d i t a t i o n St a n d a r d s . Health Journal, 2006. 15 (1): p. 111 – 122.

2 . C h a l o n g s o o k , R, Lo r j i t a m n o u y S , S a n t i m a l e e k u l W. A comp a r i s o n s t u d y of pr e s c r i p t i o n r efill s e r v i c e s b e t w e e n co m m u n i t y ho s p i t a l a n d co m m u n i t y p h a r m a c y. Health System Research Institute Journal, 2007. 1 : p. 249-261.

3 . Hong s a m o o t D, A k r a w i c h i e n W, S a n g k a r P, Ja r u p a c h C . Pres c r i p t i o n a n a l y s i s : t h e c a s e of S o m b u n Pha r m a c y. Journal of Public Health , 2009. 18 (2): p 251-253.

4 . S c r e e n i n g of Di a b e t i c a n d Hyper t e n s i o n High Risk Gr o u p s by ac c r e d i t e d p h a r m a c i e s . Srinakarin Vejasarn Journal, 2009. 24: p 215 -223.

5 . Ak k r a w i c h i e n W , Hong s a m o o t D, Ja r u p a c h C , K a m k h a e w J , S a n g k a r P. Qua li t y a c t i v i t i e s f r o m ph a r m a c y p r of e s s i o n a l s e r v i c e s a n d p at i e nt s ’ s at i s f a c t i o n : t h e c a s e s t u d y of S o m b u n Pha r m a c y, Nakor n r a c h a s i m a p r o v i n c e . Health Journal, 2008. 17 (3) : p SVI1810 – SVI1821.

6 . Sir ir a t Tun p i c h a r t . 2 0 1 1 . Home Healt h Care in B a n g k o k by a c c r e d i t e d p h a r m a c i e s . A PhD thesis, School of Public Health, Chulalongkorn University, Thailand.

T h e fin a l Q I ve r s i o n wo u l d b e de li v e r e d by t h e e n d of 2 0 1 2 . T h e s e t w o a c t i v i t i e s a r e e x p e c t e d t o b ui l d p ub l i c co nfi d e n c e t h a t co m m u n i t y p h a r m a c i e s p r o v i d e p r of e s s i o n a l p r a c t i c e un d e r t h e e s t a b l i s h e d f r a m e w o r k s .

Fur t h e r m o r e , in 2 0 1 2 , CPA in co ll a b o r a t i o n wit h t hr e e S c h o o l s of Pha r m a c y h a s d e v e l o p e d co nt i n u o u s p r of e s s i o n a l d e v e l o p m e nt p r o g r a m s t o p r o v i d e a c c r e d i t e d p h a r m a c i e s t h e up - t o - d a t e k n o w l e d g e in t a k i n g c a r e p a t i e nt s e sp e c i a l l y t h o s e wit h chr o n i c illn e s s , usi n g sp e c i a l t e c h n i q u e m e d i c a - t i o n s , h a v i n g b e h a v i o r mi s a d v e nt u r e et c . B e s i d e s , by Jun e 2 0 1 2 , t h e r e is a we b - b a s e d l e a r n i n g fo r a c c r e d i t e d p h a r m a - c i e s a c r o s s t h e co u nt r y t o sh a r e t h e e x p e r i e n c e s in t a k i n g a d v a n c e c a r e su c h a s h o m e h e a l t h c a r e , k i d n e y di s e a s e s , s t r o k e , a n d ot h e r co m p l i c a t e d c a s e s .

In t e r m s of de a l i n g wit h p ub l i c h e a l t h in s u r a n c e p a y e r, t h e da t a f r o m a ll t h e p r o j e c t s gr a nt e d by t h e NHSO are co ll a t e d t o fo r m e v i d e n c e - b a s e d p h a r m a c e u t i c a l b e n e fi t p a c k a g e s t o sub m i t fo r NHSO pay m e nt . Fillin g a n d r e fi l l i n g p r e s c r i p t i o n s , t h e b a s i c s e r v i c e s in ma n y co u nt r i e s , will b e le f t o ut b e c a u s e t h e s y s t e m s a r e t o o we ll e s t a b l i s h e d wit h i n h o s p i t a l s . T h u s , t h e m a i n p r o p o s e d a c t i v i t i e s a im at s c r e e n i n g a n d m e d i c a - t i o n us e r e v i e w. S c r e e n i n g a c t i v i t y wo u l d in c l u d e id e nt i f y i n g p a t i e nt s ’ r i s k a n d fo ll o w - u p fo r di s e a s e s d e v e l o p m e nt at p h a r m a c y. Meanw h i l e , m e d i c a t i o n us e r e v i e w wo u l d co v e r b ot h in - p h a r m a c y a n d at p a t i e nt ’ s h o m e p e r f o r m a n c e . T h e p r o j e c t s r e s u l t s in d i c a t e d t h a t t h e m o s t p r o b l e m a t i c c li e nt s a r e t h o s e wit h chr o n i c illn e s s wh o co n s i s t e nt l y s e e k m o r e m e d i c i n e s (m o d e r n a n d t r a d i t i o n a l o n e s) a n d fo o d sup p l e - m e nt s . On av e r a g e , e a c h p a t i e nt h a d 2 .5 p r o b l e m s wit h a lot e xc e s s i v e dr u g s .

Unde r t h e co ll a b o r a t i o n wit h t h e FIP Foun d a t i o n , t h e CPA Presi d e nt a n d s o m e e x e c u t i v e b o a r d m e m b e r s v i s i t e d t h e Pha r m a c y Gui l d of Aust r a l i a dur i n g 2 8 Febr u a r y – 2 March 2 0 1 2 . T hi s v i s i t h a s e n c o u r a g e d a n d co nfi r m e d t h e dir e c t i o n t h e B o a r d m e m b e r s h a d d e c i d e d t o m o v e fo r w a r d i . e . int e g r a - t i o n of co m m u n i t y p h a r m a c y int o h e a l t h in s u r a n c e s c h e m e s wit h t h e fo c u s o n p r of e s s i o n a l s e r v i c e s . Howe v e r, c r e a t i n g co m m o n p e r s p e c t i v e s of t h e CPA exe c u t i v e b o a r d m e m b e r s n e e d t o b e co n s t a nt l y b ui l t .

Howe v e r, CPA still n e e d s t o wo r k ha r d e r t o ge t m o r e p o li t i c a l sup p o r t s fo r t hi s m o v e m e nt whi l e d e m o n s t r a t i n g p h a r m a c i s t co m p e t e n c e t o b e e v i d e nt t o t h e p ub l i c , whi c h b ot h a r e dif fi - c u l t . Alt h o u g h CPA wa s e s t a b l i s h e d in 197 5 , m o s t of t h e wo r k is on p r o v i d i n g m e m b e r s p r o d u c t k n o w l e d g e n ot o n nat i o n a l p o li c y c h a n g e s . CPA may ne e d t o b e m o r e s t r a t e g i c in p u s h - i n g fo r w a r d fo r t h e int e g r a t i o n of p h a r m a c i e s in h e a l t h in s u r- a n c e s y s t e m s is s u e .

I n co n c l u s i o n , p h a r m a c i e s in T h a i l a n d a r e in t h e mi d d l e of h e a l t h c a r e s y s t e m s c h a n g e s . T h e d e c i s i o n wh e t h e r t o jo i n o r not t o jo i n t h e s y s t e m s wo u l d b e cr i t i c a l fo r t h e i r f ut u r e . T h e s t r e n g t h of Commun i t y Pha r m a c y Ass o c i a t i o n , it s cl e a r v is i o n a n d co ll e c t i v e p e r s p e c t i v e s of t h e Ass o c i a t i o n e x e c u -